EAST NORRITON PHYSICIANS SERVICES (NPI# 1124012828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124012828 |
| Entity Type | Organization |
| Organization Name | EAST NORRITON PHYSICIANS SERVICES |
| Other Organization Name | BRIDGEPORT FAMILY PRACTICE |
| Practice Address |
700 Dekalb St Bridgeport PA 19405-1149 |
| Mailing Address |
1 W Elm St Suite 100 Conshohocken PA 19428-2007 |
| Practice Telephone | 6102776200 |
| Practice Fax Number | 6102773437 |
| Mailing Telephone | 6105676967 |
| Mailing Fax Number | 6105676955 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2008-03-11 |
| Authorized Official Name | PETER B KENNIFF (CFO) |
| Authorized Official Telephone | 6105676967 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AUSHC HMO | 0018011 | 01 |
| PA | KHPE | 0899194001 | 01 |
| PA | 1007594660059 | 05 | |
| PA | AUSHC OFFICE NUMBER | 298 | 01 |
| PA | HIGHMARK BLUE SHIELD | 852929 | 01 |
| PA | AUSHC PPO | 5176213 | 01 |
| PA | KMHP | 0899194001 | 01 |
| Other Name | Type Code |
|---|---|
| Bridgeport Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932379252 | East Norriton Physicians Services | Family Medicine | 548 N Trooper Rd, East Norriton, PA 19403-4552 | 2008-03-03 |
| 1538355888 | East Norriton Physicians Services | Family Medicine | 2525 Dekalb Pike, Norristown, PA 19401-2035 | 2007-09-20 |
| 1144210584 | East Norriton Physicians Services | General Practice | 1437 Dekalb St, Suite 101, Norristown, PA 19401-3440 | 2005-10-26 |
| 1134114267 | East Norriton Physicians Services | Family Medicine | 1982 Butler Pike, Suite 2, Conshohocken, PA 19428-3701 | 2005-09-14 |
| 1598758401 | East Norriton Physicians Services | Surgery | 1031 S Broad St, Bldg E, Lansdale, PA 19446-5338 | 2005-08-25 |
| 1922091057 | East Norriton Physicians Services | Family Medicine | 3301 Ridge Pike, Eagleville, PA 19403-1411 | 2005-08-24 |
| 1598068157 | East Norriton Physicians Services | Podiatrist | 1437 Dekalb St, Suite 101, Norristown, PA 19401-3440 | 2010-12-20 |
| 1770753196 | East Norriton Physicians Services | Family Medicine | 2525 Dekalb Pike, Norristown, PA 19401-2035 | 2008-03-03 |
| 1104096593 | East Norriton Physicians Services | Family Medicine | 190 W Germantown Pike, Suite 110, East Norriton, PA 19401-1385 | 2008-03-03 |
| 1104013085 | East Norriton Physicians Services | Family Medicine | 716 W Germantown Pike, East Norriton, PA 19403-4255 | 2007-09-25 |
| Street Address |
700 DEKALB ST |
| City | BRIDGEPORT |
| State | PA |
| Zip Code | 19405-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316932890 | George R Homa | Family Medicine | 700 Dekalb St, Bridgeport, PA 19405-1149 | 2005-09-12 |
| 1720073299 | Anthony Niescier | Family Medicine | 700 Dekalb St, Bridgeport, PA 19405-1149 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700342797 | Troya Champion | Home Health Aide | One Schuylkill Pkwy Building A Suite 3, Bridgeport, PA 19405 | 2019-02-14 |
| 1154736783 | Lisa Young | Social Worker | 408 E. Fourth Street, Suite 206, Bridgeport, PA 19405 | 2014-06-23 |
| 1376623090 | Evan Adelstein | Internal Medicine | 3 St Francis Way, Cranberry, PA 19405 | 2006-10-17 |
| 1265809420 | Ls Health, LLC | Pharmacy | 54 W 4th St, Suite 38, Bridgeport, PA 19405-1009 | 2015-08-24 |
| 1063960755 | Workers First Pharmacy Services LLC | Pharmacy | 207 W 4th St Ste B, Bridgeport, PA 19405-1012 | 2016-09-12 |
| 1447229794 | Samantha Wong | Dentist | 108 Dekalb St, Bridgeport, PA 19405-1017 | 2006-03-17 |
| 1952517401 | Ray S Abdallah | Chiropractor | 106 Dekalb St, Bridgeport, PA 19405-1056 | 2007-05-14 |
| 1124318803 | Dekalb Chiropractic Center | Chiropractor | 106 Dekalb St, First Floor, Bridgeport, PA 19405-1056 | 2011-04-14 |
| 1679085575 | Adam L Hoover | Psychologist | 116 W 6th St, Bridgeport, PA 19405-1110 | 2017-10-31 |
| 1770883019 | Melissa M Dollarton | Occupational Therapy Assistant | 119 8th St, Bridgeport, PA 19405-1201 | 2010-11-02 |
| Find all providers in zip 19405 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158287 | Rejuvenation Medspa | Family Medicine | 1400 Johnson Ave Ste 4a, Bridgeport, WV 26330-1063 | 2019-01-17 |
| 1497244321 | Sanitas of Connecticut LLC | Family Medicine | 4551 Main St, Bridgeport, CT 06606-1818 | 2018-05-07 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1013395755 | Clinisanitas, PC | Family Medicine | 4543 Main St, Bridgeport, CT 06606-1818 | 2015-05-14 |
| 1982941431 | Razia Sultana Hashmi | Family Medicine | 115 Highland Ave, Bridgeport, CT 06604-3549 | 2013-01-03 |
| 1508025594 | Awais Malik | Family Medicine | 754 Clinton Ave, Bridgeport, CT 06604-2301 | 2008-06-04 |
| 1508062423 | Bridgeport Family Practice Obgyn Clinic | Family Medicine | 615 Kendall Ave, Bridgeport, AL 35740 | 2007-06-26 |
| 1760505887 | Vinai Montricul | Family Medicine | 47910 Al Highway 277, Bridgeport, AL 35740-7206 | 2007-04-06 |
| 1942341060 | Zijad Sabovic | Family Medicine | 3000 Park Ave, Bridgeport, CT 06604-1105 | 2007-02-09 |
| 1538207295 | Bridgeport Family Health LLC | Family Medicine | 1381 Reservoir Avenue, Bridgeport, CT 06606-2502 | 2007-02-02 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 19405 |
Please comment or provide details below to improve the information on EAST NORRITON PHYSICIANS SERVICES.
| 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.