POTTSTOWN HOSPITAL, LLC (NPI# 1093225369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093225369 |
| Entity Type | Organization |
| Organization Name | POTTSTOWN HOSPITAL, LLC |
| Other Organization Name | POTTSTOWN ONCOLOGY ASSOCIATES/POTTSTOWN OBSTETRICAL ASSOCIATES |
| Practice Address |
1600 E High St Pottstown PA 19464-5008 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 6103277000 |
| Practice Fax Number | 6103277432 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | GARY CONNER (VP & CFO) |
| Authorized Official Telephone | 4846281324 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| POTTSTOWN ONCOLOGY ASSOCIATES/POTTSTOWN OBSTETRICAL ASSOCIATES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669983011 | Pottstown Hospital, LLC | Radiology | 1611 Medical Dr, Pottstown, PA 19464-3241 | 2017-10-12 |
| 1164932430 | Pottstown Hospital, LLC | Family Medicine | 730 S Hanover St, Pottstown, PA 19465-7520 | 2017-10-02 |
| 1063931541 | Pottstown Hospital, LLC | Clinic/Center | 1600 E High St, Pottstown, PA 19464-5008 | 2017-09-15 |
| 1376061002 | Pottstown Hospital, LLC | Psychiatric Unit | 1600 E High St, Pottstown, PA 19464-5008 | 2017-09-01 |
| 1649794421 | Pottstown Hospital, LLC | General Acute Care Hospital | 1600 E High St, Pottstown, PA 19464-5008 | 2017-08-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | POTTSTOWN HOSPITAL, LLC | 1600 E High St, Pottstown, PA 19464-5008 |
| Street Address |
1600 E HIGH ST |
| City | POTTSTOWN |
| State | PA |
| Zip Code | 19464-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061090 | Gregory George Hill | Family Medicine | 1600 E High St, Pottstown, PA 19464-5008 | 2005-05-27 |
| 1184241119 | Stc Pediatrics LLC | Pediatrics | 1600 E High St, Pottstown, PA 19464-5008 | 2020-06-25 |
| 1114550530 | Pottstown Hospital LLC | Obstetrics & Gynecology | 1600 E High St, Pottstown, PA 19464-5008 | 2020-02-13 |
| 1013557909 | Pottstown Clinic Company LLC | Internal Medicine | 1600 E High St, Pottstown, PA 19464-5008 | 2020-01-09 |
| 1104464676 | Amaris Velazquez | Nurse Practitioner | 1600 E High St, Pottstown, PA 19464-5008 | 2019-12-16 |
| 1750924999 | Deborah L Clauss | Nurse Practitioner | 1600 E High St, Pottstown, PA 19464-5008 | 2019-10-21 |
| 1598326167 | Jonathan Papaharis | Nurse Practitioner | 1600 E High St, Pottstown, PA 19464-5008 | 2019-06-25 |
| 1942865290 | Matthew Ryan Good | Physician Assistant | 1600 E High St, Pottstown, PA 19464-5008 | 2019-05-02 |
| 1427515428 | Matthew Natale | Physician Assistant | 1600 E High St, Pottstown, PA 19464-5093 | 2019-02-26 |
| 1609359850 | Brianna Joy Heldt | Physician Assistant | 1600 E High St, Pottstown, PA 19464-5008 | 2018-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770051971 | Jennifer Vernon | Counselor | 111 Robinson Street, Pottstown, PA 19464 | 2018-11-06 |
| 1609356732 | Wisna Serenity Homes Corp | Home Health | 444 North Mount Vernon Ave, Pottstown, PA 19464 | 2018-08-17 |
| 1164919007 | Katie A Lewis | Counselor | Creative Health Services Inc., 11 Robinson Street, Pottstown, PA 19464 | 2018-04-17 |
| 1326564998 | Dana Marie Skilton | Counselor | 11 Robinson Ave, Pottstown, PA 19464 | 2017-08-16 |
| 1629425954 | Edith Mary French | Registered Nurse | 1630 East High Street, Bldg #4, Pottstown, PA 19464 | 2016-05-17 |
| 1215314547 | Amy Lynne Campos | Counselor | 1200 E. High St. Suite 202, Pottstown, PA 19464 | 2015-05-06 |
| 1417346560 | Erica L Avello | Psychologist | 404 E High Street, Pottstown, PA 19464 | 2015-01-13 |
| 1336559145 | Beth Sue Desch | Dental Hygienist | 11 Robinson St. Suite 100, Pottstown, PA 19464 | 2014-05-01 |
| 1043638414 | Claudia Baumert | Dietitian, Registered | 555 E High Sreet, Pottstown, PA 19464 | 2014-04-02 |
| 1770922692 | Marie Elizabeth Bisconti | Optometrist | 264 Upland Square Dr, Pottstown, PA 19464 | 2013-06-25 |
| Find all providers in zip 19464 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134129869 | Ronald L Swaab | Internal Medicine | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2005-07-22 |
| 1124396254 | Amber H. Iqbal | Internal Medicine | 1591 Medical Drive, Pmsi Division of Hematology/oncology, Pottstown, PA 19464-1946 | 2011-12-03 |
| 1104016674 | Kalyani Narra | Internal Medicine | 1600 E High St, Pmmc Regional Cancer Center, Pottstown, PA 19464-5008 | 2007-07-30 |
| 1851416176 | Pmsi Division of Hematology | Internal Medicine | 1591 Medical Drive, Pottstown, PA 19464 | 2007-03-20 |
| 1104826825 | Wei Song | Internal Medicine | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2005-07-22 |
| 1659371383 | Jeffrey A Stevens | Internal Medicine | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372286 | Bethanie Jones | Internal Medicine | 200 St Lukes Ln Ste 100, Stroudsburg, PA 18360-6218 | 2020-09-26 |
| 1053930362 | Dubois Regional Medical Center | Internal Medicine | 88 Hospital Rd, Brookville, PA 15825-1368 | 2020-04-16 |
| 1760947840 | Russell Eugene Kaufman | Internal Medicine | 700 Glengarry Rd, Philadelphia, PA 19118-4111 | 2019-02-04 |
| 1891204921 | Ahmed Mostafa | Internal Medicine | Hahnemann University Hospital, 230 N. Broad St., Philadelphia, PA 19102 | 2017-09-20 |
| 1730607755 | Penn State Health Community Medical Group, LLC | Internal Medicine | 233 College Ave Ste 303, Lancaster, PA 17603-3384 | 2017-08-30 |
| 1831619097 | Pinnacle Health Regional Physicians | Internal Medicine | 233 College Ave Ste 100, Lancaster, PA 17603-3372 | 2017-06-20 |
| 1194193656 | Allen Oliff | Internal Medicine | 1412 Florence Dr, Gwynedd Valley, PA 19437 | 2015-09-14 |
| 1679958912 | Lancaster Medical Group, LLC | Internal Medicine | 1575 Highlands Dr Ste 205, Lititz, PA 17543-7507 | 2015-07-28 |
| 1780077735 | Arnon I Dreyfuss | Internal Medicine | 239 Delancey St, Philadelphia, PA 19106-4318 | 2015-03-16 |
| 1164841193 | Maria Vershvovsky | Internal Medicine | 440 E Marshall St Ste 101, West Chester, PA 19380-5414 | 2014-04-07 |
| Find all providers with the same taxonomy | ||||
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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.