Elizabeth J Cardinale, MD
Individual provider Active NPI Internal Medicine Physician · University Park, PA
NPI 1154585909 · NPPES record last updated Apr 2, 2024
Key facts
- NPI
- 1154585909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD474463 (PA)
- Practice address
- 308 Student Health Ctr
University Park, PA 16802-2129 - Phone
- (814) 865-4847
- Fax
- (814) 865-7778
- NPI assigned
- Jul 10, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A98038 | CA | MD | Internal Medicine Physician |
| 4301097678 | MI | MD | Internal Medicine Physician |
| MD474463 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sansum Clinic | Past | Accepting new patients | |
| Jackson & Engberg Medical Corporation | Internal Medicine | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301097678 | MI | |
| Internal Medicine Physician | 207R00000X | A98038 | CA | |
| Internal Medicine Physician | 207R00000X | MD474463 | PA | Yes |
Addresses
Primary practice location
308 Student Health Ctr
University Park, PA 16802-2129
Mailing address
308 Student Health Center
University Health Services
University Park, PA 16802
Phone (814) 863-2058
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD474463 | Other | PA | STATE LICENSE |
Other providers in University Park, PA
- Amanda Jordan Byrd
- Madison Byrne
- Sara Caldwell
- Adam Lee Campbell
- Scott Campbell
- Sheila Cartwright
- Louis Georges Castonguay
- Nicole Chadwick
- Raymond J Champagne II
- Trinity Cleary
All providers in University Park, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.