Ann Bridget Diehl, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

254 Brooklyn St
Carbondale, PA 18407-2824

Phone

(570) 282-3347

NPI assigned

Oct 20, 2010

Last updated

May 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ann Bridget Nebzydoski Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neal Malcolm Davis, DO

  • Family Medicine Physician
  • Carbondale, PA
  • NPI 1437152113
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1093025272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 GREAT BEND TPKE",
            "city": "PLEASANT MOUNT",
            "state": "PA",
            "postal_code": "184534547",
            "telephone_number": "570-352-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 BROOKLYN ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072824",
            "telephone_number": "570-282-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "ANN",
        "middle_name": "BRIDGET",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "NEBZYDOSKI",
            "middle_name": "BRIDGET",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Neda Danniel, MD
• Sheryl Datto, RPH
• Neal Malcolm Davis, DO
• Norm Demming
• Mary A Desando, OD
• Dr. Marc Morris
• Jason Christopher Dwyer, P.T.
• Felicia Elizabeth Dzielak
• Catherine B Erickson, PHARMD
• Ashley Ettinger, MS, LBS

• Medical Physician Assistant in Carbondale, PA
• Providers in Carbondale, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.