FORNANCE PHYSICIAN SERVICES, INC (NPI# 1184678666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184678666 |
| Entity Type | Organization |
| Organization Name | FORNANCE PHYSICIAN SERVICES, INC |
| Other Organization Name | BROAD AXE FAMILY MEDICINE |
| Practice Address |
721 Skippack Pike Suite 3 Blue Bell PA 19422-1700 |
| Mailing Address |
Po Box 789967 Philadelphia PA 19178-9967 |
| Practice Telephone | 2157930600 |
| Practice Fax Number | 6107930759 |
| Mailing Telephone | 4846227395 |
| Mailing Fax Number | 4846227399 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2018-11-15 |
| Authorized Official Name | VERA BURNETT-ROBINS (DIRECTOR PHYSICIAN BILLING) |
| Authorized Official Telephone | 4846227391 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CIGNA HMO/PPO | 7990725 | 01 |
| PA | KEYSTONE MERCY | 1065049 | 01 |
| PA | ALLIANCE (MAMSI) | 2120908 | 01 |
| PA | AMERIHEALTH/INTERCOUNTY | 0274457001 | 01 |
| PA | AETNA PPO | 5389597 | 01 |
| PA | AETNA HMO | 085595 | 01 |
| PA | HIGHMARK BLUE SHIELD | 259541 | 01 |
| PA | RRM | CI5397 | 01 |
| PA | HEALTH PARTNERS SITE # | 33022 | 01 |
| PA | IBC - PC/KHPE | 0274457001 | 01 |
| Other Name | Type Code |
|---|---|
| Broad Axe Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316125701 | Fornance Physician Services, Inc | Registered Nurse | 1330 Powell St Ste 100, Norristown, PA 19401 | 2008-02-07 |
| 1437104296 | Fornance Physician Services, Inc | Family Medicine | 612 Fayette St, 2nd Floor, Conshohocken, PA 19428-1797 | 2006-05-23 |
| 1801876958 | Fornance Physician Services, Inc | Anesthesiology | 559 W Germantown Pike, East Norriton, PA 19403-4250 | 2006-01-17 |
| 1952810988 | Fornance Physician Services, Inc | Family Medicine | 676 Dekalb Pike Ste 104, Blue Bell, PA 19422-1223 | 2017-09-21 |
| 1841709854 | Fornance Physician Services, Inc | Registered Nurse | 633 W Germantown Pike, Suite 202, Plymouth Meeting, PA 19462-1032 | 2017-09-21 |
| 1568862498 | Fornance Physician Services, Inc | Family Medicine | 4 W Township Line Rd, East Norriton, PA 19401-1559 | 2014-08-28 |
| 1023439825 | Fornance Physician Services, Inc | Internal Medicine | 100 Market St, Collegeville, PA 19426-4927 | 2013-12-20 |
| 1972875474 | Fornance Physician Services, Inc | Family Medicine | 212 N Main St, North Wales, PA 19454-3129 | 2012-01-31 |
| 1114206604 | Fornance Physician Services, Inc | Internal Medicine | 2010 N Broad St Ste 100, Lansdale, PA 19446-1004 | 2011-08-15 |
| 1194035451 | Fornance Physician Services, Inc | Internal Medicine | 1550 W Main St, Jeffersonville, PA 19403-3228 | 2010-10-20 |
| Street Address |
721 SKIPPACK PIKE SUITE 3 |
| City | BLUE BELL |
| State | PA |
| Zip Code | 19422-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881809804 | Peter S. Rosenman, Dmd, PC | Dentist | 721 Skippack Pike, Suite 04, Blue Bell, PA 19422-1700 | 2007-05-12 |
| 1669596516 | Peter S Rosenman | Dentist | 721 Skippack Pike, Suite 4, Blue Bell, PA 19422-1700 | 2007-03-18 |
| 1447303839 | Terry Ann Hurtt | Dentist | 721 Skippack Pike, #4, Blue Bell, PA 19422-1700 | 2007-01-19 |
