Jason Ferderber
Jason Ferderber is a Sports Medicine in State College, Pennsylvania. Graduated from Pennsylvania State University College of Medicine in 2017, 9 years ago. Practices with Mount Nittany Medical Center Health Services Inc, a 367-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 9
- Trained at
- Pennsylvania State University College of Medicine
- Licensed in
- PA
- In the registry since
- 2017
Practice location Address checks out
1700 Old Gatesburg Rd Ste 200State College, PA 16803-2276
Phone: (814) 237-4321
Fax: (814) 235-0484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Emergency Medicine) Physician (primary) | Taxonomy 207PS0010X · Licence MD467872 (PA) |
|---|
Record details
| NPI number | 1023544053 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 11, 2017 |
| Last updated in NPPES | July 2, 2021 |
| Certification date | July 2, 2021 |
| Mailing address | 1700 Old Gatesburg Rd Ste 200, State College, PA 16803-2276 |
Medicare enrollment
| Medicare specialty | SPORTS MEDICINE |
|---|---|
| Medical school | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduated | 2017 (9 years in practice) |
| Group practice | Mount Nittany Medical Center Health Services Inc — 367 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |