JOHN KLEBACK (NPI# 1184629255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184629255 |
| Entity Type | Individual |
| Full Name | JOHN KLEBACK |
| Credential | MD |
| Practice Address |
2510 Maryland Rd Suite 160 Willow Grove PA 19090-1109 |
| Practice Telephone | 2156726622 |
| Practice Fax Number | 2156726566 |
| Mailing Telephone | 2156726622 |
| Mailing Fax Number | 2156726566 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2010-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD417358 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
2510 MARYLAND RD SUITE 160 |
| City | WILLOW GROVE |
| State | PA |
| Zip Code | 19090-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417302894 | Sherrie Bard | Physical Therapist | 2510 Maryland Rd, Suite 250, Willow Grove, PA 19090-1109 | 2016-05-04 |
| 1205281813 | Melissa Chertow | Physical Therapist | 2510 Maryland Rd, Suite 250, Willow Grove, PA 19090-1109 | 2016-05-02 |
| 1730534363 | Beth Feingold | Physical Therapist | 2510 Maryland Rd, Suite 250, Willow Grove, PA 19090-1109 | 2016-05-02 |
| 1386099984 | Patrice Anne Erik | Physical Therapist | 2510 Maryland Rd, Suite 250, Willow Grove, PA 19090-1109 | 2016-05-02 |
| 1548615198 | Heather Pelletier | Physical Therapist | 2510 Maryland Rd, Suite 250, Willow Grove, PA 19090-1109 | 2016-05-02 |
| 1821443458 | Kelli Marella | Occupational Therapist | 2510 Maryland Rd, Suite 250, Willow Grove, PA 19090-1109 | 2016-05-02 |
| 1114372927 | Kathleen Ricci | Physical Therapist | 2510 Maryland Rd, Suite 250, Willow Grove, PA 19090-1109 | 2016-04-29 |
| 1417302191 | Pamela Lynn Pietro | Physical Therapist | 2510 Maryland Rd, Suite 250, Willow Grove, PA 19090-1109 | 2016-04-29 |
| 1104271006 | Denise Jerome | Physical Therapist | 2510 Maryland Rd, Suite 250, Willow Grove, PA 19090-1109 | 2016-04-28 |
| 1831544634 | Patricia Hoffa | Occupational Therapist | 2510 Maryland Rd, Suite 250, Willow Grove, PA 19090-1109 | 2016-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122495 | Orna Kempler Azulay | Speech-Language Pathologist | 3515 W Moreland Rd, Willow Grove, PA 19090 | 2020-07-31 |
| 1396205654 | Randi Lynn Murat | Physical Therapist | 2500 W Moreland Rd Ste 2103, Willow Grove, PA 19090 | 2019-03-22 |
| 1780173690 | Garden Spring Center Snf LLC | Skilled Nursing Facility | 1113 North Easton Road, Willow Grove, PA 19090 | 2018-05-07 |
| 1740778976 | Dean Depice | Chiropractor | 1031 North York Rd, Willow Grove, PA 19090 | 2018-04-24 |
| 1679081095 | Darnell Marie Lorick | Registered Nurse | 1553 Rothley Ave, Willow Grove, PA 19090 | 2018-01-19 |
| 1750809364 | Eileen Black | Counselor | 4 Neshaminy Interplex Suite 202, Trevose, PA 19090 | 2017-09-03 |
| 1538615760 | Sarah Herstich | Social Worker | 208 N Easton Rd, Willow Grove, PA 19090 | 2016-08-28 |
| 1902252091 | Christina Amodei | Physical Therapist | 2519 Maryland Rd #250, Willowgrove, PA 19090 | 2016-05-09 |
| 1568838340 | Insights Counseling & Consulting LLC | Counselor | 2300 Computer Ave., C13, Willow Grove, PA 19090 | 2015-08-17 |
| 1376949016 | Courtney M Dedda | Physical Therapist | 1003 Easton Rd Ste 105c, Willow Grove, PA 19090 | 2014-11-07 |
| Find all providers in zip 19090 | ||||
| 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 |
|---|---|---|---|---|
| 1437405602 | Executive Mews Pediatrics, LLC | Pediatrics | 2300 Computer Ave, Suite H-44, Willow Grove, PA 19090-1742 | 2012-07-25 |
| 1992022073 | Nicole Marie Dominick-rizen | Pediatrics | 2510 Maryland Rd, Ste #160, Willow Grove, PA 19090-1109 | 2010-04-28 |
| 1629283593 | Patricia Harger Holtz | Pediatrics | 2510 Maryland Rd, Suite 160, Willow Grove, PA 19090-1109 | 2007-05-13 |
| 1346452430 | Katherine Ann Mcgeary | Pediatrics | 2510 Maryland Rd, #160, Willow Grove, PA 19090-1109 | 2007-05-03 |
| 1710958178 | North Willow Grove Pediatrics, PC | Pediatrics | 2510 Maryland Rd, Suite 160, Willow Grove, PA 19090-1109 | 2006-02-01 |
| 1457356511 | Colleen Gulczynski | Pediatrics | 2510 Maryland Rd, Suite 160, Willow Grove, PA 19090-1109 | 2005-06-16 |
| 1255335600 | Joseph Cirotti | Pediatrics | 2510 Maryland Rd, Suite 160, Willow Grove, PA 19090-1109 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321622 | St Luke's Physician Group Inc | Pediatrics | 514 Delaware Ave, Fountain Hill, PA 18015-1104 | 2020-09-18 |
| 1972138204 | Margarita Bello | Pediatrics | 448 Walton Ave Unit 217, Hummelstown, PA 17036-4010 | 2020-03-06 |
| 1548809494 | Childen's Community Care | Pediatrics | 1811 Boulevard of The Allies Ste 200, Pittsburgh, PA 15219-5964 | 2019-12-24 |
| 1164069241 | Ayala Laufer-cahana | Pediatrics | 647 Montgomery School Ln, Wynnewood, PA 19096-1013 | 2019-12-08 |
| 1023652708 | Pediatric Care Group, P.C. | Pediatrics | 890 2nd Street Pike Ste 904, Richboro, PA 18954-1021 | 2019-11-05 |
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1679115760 | Rural Health Corporation of Northeastern Pennsylvania | Pediatrics | 1730 E Broad St Ste 2, Hazleton, PA 18201-5657 | 2019-10-10 |
| 1003462797 | Lucyndia Rose Marino | Pediatrics | 130 Classic Ln, New Castle, PA 16105-5304 | 2019-08-18 |
| 1861048803 | Geisinger Clinic | Pediatrics | 55 Medical Drive, Lewisburg, PA 17837-6343 | 2019-08-15 |
| 1447818729 | Elizabeth Edmondston Tarr | Pediatrics | 3401 Civic Center Blvd Fl 9nw55, Philadelphia, PA 19104-4319 | 2019-06-03 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW GROVE |
| Zip Code | 19090 |
Please comment or provide details below to improve the information on JOHN KLEBACK.
| 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.