LIFESTAGES PEDIATRICS LLC (NPI# 1033750047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033750047 |
| Entity Type | Organization |
| Organization Name | LIFESTAGES PEDIATRICS LLC |
| Practice Address |
8080 Old York Rd Ste 207 Elkins Park PA 19027-1426 |
| Practice Telephone | 2159356493 |
| Mailing Telephone | 2159356493 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | DR. ANNIE KOTTO (DIRECTOR/PHYSICIAN) |
| Authorized Official Telephone | 2159356493 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1025509500009 | 05 |
| Street Address |
8080 OLD YORK RD STE 207 |
| City | ELKINS PARK |
| State | PA |
| Zip Code | 19027-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104235076 | David Gary | Internal Medicine | 8080 Old York Rd Ste 207, Elkins Park, PA 19027-1426 | 2014-08-05 |
| 1811465727 | Dg Medical P L L C | Internal Medicine | 8080 Old York Rd Ste 207, Elkins Park, PA 19027-1426 | 2018-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740817915 | Dulie Rene | Nurse Practitioner | 7801 Old York Road, Elkins Park, PA 19027 | 2020-03-26 |
| 1003384926 | Mikael Laursen Brucker | Acupuncturist | 710 Meetinghouse Rd, Elkins Park, PA 19027 | 2018-11-08 |
| 1992289466 | Paragon Home Care LLC | In Home Supportive Care | 8116 Old York Rd., Suite 200, Elkins Park, PA 19027 | 2018-09-20 |
| 1932697406 | Elkins Park Chiropractic Center LLC | Chiropractor | 1831 W. Cheltenham Ave, Elkins Park, PA 19027 | 2018-04-30 |
| 1952802589 | Bilingual Brain Inc. | Speech-Language Pathologist | 610 Old York Road Suite 400, Jenkintown, PA 19027 | 2018-02-28 |
| 1063925618 | Love Thy Neighbor Care Service, LLC | In Home Supportive Care | 939 Township Line Rd Unit 3, Elkins Park, PA 19027 | 2017-11-06 |
| 1679029821 | Mosley Group Inc | Home Health | 7208 Chestnut Ave, 1, Melrose Park, PA 19027 | 2016-08-28 |
| 1740638576 | Einstein Medical Center | Specialist | 60 Township Line Road, Elkins Park, PA 19027 | 2016-06-02 |
| 1457720385 | Effraim Home Care Agency LLC | Home Health | 2001a South John Russell Circle, Elkins Park, PA 19027 | 2015-09-22 |
| 1083044531 | Liberty Human Services, LLC | Community/Behavioral Health | 7689, Washington Lane, Apt. B, Elkins Park, PA 19027 | 2013-11-20 |
| Find all providers in zip 19027 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013939842 | Zev Jacobson | Pediatrics | 205 Yorktown Plz, 8120 Old York Road, Elkins Park, PA 19027-1424 | 2006-07-24 |
| 1932148681 | Linda Greenberg | Pediatrics | 1939 Cheltenham Ave., Elkins Park, PA 19027 | 2006-06-06 |
| 1477524767 | Michael D Levin | Pediatrics | 1939 W Cheltenham Ave, Elkins Park, PA 19027-1046 | 2006-01-27 |
| 1023003043 | Sharon M Sowinski-mueller | Pediatrics | 1939 Cheltenham Ave, Elkins Park, PA 18976-2906 | 2005-09-15 |
| 1689067829 | Samar Marie Boulos | Pediatrics | 1939 W Cheltenham Ave, Elkins Park, PA 19027-1046 | 2015-03-12 |
| 1083051759 | Nicholas Andre Howard | Pediatrics | 1939 W Cheltenham Ave, Elkins Park, PA 19027-1046 | 2013-06-04 |
| 1992046809 | Alan Harris Tannenbaum | Pediatrics | 1939 W Cheltenham Ave, Elkins Park, PA 19027-1046 | 2013-03-04 |
| 1063452977 | Tri-county Pediatrics, Inc | Pediatrics | 1939 W Cheltenham Ave, Elkins Park, PA 19027-1046 | 2006-06-08 |
| 1184664021 | Michael S Cahan | Pediatrics | 1939 W Cheltenham Ave, Elkins Park, PA 19027-1046 | 2006-06-08 |
| 1740227891 | David Meckler | Pediatrics | 1939 W Cheltenham Ave, Elkins Park, PA 19027-1046 | 2006-05-31 |
| Find all providers in ELKINS PARK | ||||
| City | ELKINS PARK |
| Zip Code | 19027 |
Please comment or provide details below to improve the information on LIFESTAGES PEDIATRICS LLC.
| 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.