PROSPECT HEALTH ACCESS NETWORK, INC. (NPI# 1104273614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104273614 |
| Entity Type | Organization |
| Organization Name | PROSPECT HEALTH ACCESS NETWORK, INC. |
| Other Organization Name | CROZER GASTROENTEROLOGY ASSOCIATES UPLAND |
| Practice Address |
1 Medical Center Blvd Acp Suite 231 Chester PA 19013-3902 |
| Practice Telephone | 6106197475 |
| Practice Fax Number | 6106197477 |
| Mailing Telephone | 6106197475 |
| Mailing Fax Number | 6106197477 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |
| Authorized Official Name | ELLEN SHIN (SECRETARY) |
| Authorized Official Telephone | 3109434520 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Crozer Gastroenterology Associates Upland | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619322112 | Prospect Health Access Network, Inc. | Psychologist | 176 S Middletown Rd, Media, PA 19063-5255 | 2016-05-03 |
| 1982152294 | Prospect Health Access Network, Inc. | Urology | 2100 Keystone Ave, Drexel Hill, PA 19026-1129 | 2016-09-15 |
| 1083061006 | Prospect Health Access Network, Inc. | Physical Therapist | 485 Baltimore Pike, Suite 202, Glen Mills, PA 19342-1161 | 2016-05-19 |
| 1780031005 | Prospect Health Access Network, Inc. | Pediatrics | 30 Medical Center Blvd, 3 East, Chester, PA 19013-3955 | 2016-05-17 |
| 1912354432 | Prospect Health Access Network, Inc. | Internal Medicine | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2016-05-16 |
| 1013364520 | Prospect Health Access Network, Inc. | Psychiatry & Neurology | 1 Medical Center Blvd, Acp Ste 533, Chester, PA 19013-3902 | 2016-05-16 |
| 1740637255 | Prospect Health Access Network, Inc. | Internal Medicine | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078-2214 | 2016-05-16 |
| 1922455443 | Prospect Health Access Network, Inc. | Surgery | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2016-05-16 |
| 1013364538 | Prospect Health Access Network, Inc. | Transplant Surgery | 1 Medical Center Blvd, Pob II Suite 220, Chester, PA 19013-3902 | 2016-05-16 |
| 1659728178 | Prospect Health Access Network, Inc. | Internal Medicine | 2100 Keystone Ave, Suite 406, Drexel Hill, PA 19026-1129 | 2016-05-16 |
| Street Address |
1 MEDICAL CENTER BLVD ACP SUITE 231 |
| City | CHESTER |
| State | PA |
| Zip Code | 19013-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626064 | Rachelle Lynn Dambman | Nurse Practitioner | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-10-13 |
| 1588274930 | Hui Chong Lau | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-07-31 |
| 1679194856 | Pooja Manjunatha | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-29 |
| 1609497981 | Jessica Hyman | Physician Assistant | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-28 |
| 1740800242 | Jared Blum | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-24 |
| 1487274312 | Patrick Sean Sullivan | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-21 |
| 1629698550 | Brett Houston Palmer | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-21 |
| 1922627231 | Oluwadara Nnoli | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-16 |
| 1730708181 | Sachi Singhal | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-15 |
| 1770102014 | Mary Howland Williamson | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
| Find all providers in zip 19013 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1528027224 | Gregory K Lemite | Internal Medicine | 1714 E. Hundred Rd., Suite 104, Chester, VA 23836-3310 | 2006-03-21 |
| 1538128277 | Tri-cities Gastroenterology, PC | Internal Medicine | 1714. E. Hundred Rd., Suite 104, Chester, VA 23836-3310 | 2006-03-21 |
| 1568768828 | Sumita R Mehta | Internal Medicine | 1 Medical Center Blvd, Acp # 231, Chester, PA 19013-3902 | 2011-02-04 |
| 1326166190 | Health Access Network | Internal Medicine | 1 Medical Center Blvd, Acp #231, Chester, PA 19013-3902 | 2007-03-27 |
| 1609939420 | Arthur F Tuch, M.d.p.c. | Internal Medicine | 30 Medical Center Blvd, Suite 201, Chester, PA 19013-3955 | 2006-12-19 |
| 1497814271 | Neil L Tarkin | Internal Medicine | 1 Medical Center Blvd, Acp # 231, Chester, PA 19013-3902 | 2006-12-07 |
| 1720165863 | Arthur Franklin Tuch | Internal Medicine | 30 Medical Center Blvd, Suite 201, Chester, PA 19013-3955 | 2006-11-01 |
| 1225004039 | Gastroenterology Associates of Delaware County Inc | Internal Medicine | 1 Medical Center Blvd, Prof Off Bldg # 2 Suite 220, Chester, PA 19013-3902 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060707 | Gastrointestinal Wellness Clinic LLC | Internal Medicine | 301 Oxford Valley Rd # Units804, Yardley, PA 19067-7706 | 2018-10-29 |
| 1003394545 | Lyanne Marie Caraballo | Internal Medicine | 1000 Integrity Dr Ste 110, Pittsburgh, PA 15235-3332 | 2018-08-06 |
| 1073047205 | Margaret Spinosa | Internal Medicine | 1627 Chew St Ste 101, Allentown, PA 18102-3648 | 2017-04-14 |
| 1881131472 | Paul Frey Spears | Internal Medicine | 490 Shady Dell Rd, York, PA 17403-4483 | 2017-01-20 |
| 1801258686 | Wai Kan Chiu | Internal Medicine | 200 Lothrop Street, Mezzanine Level, C-wing, Puh, Pittsburgh, PA 15213 | 2016-03-22 |
| 1598189631 | Richard B. Lynn | Internal Medicine | 204 Rhyle Ln, Bala Cynwyd, PA 19004-2324 | 2014-02-10 |
| 1427390822 | Meeta Desai | Internal Medicine | Gastroenterology & Hepatology, M.c. Hu33, 500 University Drive, Hershey, PA 17033-0850 | 2013-03-23 |
| 1225372519 | Scott Howell Wright | Internal Medicine | 1118 Riverview Ln, Conshohocken, PA 19428-2964 | 2012-11-27 |
| 1952665481 | Excela Health Physician Practices, Inc. | Internal Medicine | 530 South St Ste G, Greensburg, PA 15601-2775 | 2012-06-29 |
| 1033479704 | William Blake Huntington | Internal Medicine | 1088 W Baltimore Pike Ste 2407, Media, PA 19063 | 2012-05-29 |
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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.