Maryjo Ellen Szada, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD052118L Issued in PA

Practice address

381 S Front St
Steelton, PA 17113-2529

Phone

(717) 986-0794

Fax

(717) 986-1094

NPI assigned

Jun 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1447291620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 S FRONT ST",
            "city": "STEELTON",
            "state": "PA",
            "postal_code": "171132529",
            "telephone_number": "717-986-0794",
            "fax_number": "717-986-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 S FRONT ST",
            "city": "STEELTON",
            "state": "PA",
            "postal_code": "171132529",
            "telephone_number": "717-986-0794",
            "fax_number": "717-986-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZADA",
        "first_name": "MARYJO",
        "middle_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD052118L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014414300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valery Maryellen Square
• Steelton Family Practice & Wellness Center
• Steelton Fire Department Emergency Medical Services
• Steelton Pharmacy LLC
• Steelton-Highspire School District
• The Program for Female Offenders
• Mindy P Unger, RT(R)
• Chelsea Nichole Valenziano, CRNP
• Haley Elizabeth Wagner, PA-C
• William Adolph Wewer, D.O.

• Family Medicine Physician in Steelton, PA
• Providers in Steelton, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.