PAOLI OB/GYN ASSOCIATES, P.C.


Address: 100 E Lancaster Ave Ste 660, Lankenau Medical Building East, Wynnewood, PA 19096-3450
Phone: 6108967550

PAOLI OB/GYN ASSOCIATES, P.C. (NPI# 1174570220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174570220
Entity Type Organization
Organization Name PAOLI OB/GYN ASSOCIATES, P.C.
Practice Address 100 E Lancaster Ave Ste 660
Lankenau Medical Building East
Wynnewood
PA 19096-3450
Practice Telephone 6108967550
Practice Fax Number 6108967914
Mailing Telephone 6108967550
Mailing Fax Number 6108967914
Enumeration Date 2006-05-27
Last Update Date 2010-12-01
Authorized Official Name DR. JOSEPH L RUSSINO (PRESIDENT)
Authorized Official Telephone 6108967550
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA HIGHMARK BLUE SHIELD 51756 01
PA INDEPENDENCE BLUE CROSS 0661441000 01
PA AETNA 504367 01

Office Location

Street Address 100 E LANCASTER AVE STE 660
LANKENAU MEDICAL BUILDING EAST
City WYNNEWOOD
State PA
Zip Code 19096-3450

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619925674 Jennifer K. Stuck Obstetrics & Gynecology 100 E Lancaster Ave Ste 660, Lankenau Medical Building East, Wynnewood, PA 19096-3450 2006-05-04
1083636831 Jennifer C. Gilbert Obstetrics & Gynecology 100 E Lancaster Ave Ste 660, Lankenau Medical Building East, Wynnewood, PA 19096-3450 2006-07-24
1558301218 Mark Edward Chasteney Obstetrics & Gynecology 100 E Lancaster Ave Ste 660, Lankenau Medical Building East, Wynnewood, PA 19096-3450 2006-06-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831727866 Jeffrey Glenn Johnston Hospitalist Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 2020-03-27
1326500331 Maitri Pancholy Student in an Organized Health Care Education/Training Program Annenberg Center, G-10, 100 Lancaster Avenue, Wynnewood, PA 19096 2019-04-01
1306355987 Karie Elizabeth Melton Social Worker 250 E Wynnewood Rd E12, Wynnewood, PA 19096 2017-09-26
1518320662 Kaitlyn Kennard Surgery 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 2016-04-05
1366814675 Linda Elkins Counselor 543 Haverford Rd, Wynnewood, PA 19096 2015-10-26
1619347655 Tessa Kovick Registered Nurse 100 E Lancaster Ave Ste 114, Wynnewood, PA 19096 2015-10-02
1922476415 Amy Lenrow Skilled Nursing Facility 1510 Powder Mill Lane, Wynnewood, PA 19096 2015-09-14
1144602855 Casey Dajao Internal Medicine 100 E Lancaster Ave Ste 140, Wynnewood, PA 19096 2015-06-18
1649666223 Benjamin Larson Internal Medicine 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 2015-04-10
1760873285 Kathleen Gilmartin Nurse Practitioner 100 East Lancaster Ave, Wynnewood, PA 19096 2015-02-06
Find all providers in zip 19096

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265822779 Howard Isaacson Obstetrics & Gynecology 217 Wiltshire Rd, Wynnewood, PA 19096-3332 2015-02-04
1326300187 Crystal Aja Brogan Obstetrics & Gynecology 100 E Lancaster Ave Ste 561, Wynnewood, PA 19096-3436 2012-06-07
1528229770 Licette Almonte Obstetrics & Gynecology 100 E Lancaster Ave Ste 216, Wynnewood, PA 19096-3448 2008-06-20
1447458302 Jodi Slepian Obstetrics & Gynecology 404 Mayflower Ln, Wynnewood, PA 19096-1663 2007-07-03
1598837767 Edward Lawrence Langan IIi Obstetrics & Gynecology Lankenau Med East, Suite 551, Wynnewood, PA 19096 2006-11-14
1043248271 Gregory C. Bolton Sr. Obstetrics & Gynecology 100 E Lancaster Ave Ste 135, Wynnewood, PA 19096-3453 2006-06-28
1134169386 Shelia Parvin Kambin Obstetrics & Gynecology 100 Lancaster Ave, Suite 661 Lankenau Mob East, Wynnewood, PA 19096-3437 2006-06-07
1619925674 Jennifer K. Stuck Obstetrics & Gynecology 100 E Lancaster Ave Ste 660, Lankenau Medical Building East, Wynnewood, PA 19096-3450 2006-05-04
1679198188 Joseph Elias Abdul-malak Obstetrics & Gynecology 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2020-06-10
1154946747 Samuel Philip Mellits Obstetrics & Gynecology 100 E Lancaster Ave Ste 301, Wynnewood, PA 19096-3446 2020-06-10
Find all providers in WYNNEWOOD

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City WYNNEWOOD
Zip Code 19096

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Dataset Information

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.

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