Provider Demographics
NPI:1447258686
Name:SCHLUTER, JODI DAWN (PA-C)
Entity type:Individual
Prefix:
First Name:JODI
Middle Name:DAWN
Last Name:SCHLUTER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:JODI
Other - Middle Name:DAWN
Other - Last Name:EMERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2775 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7307
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:610-807-0366
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA051430363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
50047052OtherKEYSTONE HEALTH CENTRAL
1958628OtherHIGHMARK BLUE SHIELD
P3178838OtherOXFORD HEALTH PLANS
328953OtherHEALTHAMERICA/HEALTHASSUR
50047052OtherCAPITAL BLUE CROSS
50047052OtherKEYSTONE HEALTH CENTRAL
328953OtherHEALTHAMERICA/HEALTHASSUR