PROSPECT HEALTH ACCESS NETWORK, INC. (NPI# 1013364538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013364538 |
Entity Type | Organization |
Organization Name | PROSPECT HEALTH ACCESS NETWORK, INC. |
Other Organization Name | KIDNEY TRANSPLANT CENTER |
Practice Address |
1 Medical Center Blvd Pob II Suite 220 Chester PA 19013-3902 |
Practice Telephone | 6106198420 |
Practice Fax Number | 6106198421 |
Mailing Telephone | 6106198420 |
Mailing Fax Number | 6106198421 |
Enumeration Date | 2016-05-16 |
Last Update Date | 2016-05-16 |
Authorized Official Name | ELLEN SHIN (SECRETARY) |
Authorized Official Telephone | 3109434520 |
Authorized Official Credential | JD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204F00000X | Transplant Surgery | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Kidney Transplant Center | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619322112 | Prospect Health Access Network, Inc. | Psychologist | 176 S Middletown Rd, Media, PA 19063-5255 | 2016-05-03 |
1982152294 | Prospect Health Access Network, Inc. | Urology | 2100 Keystone Ave, Drexel Hill, PA 19026-1129 | 2016-09-15 |
1083061006 | Prospect Health Access Network, Inc. | Physical Therapist | 485 Baltimore Pike, Suite 202, Glen Mills, PA 19342-1161 | 2016-05-19 |
1780031005 | Prospect Health Access Network, Inc. | Pediatrics | 30 Medical Center Blvd, 3 East, Chester, PA 19013-3955 | 2016-05-17 |
1912354432 | Prospect Health Access Network, Inc. | Internal Medicine | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2016-05-16 |
1013364520 | Prospect Health Access Network, Inc. | Psychiatry & Neurology | 1 Medical Center Blvd, Acp Ste 533, Chester, PA 19013-3902 | 2016-05-16 |
1740637255 | Prospect Health Access Network, Inc. | Internal Medicine | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078-2214 | 2016-05-16 |
1922455443 | Prospect Health Access Network, Inc. | Surgery | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2016-05-16 |
1659728178 | Prospect Health Access Network, Inc. | Internal Medicine | 2100 Keystone Ave, Suite 406, Drexel Hill, PA 19026-1129 | 2016-05-16 |
1477900991 | Prospect Health Access Network, Inc. | Pediatrics | 1 Medical Center Blvd, 3rd Floor, Chester, PA 19013-3902 | 2016-05-16 |
Street Address |
1 MEDICAL CENTER BLVD POB II SUITE 220 |
City | CHESTER |
State | PA |
Zip Code | 19013-3902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124626064 | Rachelle Lynn Dambman | Nurse Practitioner | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-10-13 |
1588274930 | Hui Chong Lau | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-07-31 |
1679194856 | Pooja Manjunatha | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-29 |
1609497981 | Jessica Hyman | Physician Assistant | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-28 |
1740800242 | Jared Blum | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-24 |
1487274312 | Patrick Sean Sullivan | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-21 |
1629698550 | Brett Houston Palmer | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-21 |
1922627231 | Oluwadara Nnoli | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-16 |
1730708181 | Sachi Singhal | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-15 |
1770102014 | Mary Howland Williamson | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
Find all providers in zip 19013 |
Taxonomy Code | 204F00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Transplant Surgery |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568757623 | Health Access Network | Transplant Surgery | 1 Medical Center Blvd, Pob # 1 Suite 200, Chester, PA 19013-3902 | 2011-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154987626 | Masashi Furukawa | Transplant Surgery | 200 Lothrop St # C-900, Pittsburgh, PA 15213-2536 | 2019-05-10 |
1649750951 | Mario Castro Medina | Transplant Surgery | Upmc Childrens Hospital of Pittsburgh, 4401 Penn Avenue Faculty Pavillion 5th Floor, Pittsburgh, PA 15224 | 2018-08-16 |
1942687686 | Konstantinos Zorbas | Transplant Surgery | 3401 N. Board Street, Parkinson Pavilion - Zone C Suite 450, Philadelphia, PA 19140 | 2015-05-01 |
1982968582 | Goutham Kumar | Transplant Surgery | 7070 Forward Ave Apt 401, Pittsburgh, PA 15217-2549 | 2012-06-28 |
1740594241 | Edgar Enrique Ramos Diaz | Transplant Surgery | 3401 Forbes Ave, Apt. 306, Pittsburgh, PA 15213 | 2010-07-27 |
1326202888 | Vikraman Gunabushanam | Transplant Surgery | 3459 Fifth Av, 7 South, Pittsburgh, PA 15213 | 2008-07-14 |
1851558860 | Christine Du | Transplant Surgery | 1250 S Cedar Crest Blvd Ste 210, Allentown, PA 18103-6271 | 2008-05-19 |
1447217492 | Akhtar S Khan | Transplant Surgery | 138 N Woodland Rd, Pittsburgh, PA 15232-2850 | 2006-04-26 |
1114993748 | Ngoc L Thai | Transplant Surgery | 2566 Haymaker Rd Ste 311, Monroeville, PA 15146-3555 | 2006-02-24 |
1568462984 | Allegheny Clinic | Transplant Surgery | 320 E North Ave Fl 3, Pittsburgh, PA 15212-4756 | 2005-07-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.