ST MARY MEDICAL CENTER (NPI# 1083622286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083622286 |
| Entity Type | Organization |
| Organization Name | ST MARY MEDICAL CENTER |
| Other Organization Name | ST MARY CHILDREN'S HEALTH CENTER |
| Practice Address |
2546 Knights Rd Bensalem PA 19020 |
| Mailing Address |
41 University Dr Ste 300 Newtown PA 18940-1873 |
| Practice Telephone | 2152458873 |
| Practice Fax Number | 2152458895 |
| Mailing Telephone | 2157105522 |
| Mailing Fax Number | 2157105181 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | MARYANNE SPALLUCCI (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2157104704 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. MARY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007731420023 | 05 |
| Other Name | Type Code |
|---|---|
| St Mary Children's Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801215587 | St Mary Medical Center | General Acute Care Hospital | 1201 Newtown-langhorne Road, Langhorne, PA 19047 | 2014-04-10 |
| 1922246545 | St Mary Medical Center | General Acute Care Hospital | 500 Hilbrich Dr, Schererville, IN 46375-4300 | 2009-02-04 |
| 1225072176 | St Mary Medical Center | Home Health | 3405 N Seminary St, Galesburg, IL 61401-1251 | 2006-06-15 |
| 1780686931 | St Mary Medical Center | Rehabilitation Unit | 1201 Langhorne-newtown Rd, Langhorne, PA 19047-1295 | 2005-06-01 |
| 1710470323 | St Mary Medical Center | Internal Medicine | 2546b Knights Rd, Bensalem, PA 19020 | 2018-06-08 |
| 1255743183 | St Mary Medical Center | General Acute Care Hospital | 1201 Newtown-langhorne Road, Langhorne, PA 19047 | 2014-05-27 |
| 1922439785 | St Mary Medical Center | Anesthesiology | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2013-12-04 |
| 1437425741 | St Mary Medical Center | General Acute Care Hospital | 1201 Langhorne Newtown Rd, Langhorne, PA 19047-1201 | 2012-03-30 |
| 1457629974 | St Mary Medical Center | General Acute Care Hospital | 1050 Linden Ave, Long Beach, CA 90813-3321 | 2011-12-12 |
| 1750683504 | St Mary Medical Center | Pharmacy | 1203 Langhorne Newtown Rd, Langhorne, PA 19047-1209 | 2010-11-30 |
| Street Address |
2546 KNIGHTS RD |
| City | BENSALEM |
| State | PA |
| Zip Code | 19020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447894506 | Chelsea Mongan | Nurse Practitioner | 2546 Knights Rd, Bensalem, PA 19020-3407 | 2019-11-01 |
| 1801367867 | Allison K Hower | Nurse Practitioner | 2546 Knights Rd, Bensalem, PA 19020-3407 | 2018-12-16 |
| 1215198296 | Suzanne Juergens Kreines | Nurse Practitioner | 2546 Knights Rd, Bensalem, PA 19020-3400 | 2008-06-22 |
| 1174625727 | Jill Koffman Simon | Nurse Practitioner | 2546 Knights Rd, Bensalem, PA 19020-3400 | 2006-09-03 |
| 1346342094 | Patricia Lippert Diehl | Nurse Practitioner | 2546 Knights Rd, Bensalem, PA 19020-3400 | 2006-09-02 |
| 1558463554 | Jennifer Aimee Souder | Nurse Practitioner | 2546 Knights Rd, Bensalem, PA 19020-3400 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124580998 | Smart Choice Pharmacy | Pharmacy | 1941 Street Road, Bensalem, PA 19020 | 2019-04-02 |
| 1275072910 | Sakina Shakir | Physical Therapist | 449 High Rd, Apt B2, Bensalem, PA 19020 | 2017-02-14 |
| 1699211755 | Kevin Maness | Social Worker | 4833 Hulmeville Rd., Bensalem, PA 19020 | 2017-01-13 |
| 1134583545 | Ashley Perrone | Marriage & Family Therapist | 501 Cambria Ave., Suite #113, Bensalem, PA 19020 | 2016-04-12 |
| 1720464720 | Amanda Morton | Specialist/Technologist | 1851 Adler Road, Bensalem, PA 19020 | 2015-08-03 |
| 1205241551 | Nane Baluyan | Dentist | 3200 Bristol Rd, Bensalem, PA 19020 | 2014-06-25 |
| 1972915247 | Outstanding Homecare Solutions LLC | Home Health | 3010 Bristal Pike, 1-102d, Bensalem, PA 19020 | 2014-05-21 |
| 1164841789 | Daria M. Kemp | Dermatology | 1950 Street Rd Ste 100, Bensalem, PA 19020 | 2014-04-10 |
| 1043638000 | Angelo Paul Savelloni | Podiatrist | 3554 Hulmeville Rd Ste 104, Bensalem, PA 19020 | 2014-04-06 |
| 1801214754 | Horace Macvaugh IIi | Dermatology | 2813 Bristol Pike, Capri Clinic, Bensalem, PA 19020 | 2014-03-28 |
| Find all providers in zip 19020 | ||||
| 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 |
|---|---|---|---|---|
| 1366415267 | Jinn Wien Cajulis | Pediatrics | 1338 Bristol Pike Ste 202, Bensalem, PA 19020-5679 | 2006-02-10 |
| 1154392264 | Ronald J Horowitz | Pediatrics | 2217 Bristol Pike, Bensalem, PA 19020-5720 | 2006-01-27 |
| 1235397167 | Nicole M. Cicchino | Pediatrics | 2217 Bristol Pike, Bensalem, PA 19020-5720 | 2008-05-28 |
| 1285806018 | Gina Ruggierio Murray | Pediatrics | 2217 Bristol Pike, Bensalem, PA 19020-5720 | 2008-04-01 |
| 1184827792 | Maryanne May Kuo | Pediatrics | 2217 Bristol Pike, Bensalem, PA 19020-5720 | 2007-06-10 |
| 1164576096 | Bensalem Pediatrics | Pediatrics | 1950 Street Rd, Suite 210, Bensalem, PA 19020-3755 | 2007-01-22 |
| 1285673491 | Sima Karpel-shipon | Pediatrics | 2217 Bristol Pike, Bensalem, PA 19020-5720 | 2006-06-05 |
| 1376581108 | Jerome Howard Horowitz | Pediatrics | 2217 Bristol Pike, Bensalem, PA 19020-5720 | 2006-06-03 |
| 1144275447 | Jerome H. Horowitz, M.d.,p.c. | Pediatrics | 2217 Bristol Pike, Bensalem, PA 19020-5720 | 2006-05-24 |
| 1306805999 | Jitendra N Shah | Pediatrics | 3103 Hulmeville Rd, Suite #104, Bensalem, PA 19020-4365 | 2006-03-21 |
| Find all providers in BENSALEM | ||||
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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.