DR. FRANK BUCOLO (NPI# 1073717013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073717013 |
| Entity Type | Individual |
| Full Name | DR. FRANK BUCOLO |
| Credential | M.D. |
| Practice Address |
530 S 2nd St Philadelphia PA 19147-2420 |
| Mailing Address |
2204 Liberty Ct Eagleville PA 19403-5272 |
| Practice Telephone | 2156276000 |
| Mailing Telephone | 2158439000 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD063621L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
530 S 2ND ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19147-2420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679783153 | Edward George Daniels | Psychologist | 530 S 2nd St, Suite 737, Philadelphia, PA 19147-2420 | 2007-05-23 |
| 1538546817 | Ruby Castilla-puentes | Psychiatry & Neurology | 530 S 2nd St, Suite 743, Philadelphia, PA 19147-2420 | 2015-05-06 |
| 1891116711 | Dustin Barno | Contractor | 530 S 2nd St, Apt. 528, Philadelphia, PA 19147-2420 | 2013-12-18 |
| 1215358494 | Family Choice LLC | Community/Behavioral Health | 530 S 2nd St, Apt. 528, Philadelphia, PA 19147-2420 | 2013-12-14 |
| 1437435377 | Laila Wah | Homeopath | 530 S 2nd St, Suite 106, Philadelphia, PA 19147-2420 | 2011-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508336181 | Jamica Cropper-pam | Counselor | 401 S 2nd St. Suite 301, Philadelphia, PA 19147 | 2018-11-27 |
| 1598234411 | Halina Dziewolska | Behavioral Analyst | 535 Queen Street, Philadelphia, PA 19147 | 2018-11-20 |
| 1972072908 | City Dental LLC | Clinic/Center | 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 | 2018-11-20 |
| 1487120218 | Christopher Michael Rosado | Behavioral Analyst | 1218-20 South 8th St, 1, Philadelphia, PA 19147 | 2018-10-19 |
| 1891271722 | Candice Millard | Dietitian, Registered | 419 S 8th St Apt 1b, Philadelphia, PA 19147 | 2018-07-13 |
| 1669998217 | Julianne Leonarda Wiebalk | Counselor | 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 | 2017-08-16 |
| 1396269247 | Sara Parente | Social Worker | 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 | 2017-08-02 |
| 1609398445 | Nikele Riek | Social Worker | 1348 Bainbridge Street, Philadelphia, PA 19147 | 2017-07-13 |
| 1023556875 | Bralow Medical Group | General Practice | 834 South St., Philadelphia, PA 19147 | 2017-02-01 |
| 1194196105 | Ann Courto | Dietitian, Registered | 1140 Cross Street, Philadelphia, PA 19147 | 2015-10-16 |
| Find all providers in zip 19147 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1730239039 | Chintana Suanlarm | Internal Medicine | 5129 Germantown Ave, Philadelphia, PA 19144-2326 | 2007-01-11 |
| 1548338874 | Alan P Berg | Internal Medicine | 1940 W Allegheny Ave, Philadelphia, PA 19132-1614 | 2006-12-04 |
| 1689748600 | Richard Gebriel Stefanacci | Internal Medicine | 600 S 43rd St, Philadelphia, PA 19104-4418 | 2006-11-20 |
| 1962513531 | Maria Fogata, M.d., PC | Internal Medicine | 7800 Bustelton Ave, Philadelphia, PA 19152 | 2006-08-31 |
| 1093724890 | Joel Sam Betesh | Internal Medicine | 2240 S 3rd St Fl 2, Philadelphia, PA 19148-3347 | 2006-08-08 |
| 1346257490 | Luz S Ramos-bonner | Internal Medicine | 6970 Germantown Ave, Philadelphia, PA 19119-2114 | 2006-08-02 |
| 1275584807 | Ellen N Zagrebelsky | Internal Medicine | 9892 Bustleton Ave, Suite 102, Philadelphia, PA 19115-2184 | 2006-05-16 |
| 1962465674 | Heidi J Syropoulos | Internal Medicine | 1010 W Lehigh Ave, Philadelphia, PA 19133-1640 | 2006-04-11 |
| 1548243751 | Lisa Maria Walke | Internal Medicine | 3615 Chestnut St, Philadelphia, PA 19104 | 2005-11-22 |
| 1457340317 | Emmanuel C Okolo | Internal Medicine | 6950 Germantown Ave, Philadelphia, PA 19119-2120 | 2005-10-13 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19147 |
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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.