JCP INTERNAL MEDICINE@ BALA (NPI# 1073095691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073095691 |
| Entity Type | Organization |
| Organization Name | JCP INTERNAL MEDICINE@ BALA |
| Practice Address |
225 E City Ave Ste 109 Bala Cynwyd PA 19004-1724 |
| Mailing Address |
615 Chestnut St Fl 14 Philadelphia PA 19106-4404 |
| Practice Telephone | 2155033838 |
| Mailing Telephone | 2155037543 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | DONNA OSTRANDER (CONTRACTING MANAGER) |
| Authorized Official Telephone | 2159552021 |
| Is Organization Subpart | Y |
| Parent Organization Name | METHODIST ASSOCIATES IN HEALTHCARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
225 E CITY AVE STE 109 |
| City | BALA CYNWYD |
| State | PA |
| Zip Code | 19004-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871732818 | Keino J Johnson | Family Medicine | 225 E City Ave Ste 109, Bala Cynwyd, PA 19004-1724 | 2009-02-16 |
| 1346715562 | Methodist Associates In Health Care, Inc | Nurse Practitioner | 225 E City Ave Ste 109, Bala Cynwyd, PA 19004-1724 | 2018-10-04 |
| 1003203100 | Marjorie Friedman | Internal Medicine | 225 E City Ave Ste 109, Bala Cynwyd, PA 19004-1724 | 2015-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707819 | Katherine Lesher | Psychologist | 2 Bala Plaza Pl-13, Bala Plaza, PA 19004 | 2020-07-16 |
| 1144749342 | Apthcs | In Home Supportive Care | 150 Monument Road Suite 207, Bala Cynwyd, PA 19004 | 2017-09-19 |
| 1508389222 | Miriam Ray | Social Worker | 15 Montgomery Ave Apt 2b, Bala Cynwyd, PA 19004 | 2017-07-25 |
| 1003363235 | Catherine Kazanjian | Nurse Practitioner | 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 | 2016-09-06 |
| 1295181717 | Ruth Sampson-pilgrim | Nurse Practitioner | 160 Rock Hill Road, Vista Medical Services, Balacynwood, PA 19004 | 2016-05-13 |
| 1902252414 | Nurse Plus Home Care Agency,llc | In Home Supportive Care | Two Bala Plaza, Pmb #516, Suite 300, Bala Cynwyd, PA 19004 | 2016-05-13 |
| 1386010999 | Joan Lyall | Speech-Language Pathologist | 113 Ashland Avenue, Bala Cynwyd, PA 19004 | 2015-08-18 |
| 1922349158 | May W. Lee | Pediatrics | 130 E. Levering Mill Road, Bala Cynwyd, PA 19004 | 2013-03-13 |
| 1023362423 | Justin Carl Lavo | Physical Therapist | 100 Presidental Boulevard, Bala Cynwyd, PA 19004 | 2012-11-07 |
| 1689961765 | Cassio Castro | Dentist | 147 Montgomery Avenue, Bala Cynwyd, PA 19004 | 2011-07-08 |
| Find all providers in zip 19004 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669714747 | Gerald Alan Faich | Internal Medicine | 45 E City Ave, Suite 455, Bala Cynwyd, PA 19004-2421 | 2013-03-26 |
| 1740410778 | Roland G Kallen | Internal Medicine | 101 Colwyn Ln, Bala Cynwyd, PA 19004-2310 | 2009-07-24 |
| 1043464175 | Terry L Waldman | Internal Medicine | 1128 Sandringham Rd, Bala Cynwyd, PA 19004-2023 | 2008-11-17 |
| 1790969319 | Mohammed Shoaib Jameel Kidwai | Internal Medicine | 333 E City Ave Ste Pl50, Bala Cynwyd, PA 19004-1505 | 2007-12-18 |
| 1063608693 | Daniel H. Parish | Internal Medicine | 50 Monument Road, Third Floor Suite 301, Bala Cynwyd, PA 19004-2250 | 2007-09-18 |
| 1669666467 | Liberty Health Care Corporation | Internal Medicine | 401 E City Ave, Suite 820, Bala Cynwyd, PA 19004-1122 | 2007-09-05 |
| 1124141148 | Ashley K Summer | Internal Medicine | 225 East City Avenue, Suite 109, Bala Cynwyd, PA 19004-1724 | 2007-04-06 |
| 1083777403 | Robert Weiss | Internal Medicine | Total Access Medical, 191 Presidential Blvd C135, Bala Cynwyd, PA 19004 | 2006-12-18 |
| 1134195498 | Robert S Nye | Internal Medicine | 105 Rockland Ave, Bala Cynwyd, PA 19004-1827 | 2006-02-27 |
| 1518932557 | Ronald Bruce Barg | Internal Medicine | 2 Bala Plz, Suite Il-27, Bala Cynwyd, PA 19004-1501 | 2006-02-22 |
| Find all providers in BALA CYNWYD | ||||
| City | BALA CYNWYD |
| Zip Code | 19004 |
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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.