KENNETH MARSAGLIA II (NPI# 1043687551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043687551 |
| Entity Type | Individual |
| Full Name | KENNETH MARSAGLIA II |
| Practice Address |
8414 Bridle Road Philadelphia PA 19111 |
| Practice Telephone | 2673573406 |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
25MT00207900 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
8414 BRIDLE ROAD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| 1356610687 | Vishruti Bhupendra Vora | Occupational Therapist | 7210 Oxford Ave, Apt-3k, Philadelphia, PA 19111 | 2011-12-15 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 2083S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Sports Medicine |
| A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628086 | Janele Allison Wolbert | Preventive Medicine | 434 Montpelier Ave, Erie, PA 16505-1523 | 2019-09-18 |
| 1871008490 | Diane Boyce | Preventive Medicine | Bucknell University, Moore Ave., Klarc Gym, Lewisburg, PA 17837-1783 | 2017-12-05 |
| 1700302858 | Daniel S Hensley | Preventive Medicine | 201 Grampian Blvd, Williamsport, PA 17701-1813 | 2017-08-21 |
| 1952318859 | Tracy William Ross | Preventive Medicine | South 4th Street, Denver, PA 17517-0800 | 2006-08-02 |
| 1043275928 | Joseph Michael Borysowski | Preventive Medicine | 717 E High St, Pottstown, PA 19464-5770 | 2006-04-20 |
| 1760021158 | Kyle Fisher | Preventive Medicine | 101 N College Ave, Annville, PA 17003-1404 | 2020-01-02 |
| 1316594674 | Kayleigh Wagner | Preventive Medicine | 501 W 12th St, Erie, PA 16501-1536 | 2019-08-21 |
| 1568027050 | Aubrie Ann Stouffer | Preventive Medicine | 801 Ostrum St, Fountain Hill, PA 18015-1000 | 2019-05-09 |
| 1780158121 | Larissa J Roberts | Preventive Medicine | 410 Pellis Rd, Greensburg, PA 15601-4700 | 2019-01-18 |
| 1447419536 | Medical Associates of Erie | Preventive Medicine | 5515 Peach St, Erie, PA 16509-2603 | 2008-06-04 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
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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.