| 1427002542 | David C. Peet Jr. | Family Medicine | 721 Skippack Pike, Suite 3, Blue Bell, PA 19422-1700 | 2006-05-22 |
| 1730133869 | Heidi J. Yutzler-overton | Family Medicine | 721 Skippack Pike, Suite 3, Blue Bell, PA 19422-1700 | 2006-05-22 |
| 1598719932 | Nicole K. Luetke | Family Medicine | 721 Skippack Pike, Suite 3, Blue Bell, PA 19422-1700 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233262 | Palmquest Inc. | Public Health or Welfare | 325 Sentry Parkway West Bldg, Suite 200, Blue Bell, PA 19422 | 2020-10-21 |
| 1003479825 | Marsha Frances Santangelo | General Practice | 107 Sawgrass Drive, Blue Bell, PA 19422 | 2019-04-17 |
| 1992368021 | Always Ready Home Care | Meals | 902 Union Meeting Rd, Blue Bell, PA 19422 | 2019-04-15 |
| 1013412287 | Blue Bell Asc, LLC | Clinic/Center | 518 East Township Line Rd Ste 120, Blue Bell, PA 19422 | 2018-03-28 |
| 1649779604 | Kristen Marie Tuscai | Dietitian, Registered | 725 Skippack Pike Suite 300, Blue Bell, PA 19422 | 2018-02-06 |
| 1134643802 | Roger Sze | Radiologic Technologist | 904 Phipps Way, Blue Bell, PA 19422 | 2017-08-03 |
| 1265984918 | Morris White Consulting Inc | In Home Supportive Care | 325 Sentry Parkway, W Bldg 5, Suite 200, Blue Bell, PA 19422 | 2016-10-28 |
| 1407308257 | Rebbakin Inc | In Home Supportive Care | 325 Sentry Pkwy Suite 200, Building 5 West, Blue Bell, PA 19422 | 2016-10-27 |
| 1306392014 | Lorraine S Caprioli | Physical Therapist | 1777 Sentry Prk West, Blue Bell, PA 19422 | 2016-09-01 |
| 1336585116 | Cline Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 508 Trinity Church Ct, Blue Bell, PA 19422 | 2013-05-20 |
| Find all providers in zip 19422 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528305547 | Gary Ithamar Kravis | Family Medicine | 110 Somerset Dr, Blue Bell, PA 19422-1452 | 2013-01-10 |
| 1366698557 | John Patrick Murray | Family Medicine | 1390 Granary Road, Blue Bell, PA 19422-2123 | 2008-08-07 |
| 1811197064 | Sunny Felix Ekwunife | Family Medicine | 1733 Pulaski Dr, Blue Bell, PA 19422-3677 | 2007-07-24 |
| 1356304307 | Howard Rosenfeld | Family Medicine | 1635 Skippack Pike, Blue Bell, PA 19422-1232 | 2006-04-10 |
| 1053390542 | Debra Vermette | Family Medicine | 1787 Sentry Pkwy W Bldg 16, Suite 400, Blue Bell, PA 19422-2239 | 2006-01-12 |
| 1518957026 | Randi J Zeitzer | Family Medicine | 721 Skippack Pike Ste 3, Blue Bell, PA 19422-1700 | 2005-10-26 |
| 1447243696 | Nancy S Czarnecki | Family Medicine | 920b Harvest Dr, 1st Floor, Blue Bell, PA 19422-1900 | 2005-08-23 |
| 1174520142 | George David Vermeire | Family Medicine | 930 Harvest Dr, Ms Ub1n, Blue Bell, PA 19422-1959 | 2005-07-05 |
| 1619973039 | Dominic Mcfadden | Family Medicine | 721 Arbor Way Ste 102, Blue Bell, PA 19422-1974 | 2005-06-21 |
| 1598760043 | Andrew R Blumenthal | Family Medicine | 721 Arbor Way, Suite 102, Blue Bell, PA 19422-1917 | 2005-06-20 |
| Find all providers in BLUE BELL | ||||
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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.