DR. NICOLE KULISEK (NPI# 1043374986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043374986 |
| Entity Type | Individual |
| Full Name | DR. NICOLE KULISEK |
| Other Name | DR. NICOLE JORDAN |
| Credential | MD |
| Practice Address |
500 Arcola Rd Collegeville PA 19426-3982 |
| Mailing Address |
3000 Valley Forge Cir Apt 1543 King of Prussia PA 19406-1150 |
| Practice Telephone | 6469426148 |
| Mailing Telephone | 6172514803 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 249629 | NY | Allopathic & Osteopathic Physicians |
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
248629 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03437845 | 05 |
| Street Address |
500 ARCOLA RD |
| City | COLLEGEVILLE |
| State | PA |
| Zip Code | 19426-3982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427310572 | Bruce David Behounek | Internal Medicine | 500 Arcola Rd, F3208, Collegeville, PA 19426-3982 | 2012-06-14 |
| 1225212368 | Michael Louis Murray | Preventive Medicine | 500 Arcola Rd, E 3, Collegeville, PA 19426-3982 | 2007-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057040 | Oswaldo Giovanni Tagle Manrique | Physician Assistant | 1200 Mokychic Road, Collegeville, PA 19426 | 2019-11-13 |
| 1639722507 | Child & Family Focus Inc | Community/Behavioral Health | 121 Wartman Road, Perkiomen Township, PA 19426 | 2019-07-19 |
| 1487116299 | Joshua Heinsheimer | Dentist | 241-3 Plaza Drive, Collegeville, PA 19426 | 2019-04-01 |
| 1093284101 | Courtney Cione | Nurse Practitioner | 1200 Mokychic Rd., Collegeville, PA 19426 | 2018-11-19 |
| 1538645007 | Linda Kathleen Muller | Registered Nurse | 369 Avon Ave, Collegeville, PA 19426 | 2018-07-17 |
| 1215445333 | Mary Catherine Campetti | Nurse Practitioner | 555 Second Ave Ste C-850, Collegeville, PA 19426 | 2018-01-11 |
| 1831606292 | Kevin Titze | Counselor | 3819 Germantown Pike Ste B, Collegeville, PA 19426 | 2018-01-08 |
| 1942727441 | Naomi Avoline Kim | Counselor | 555 2nd Ave, Building B, Suite 101, Collegeville, PA 19426 | 2017-08-24 |
| 1376086348 | Kelly Robin Durante | Nurse Practitioner | 433 Komen Ct., Collegeville, PA 19426 | 2016-11-23 |
| 1558817262 | Joseph Kosto | Pharmacist | 1219 Taylor Way, Collegeville, PA 19426 | 2016-09-01 |
| Find all providers in zip 19426 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033753439 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-30 |
| 1962046474 | Stc Pediatrics LLC | Pediatrics | 301 Oxford Valley Rd Ste 1201, Yardley, PA 19067-7706 | 2019-10-29 |
| 1548693385 | Susan R Orenstein | Pediatrics | 1257 Pocono St, Pittsburgh, PA 15218-1111 | 2013-08-15 |
| 1750609129 | Pediatric Gastroenterology Associates | Pediatrics | 11 Sprint Dr Ste B, Carlisle, PA 17015-7789 | 2010-05-11 |
| 1861690844 | Sapana J Shah | Pediatrics | 4401 Penn Ave Fl 6, Pittsburgh, PA 15224-1334 | 2007-07-11 |
| 1619198769 | David A Blanco | Pediatrics | Erie Ave At Fron St - Scpa Gastroenterology, Nelson Pavilion Ste 2045, Philadelphia, PA 19134 | 2007-05-02 |
| 1053496133 | Joan S. Dipalma | Pediatrics | Dupont At Jefferson-chestnut, 1015 Chestnut Street Suite 601, Philadelphia, PA 19107-4306 | 2006-10-26 |
| 1689759789 | Sheeja K. Abraham | Pediatrics | 1015 Chestnut Street Suite 601, Nemours Childrens Clinic, Philadelphia, Philadelphia, PA 19107-4306 | 2006-10-26 |
| 1841229952 | Naser Tolaymat | Pediatrics | 1210 S Cedar Crest Blvd Ste 2300, Allentown, PA 18103-6252 | 2006-07-01 |
| 1003854050 | R.chandra, M.d.,p.c. | Pediatrics | 1517 Fox Chase Ln, Pittsburgh, PA 15241-3147 | 2006-06-03 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGEVILLE |
| Zip Code | 19426 |
Please comment or provide details below to improve the information on DR. NICOLE KULISEK.
| 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.