DR. JASON THOMAS BUNDY (NPI# 1164644548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164644548 |
Entity Type | Individual |
Full Name | DR. JASON THOMAS BUNDY |
Credential | M.D. |
Practice Address |
1235 Penn Ave Wyomissing PA 19610-2100 |
Mailing Address |
1235 Penn Ave Ste 302 Wyomissing PA 19610-2100 |
Practice Telephone | 6103742927 |
Mailing Telephone | 6103742927 |
Mailing Fax Number | 6103742909 |
Enumeration Date | 2007-05-03 |
Last Update Date | 2018-04-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | MT180057 | PA | Allopathic & Osteopathic Physicians |
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD431308 | PA | Allopathic & Osteopathic Physicians |
Street Address |
1235 PENN AVE |
City | WYOMISSING |
State | PA |
Zip Code | 19610-2100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851398408 | Center for Pain Control, PC | Specialist | 1235 Penn Ave, Ste 302, Wyomissing, PA 19610-2100 | 2005-06-28 |
1053887927 | Horizon Health Center, Inc. | Clinic/Center | 1235 Penn Ave, Wyomissing, PA 19610-2100 | 2018-10-18 |
1356877096 | Cassandra J Hartman | Counselor | 1235 Penn Ave, Suites 205-206, Wyomissing, PA 19610-2100 | 2017-05-01 |
1306200456 | Jamie Leigh Rimby | Counselor | 1235 Penn Ave, Suite 205-206, Wyomissing, PA 19610-2100 | 2016-04-05 |
1730581950 | Nicole Harper | Physician Assistant | 1235 Penn Ave, Suite 302, Wyomissing, PA 19610 | 2014-09-18 |
1437578945 | Center for Pain Control, PC | Durable Medical Equipment & Medical Supplies | 1235 Penn Ave, Suite 302, Wyomissing, PA 19610-2100 | 2014-04-11 |
1881029767 | Ingrid Nicole Valerio | Social Worker | 1235 Penn Ave, Suite 205-206, Wyomissing, PA 19610-2100 | 2013-09-10 |
1437595956 | Frederick Stuart Indenbaum | Counselor | 1235 Penn Ave, Suite 205-206, Wyomissing, PA 19610-2100 | 2013-05-13 |
1316201627 | Irene Beth Heckman | Social Worker | 1235 Penn Ave, Suite 205-206, Wyomissing, PA 19610-2100 | 2012-07-02 |
1386961555 | Keystone Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 1235 Penn Ave, Wyomissing, PA 19610-2100 | 2010-04-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
1932742772 | Kristin Marie Lapp | Social Worker | 1120-c Hobart Ave, Wyomissing, PA 19610 | 2019-10-24 |
1396302410 | Susan Cohick | Occupational Therapy Assistant | The Center for Pediatric Therapy Inc, 9 Bristol Ct, Wyomissing, PA 19610 | 2019-05-23 |
1518475953 | Safe Care Express Pllc | Clinic/Center | 1802 State Hill Rd, Wyomissing, PA 19610 | 2018-01-19 |
1346779733 | Eric Angstadt | Dentist | 85 Commerce Drive, Wyomissing, PW 19610 | 2017-06-08 |
1497209761 | Keystone Orthopaedic Specialists,llc | Durable Medical Equipment & Medical Supplies | 2607 Keiser Blvd # 200, Wyomissing, PA 19610 | 2016-08-04 |
1104270875 | Heather Claudette Meyer | Hearing Instrument Specialist | 50 Berkshire Ct Ste 250, Wyomissing, PA 19610 | 2016-04-19 |
1396125050 | Courtney B. Pursell | Counselor | 716 N. Park Rd., Wyomissing, PA 19610 | 2015-06-08 |
1760892012 | Nicole M Robb | Counselor | 17 Evans Ave, Wyomissing, PA 19610 | 2014-05-07 |
Find all providers in zip 19610 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386671436 | Robert Harris Salvage | Anesthesiology | 2760 Century Blvd Ste 2, Wyomissing, PA 19610-3359 | 2006-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629630504 | Bac Medical, Pllc | Anesthesiology | 3070 Bristol Pike # 2-130, Bensalem, PA 19020-5364 | 2019-07-01 |
1285294983 | Thomas Falasca | Anesthesiology | 411 Sybil Dr, Erie, PA 16505-2152 | 2019-06-17 |
1144711235 | Amy L. Croushore | Anesthesiology | 5750 Centre Ave Ste 400, Pittsburgh, PA 15206-3761 | 2018-05-23 |
1023521598 | Michaela R Lewis | Anesthesiology | 333 State St Ste 104, Erie, PA 16507-1463 | 2017-11-07 |
1457704652 | Guthrie Medical Group, P.C. | Anesthesiology | 37 Pratt Avenue, Towanda, PA 18848 | 2016-07-22 |
1932518669 | Pharo Pain Management Asociates, P.C. | Anesthesiology | 829 Spruce St Ste 308, Philadelphia, PA 19107-5752 | 2014-08-06 |
1457786253 | Lighthouse Medical, LLC | Anesthesiology | 507 Tire Hill Rd, Suite 100, Johnstown, PA 15905-7311 | 2013-09-11 |
1992137103 | Anish Sethi | Anesthesiology | 834 Chestnut St Ste T150, Philadelphia, PA 19107 | 2013-07-30 |
1528407392 | Soon Yong Jung | Anesthesiology | 1240 S Cedar Crest Blvd Ste 307, Allentown, PA 18103-6263 | 2013-06-14 |
1316381155 | Beacon Medical, LLC | Anesthesiology | 136 Jaycee Dr, Suite 10, Johnstown, PA 15904-3650 | 2013-04-23 |
Find all providers with the same taxonomy |
City | WYOMISSING |
Zip Code | 19610 |
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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.