DR. CHARLES ROBERT FEDELE JR. (NPI# 1164740056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164740056 |
| Entity Type | Individual |
| Full Name | DR. CHARLES ROBERT FEDELE JR. |
| Credential | D.O. |
| Practice Address |
250 King of Prussia Rd Radnor PA 19087 |
| Mailing Address |
250 King of Prussia Rd Radnor PA 19087-5235 |
| Practice Telephone | 6109021800 |
| Practice Fax Number | 6109021804 |
| Mailing Telephone | 6109021800 |
| Mailing Fax Number | 6109021804 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2019-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
C2-0010648 | DE | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
OS015710 | PA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
OS015710 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OT013503 | PA | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | C7-0005091 | DE | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1026726210001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 N Lansdowne Avenue, Drexel Hill, PA 190261763 | 6102848395 | |
| 255 W Lancaster Ave, Paoli, PA 193011763 | 4845651074 | 4238261290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316912116 | Charles Robert Fedele | Dermatology | 1229 Pennsylvania Avenue, Sayre, PA 18840 | 2006-02-23 |
| Street Address |
250 KING OF PRUSSIA RD |
| City | RADNOR |
| State | PA |
| Zip Code | 19087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902881329 | Mark Bertram Sostek | Internal Medicine | 250 King of Prussia Rd, Penn Medicine At Radnor, Radnor, PA 19087-5220 | 2005-12-08 |
| 1255972956 | Nichelle M Logan | Pharmacist | 250 King of Prussia Rd, Radnor, PA 19087-5227 | 2019-10-03 |
| 1205344959 | Trudy A Lauro | Nurse Practitioner | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2018-01-16 |
| 1578088712 | Marilyn Grace Purvis | Nurse Practitioner | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2017-08-09 |
| 1134654361 | Susan Prescott Thompson | Nurse Practitioner | 250 King of Prussia Rd, Suite 2j, Radnor, PA 19087-5235 | 2017-04-25 |
| 1477917433 | Kari Adams Torp | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5220 | 2016-04-06 |
| 1528450087 | Amber Silas | Nurse Practitioner | 250 King of Prussia Rd, Ste 1b, Radnor, PA 19087-5235 | 2015-02-20 |
| 1144665860 | Jennifer Lynne Michener | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2013-05-08 |
| 1235572066 | Lilia Lakhtman | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2013-04-11 |
| 1952744989 | Meaghan Henrici | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2013-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037455 | Melissa Chipollini | Counselor | 487 Devon Park, Wayne, PA 19087 | 2020-06-11 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1538654363 | Brightview Wayne, LLC | Alzheimer Center (Dementia Center) | 301 E. Conestoga Road, Wayne, PA 19087 | 2018-06-25 |
| 1396234076 | Life Clinic of Pa PC | Physical Therapist | 700 E. Swedesford Rd., Wayne, PA 19087 | 2018-05-08 |
| 1841717246 | Laurie Anne Griffith | Counselor | 300 King of Prussia Rd, 2nd Floor, Radnor, PA 19087 | 2017-08-25 |
| 1457871279 | Tracy Kornafel | Physical Therapist | 288 Iven Ave, Apt 1a, Wayne, PA 19087 | 2017-06-22 |
| 1366980153 | Jodi Miller | Physical Therapist | 999 Old Eagle School Rd., Suite 106, Wayne, PA 19087 | 2017-02-01 |
| 1891244844 | Elite Pt LLC | Physical Therapist | 555 E Lancaster Ave Ste 30, Saint Davids, PA 19087 | 2016-09-30 |
| 1386190015 | Patrick Hanratty | Counselor | 468 Upper Weadley Rd, Wayne, PA 19087 | 2016-09-01 |
| 1316494958 | Main Line Day, LLC | Psychologist | 487 Devon Park Drive, Suite 207, Wayne, PA 19087 | 2016-09-01 |
| Find all providers in zip 19087 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578865721 | Yueping Hou | Radiology | 250 King of Prussia Rd., 3rd Flr, Radnor, PA 19087 | 2010-11-20 |
| 1316957764 | Jeffrey M Gramp | Radiology | 250 King of Prussia Rd, 3rd Floor, Radnor, PA 19087-5235 | 2006-08-08 |
| 1649297714 | Asha M Kovalovich | Radiology | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2006-07-16 |
| 1497782395 | Steven M Borislow | Radiology | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2006-06-27 |
| 1013943257 | Frank Albert Du Pont IIi | Radiology | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2006-06-22 |
| 1952347130 | Pamela S Puder | Radiology | 250 King of Prussia Rd, 2nd Floor, Radnor, PA 19087-5235 | 2006-06-22 |
| 1235115601 | Thomas Raymond Slattery Jr. | Radiology | 250 King of Prussia Rd, 3rd Fl., Radnor, PA 19087-5235 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359014 | Kimberly Ann Nulph-laseck | Radiology | 65 Market St, Albion, PA 16401-1131 | 2020-08-31 |
| 1407478878 | Bridget Podbielski | Radiology | 1301 Summit Dr, Royersford, PA 19468-2873 | 2020-05-08 |
| 1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
| 1518522770 | Michael Anthony Branco | Radiology | 340 Wellslee Dr, Chambersburg, PA 17201-8289 | 2019-05-03 |
| 1700369535 | Tower Health Medical Group | Radiology | 301 S 7th Ave Ste 135, West Reading, PA 19611-1442 | 2018-09-07 |
| 1841784899 | Kyle Rives | Radiology | 200 Lothrop Street Upmc Presbyterian, South Tower 2nd Floor Suite 200, Pittsburgh, PA 15213 | 2018-06-21 |
| 1285128892 | Solomon Amemasor | Radiology | 200 Lothrop St Ste 200, Pittsburgh, PA 15213-2536 | 2018-06-18 |
| 1326545898 | Lehigh Valley Hospital | Radiology | 320 W Pumping Station Rd Ste 2, Quakertown, PA 18951-2345 | 2018-04-10 |
| 1376054874 | Irad Services, Inc. | Radiology | 1811 Golden Mile Hwy Ste B, Pittsburgh, PA 15239-2847 | 2017-10-24 |
| 1639689482 | Anna Maria Polizio | Radiology | 496 Cherry Ct, Pittsburgh, PA 15237-2608 | 2017-10-06 |
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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.