BERNARD IYALEKHUE (NPI# 1124390877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124390877 |
| Entity Type | Individual |
| Full Name | BERNARD IYALEKHUE |
| Practice Address |
2250 Hickory Rd Ste 240 Plymouth Meeting PA 19462-2225 |
| Practice Telephone | 8009506066 |
| Practice Fax Number | 8006987206 |
| Mailing Telephone | 8009506066 |
| Mailing Fax Number | 8006987206 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
26NPO5881300 | NJ | Dental Providers |
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
152WS0006X | NJ | Eye and Vision Services Providers |
| Street Address |
2250 HICKORY RD STE 240 |
| City | PLYMOUTH MEETING |
| State | PA |
| Zip Code | 19462-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255385951 | Loretta M Gorak | Physical Therapy Assistant | 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 | 2006-05-19 |
| 1770132771 | James John White Jr. | Registered Nurse | 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 | 2019-09-11 |
| 1982257697 | Athena Kathleen Greene | Licensed Practical Nurse | 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 | 2019-07-22 |
| 1609435262 | Angel J Crump | Licensed Practical Nurse | 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 | 2019-06-07 |
| 1326606625 | Peris Gathura | Pharmacist | 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 | 2019-05-31 |
| 1720645146 | John Robert Reader | Licensed Practical Nurse | 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 | 2019-05-21 |
| 1073071403 | Jo-ann Solis Morales | Registered Nurse | 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 | 2019-03-05 |
| 1356815088 | Ericka Lashawn Daniels | Licensed Practical Nurse | 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 | 2019-01-16 |
| 1619447810 | Aglena Nicole Montgomery | Registered Nurse | 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 | 2018-11-29 |
| 1316420268 | Renee Massry | Registered Nurse | 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 | 2018-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598284192 | Nicole Marie Oconnor Probst | Registered Nurse | 824 Belvoir Road, Plymouth Meeting, PA 19462 | 2017-09-14 |
| 1699299404 | Access Services Inc | Community/Behavioral Health | 4070 Butler Pike Ste 900, Plymouth Meeting, PA 19462 | 2017-08-02 |
| 1255869079 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 615 W Germantown Pike Ste 100, Plymouth Meeting, PA 19462 | 2017-05-24 |
| 1376077545 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2400 Butler Pike, Plymouth Meeting, PA 19462 | 2017-04-14 |
| 1770039604 | David Crowe | Specialist/Technologist | 3045 Arrow Head Lane, Plymouth Meeting, PA 19462 | 2016-08-31 |
| 1881054724 | Urology Health Specialists | Non-Pharmacy Dispensing Site | 400 Davis Road, Suite 200a, Plymouth Meeting, PA 19462 | 2016-03-04 |
| 1578947289 | Amanda Coleen Hassey | Optometrist | 615 W Germantown Pike # 100, Plymouth Meeting, PA 19462 | 2015-07-13 |
| 1902204837 | Janelle Thelma Mcclure | Licensed Practical Nurse | 3113 Jolly Rd., Plymouth Meeting, PA 19462 | 2014-12-09 |
| 1417241860 | Nia Murray | Counselor | 523 Plymouth Rd., Suite215, Plymouthmeeting, PA 19462 | 2011-06-02 |
| 1831496868 | Pamela Faye Knappenberger | Licensed Practical Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462 | 2011-02-28 |
| Find all providers in zip 19462 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561160 | Briana Ferguson | Dentist | 1250 Germantown Pike Ste 301, Plymouth Meeting, PA 19462-2402 | 2020-06-07 |
| 1144752973 | Amber Gilbert | Dentist | 215 Sutter Ln, Plymouth Meeting, PA 19462-1249 | 2017-03-30 |
| 1861527756 | Plymouth Meeting Dental Associates | Dentist | 1 E Church Rd, Plymouth Meeting, PA 19462-7137 | 2007-02-22 |
| 1841343183 | Elena Kachur | Dentist | 1000 Germantown Pike Ste F4, Plymouth Greene Office Campus, Plymouth Meeting, PA 19462-2486 | 2007-01-19 |
| 1740368190 | Harry D Venezia | Dentist | 1212 Germantown Pike, Plymouth Meeting, PA 19462-2466 | 2006-11-02 |
| 1114037926 | Wesley C Wadsworth | Dentist | 1031 Germantown Pike, Plymouth Meeting, PA 19462-2449 | 2006-08-30 |
| 1700820735 | Gregg Martin Chialastri | Dentist | 600 Apache Ln, Plymouth Meeting, PA 19462-2306 | 2006-06-16 |
| 1396785440 | Robert Lee Adelman | Dentist | 832 Germantown Pike, Plymouth Meeting, PA 19462-2442 | 2006-06-07 |
| 1649433632 | Danelle Colleen Fournier | Dentist | 1212 Germantown Pike, Plymouth Meeting, PA 19462-2466 | 2008-07-09 |
| 1912021973 | Joni Saull | Dentist | 1000 Germantown Pike, Suite F-4, Plymouth Meeting, PA 19462-2480 | 2007-03-16 |
| Find all providers in PLYMOUTH MEETING | ||||
| City | PLYMOUTH MEETING |
| Zip Code | 19462 |
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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.