G. EDWARD KIENZLE (NPI# 1174590244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174590244 |
| Entity Type | Individual |
| Full Name | G. EDWARD KIENZLE |
| Credential | MD |
| Practice Address |
17 Industrial Blvd Suite 204 Paoli PA 19301-1607 |
| Practice Telephone | 6106471484 |
| Practice Fax Number | 6106477068 |
| Mailing Telephone | 6106471484 |
| Mailing Fax Number | 6106477068 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2007-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD007413E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
17 INDUSTRIAL BLVD SUITE 204 |
| City | PAOLI |
| State | PA |
| Zip Code | 19301-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780830620 | Main Line Ear, Nose & Throat, PC | Audiologist | 17 Industrial Blvd, Suite 102, Paoli, PA 19301-1607 | 2008-08-12 |
| 1649493040 | Sandra Emilie Grzybicki | Dentist | 17 Industrial Blvd, Suite 203, Paoli, PA 19301 | 2007-04-11 |
| 1538238456 | Howard S. Caplan | Specialist | 17 Industrial Blvd, 102, Paoli, PA 19301-1607 | 2006-11-07 |
| 1770652992 | Francine A. Cedrone | Specialist | 17 Industrial Blvd, 102, Paoli, PA 19301-1607 | 2006-11-06 |
| 1083683742 | Pediatric Associates of Paoli, PC | Pediatrics | 17 Industrial Blvd, Suite 204, Paoli, PA 19301-1607 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
| 1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
| 1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
| 1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
| 1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
| 1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
| Find all providers in zip 19301 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609079292 | Jeanna Ane Labik | Pediatrics | 250 West Lancaster Avenue, Suite 340, Paoli, PA 19301 | 2007-06-09 |
| 1467527200 | Sandra Jean Becker | Pediatrics | 315 Continental Ln, Paoli, PA 19301-2001 | 2006-11-21 |
| 1902986995 | Children's Hospital of Philadelphia | Pediatrics | 2 Industrial Blvd Ste 100, Paoli, PA 19301-1645 | 2006-10-16 |
| 1982700274 | Rachel Weinryb Totoro | Pediatrics | 255 West Lancaster Ave Suite 101, Nemours Dupont Pediatrics, Paoli, Paoli, PA 19301 | 2006-09-15 |
| 1003884891 | Rand E Kienzle | Pediatrics | 11 Industrial Blvd Ste 201, Paoli, PA 19301 | 2006-03-09 |
| 1740269109 | Stephen C Townend | Pediatrics | 1676 Lancaster Avenue, Nemours Dupont Pediatrics, Paoli, Paoli, PA 19301-1506 | 2006-01-13 |
| 1043552235 | Advocare, LLC | Pediatrics | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2013-03-26 |
| 1710185590 | Kimberly Parsons | Pediatrics | 250 West Lancaster Avenue, Suite 340, Paoli, PA 19301 | 2007-07-03 |
| 1043390560 | Paoli Pediatrics PC | Pediatrics | 255 W Lancaster Ave, Mob 1 Suite 101, Paoli, PA 19301 | 2006-10-17 |
| 1881617314 | Anna Schetman | Pediatrics | 250 West Lancaster Ave, Suite 340, Paoli, PA 19301 | 2006-07-25 |
| Find all providers in PAOLI | ||||
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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.