WEST GROVE CLINIC COMPANY LLC (NPI# 1093355992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093355992 |
| Entity Type | Organization |
| Organization Name | WEST GROVE CLINIC COMPANY LLC |
| Other Organization Name | TELEMEDICINE JENNERSVILLE TOWER HEALTH MEDICAL GROUP |
| Practice Address |
1015 W Baltimore Pike West Grove PA 19390-9459 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 6108691555 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | GARY CONNER (VP & CFO) |
| Authorized Official Telephone | 4846288181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Telemedicine Jennersville Tower Health Medical Group | Doing Business As Name - Organization |
| Telemedicine Tower Health Medical Group Jennersville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790856078 | West Grove Clinic Company LLC | Emergency Medicine | 1011 W Baltimore Pike Ste 304, West Grove, PA 19390-9448 | 2006-11-10 |
| Street Address |
1015 W BALTIMORE PIKE |
| City | WEST GROVE |
| State | PA |
| Zip Code | 19390-9459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240256 | Jennersville Radiology, P.c | Radiology | 1015 W Baltimore Pike, West Grove, PA 19390-9459 | 2005-07-21 |
| 1669937496 | John Oliver Elkhoury | Emergency Medicine | 1015 W Baltimore Pike, West Grove, PA 19390-9459 | 2019-02-06 |
| 1326567801 | Jennersville Hospital, LLC | Clinic/Center | 1015 W Baltimore Pike, West Grove, PA 19390-9459 | 2017-09-15 |
| 1457879538 | Jennersville Hospital, LLC | Medicare Defined Swing Bed Unit | 1015 W Baltimore Pike, West Grove, PA 19390-9459 | 2017-09-08 |
| 1760906549 | Jennersville Hospital, LLC | General Acute Care Hospital | 1015 W Baltimore Pike, West Grove, PA 19390-9459 | 2017-08-02 |
| 1407218241 | Marie-claudia Durkin | Internal Medicine | 1015 W Baltimore Pike, West Grove, PA 19390 | 2016-03-22 |
| 1700243292 | West Grove Physician Services, PC | Physician Assistant | 1015 W Baltimore Pike, West Grove, PA 19390-9459 | 2016-01-28 |
| 1992065205 | Tracie Chan | Pharmacist | 1015 W Baltimore Pike, West Grove, PA 19390-9459 | 2012-05-21 |
| 1528248655 | Mid Atlantic Surgical LLC | Surgery | 1015 W Baltimore Pike, Mob Suite 201, West Grove, PA 19390-9459 | 2007-11-06 |
| 1447456637 | West Grove Hospital Company, LLC | General Acute Care Hospital | 1015 W Baltimore Pike, Suite 1319, West Grove, PA 19390-9459 | 2007-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922660323 | Patrick Michael Kiger | Physical Therapy Assistant | 200 Greenbriar Lane, West Grove, PA 19390 | 2019-07-05 |
| 1003190620 | Michael N Mount | Physical Therapist | One Commerce Blvd, Suite 103, West Grove, PA 19390 | 2011-09-30 |
| 1558511899 | Frank Farrell | Occupational Therapist | 8 West Meadow Court, West Grove, PA 19390 | 2008-09-23 |
| 1265691026 | Alexandra Cortese | Audiologist | 1 Commerce Boulevard, Suite 201, West Grove, PA 19390 | 2008-06-06 |
| 1548441488 | Arthur B Belson Md | Ophthalmology | 1011 W Balt Pk 203, West Grove, PA 19390 | 2007-11-20 |
| 1669541553 | Avon Grove Charter School | Local Education Agency (LEA) | 110 E State Road, West Grove, PA 19390 | 2006-11-07 |
| 1205850831 | Linda Barkasy | Pediatrics | 455 Woodview Road, Suite 220, West Grove, PA 19390 | 2006-07-27 |
| 1427094531 | John Aaron | Internal Medicine | 900 West Baltimore Pike, Ste 101, West Grove, PA 19390 | 2006-06-20 |
| 1447238423 | Tim Mudgett-mcgeoch | Physical Therapist | 100 Sycamore Dr, Jenner's Pond Retirement Community, West Grove, PA 19390 | 2006-01-09 |
| 1134789597 | Josie Tate | Nurse Practitioner | 2000 Greenbriar Ln, West Grove, PA 19390 | 2019-06-18 |
| Find all providers in zip 19390 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083832018 | Chester County Neurology, LLC | Psychiatry & Neurology | 1011 West Baltimore Pike, Suite 202, West Grove, PA 19390-9447 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624584 | Armstrong County Memorial Hospital | Psychiatry & Neurology | 500 Medical Arts Bldg Ste 510, Kittanning, PA 16201-7137 | 2020-06-19 |
| 1174149975 | Somerset Health Services, Inc. | Psychiatry & Neurology | 126 E Church St Ste 2300, Somerset, PA 15501-2272 | 2020-06-18 |
| 1730725771 | Jbj Investments LLC | Psychiatry & Neurology | 2170 Ferncroft Ln, Chester Springs, PA 19425-3846 | 2019-11-25 |
| 1619538865 | Unknown Azima Shaji | Psychiatry & Neurology | St. Luke's University and Health Network- Anderson, Medical Education Office- 1700, St. Luke's Blvd, Easton, PA 18045 | 2019-06-27 |
| 1629636790 | Catherine Rachel Craven | Psychiatry & Neurology | 1700 St Lukes Blvd Ofc, Easton, PA 18045-5670 | 2019-06-03 |
| 1073170569 | Charles P. Gennaula, M.d., P.C. | Psychiatry & Neurology | 100 Peasant Village Ln Ste 100, Rostraver Township, PA 15012-4333 | 2019-05-21 |
| 1902460876 | Pearlmed Pllc | Psychiatry & Neurology | 1510 Chester Pike Ste 160, Eddystone, PA 19022-1375 | 2019-04-26 |
| 1144787094 | Shobha Asthana Md PC | Psychiatry & Neurology | 100 Peasant Village Ln Ste 103, Rostraver Township, PA 15012-4333 | 2019-02-27 |
| 1972060176 | Ncv Diagnostics LLC | Psychiatry & Neurology | 1 Brown St Ste C, Philadelphia, PA 19123-3361 | 2019-02-23 |
| 1235609959 | Lower Merion Neurology, PC | Psychiatry & Neurology | 100 E Lancaster Ave Ste 161, Wynnewood, PA 19096-3427 | 2018-11-26 |
| Find all providers with the same taxonomy | ||||
| City | WEST GROVE |
| Zip Code | 19390 |
Please comment or provide details below to improve the information on WEST GROVE CLINIC COMPANY LLC.
| 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.