FORNANCE PHYSICIAN SERVICES, INC (NPI# 1194035451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194035451 |
| Entity Type | Organization |
| Organization Name | FORNANCE PHYSICIAN SERVICES, INC |
| Other Organization Name | JEFFERSONVILLE INTERNAL MEDICINE OF FORNANCE |
| Practice Address |
1550 W Main St Jeffersonville PA 19403-3228 |
| Practice Telephone | 6106351712 |
| Practice Fax Number | 6106351716 |
| Mailing Telephone | 6106351712 |
| Mailing Fax Number | 6106351716 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |
| Authorized Official Name | MRS. KAREN LOWE ROBBINS (REIMBURSEMENT/CREDENTIALING MGR) |
| Authorized Official Telephone | 6102702352 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| JEFFERSONVILLE INTERNAL MEDICINE OF FORNANCE | 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 |
| 1184678666 | Fornance Physician Services, Inc | Family Medicine | 721 Skippack Pike, Suite 3, Blue Bell, PA 19422-1700 | 2006-05-20 |
| 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 |
| Street Address |
1550 W MAIN ST |
| City | JEFFERSONVILLE |
| State | PA |
| Zip Code | 19403-3228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073576849 | Michael Conrad Roman | Internal Medicine | 1550 W Main St, Jeffersonville, PA 19403-3228 | 2006-04-11 |
| 1518248665 | Cheryl Walker | Nurse Practitioner | 1550 W Main St, Jeffersonville, PA 19403-3228 | 2011-09-02 |
| 1831131564 | Jeffersonville Internal Medicine, P.C. | Internal Medicine | 1550 W Main St, Jeffersonville, PA 19403-3228 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696099 | Sai Charan Vedula | Internal Medicine | Einstein Medical Center Montgomery, 559 West Germantown Pike, East Norriton, PA 19403 | 2020-07-22 |
| 1255951869 | Jillian Nicole Zerbe | Student in an Organized Health Care Education/Training Program | 3005 Concord Cir, Eagleville, PA 19403 | 2020-04-23 |
| 1649745951 | Gigi Y Frasse | Nurse Practitioner | 10000 Shannondell Drive Main Line Healthcare, Audobon, PA 19403 | 2018-10-12 |
| 1831616002 | Sharlee Dischert | Occupational Therapist | The Arc Alliance Children's Services, 3075 Ridge Pike, Eagleville, PA 19403 | 2017-08-28 |
| 1033633029 | Lauren Aaronson | Social Worker | 2418 Single Tree Lane, Trooper, PA 19403 | 2017-08-01 |
| 1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
| 1720526080 | Dayna Greiner | Speech-Language Pathologist | 70 Bristol Court, Eagleville, PA 19403 | 2017-02-07 |
| 1669928636 | Samantha L Hankey | Specialist/Technologist | 1208 Stonybrook Dr, Norristown, PA 19403 | 2016-08-30 |
| 1154788008 | Noel Patrick Hamilton | Nurse Practitioner | 508 Bassett Lane, Norristown, PA 19403 | 2016-01-23 |
| 1265866115 | Christiana Jo Silcox | Counselor | 128 Riversedge Drive, Jeffersonville, PA 19403 | 2013-08-28 |
| Find all providers in zip 19403 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245797208 | Shaze Medical Group LLC | Internal Medicine | 1035 Wall Street Ste 104-c1, Jeffersonville, IN 47130-3602 | 2019-02-26 |
| 1417249970 | Faraaz A. Rahman | Internal Medicine | 207 Sparks Ave Ste 100, Jeffersonville, IN 47130-3739 | 2011-05-03 |
| 1225200462 | Phonesavane Lianekhammy | Internal Medicine | 3118 East 10th Street, Norton Community Medical Associates, Jeffersonville, IN 47130 | 2008-03-27 |
| 1447386651 | Farheen Jamil Hasnain | Internal Medicine | 73 Quartermaster Ct, Jeffersonville, IN 47130-3623 | 2007-02-24 |
| 1992805493 | Christopher Shawn Hofelich | Internal Medicine | 41 Quatermaster Ct., Jeffersonville, IN 47130-3623 | 2006-09-24 |
| 1952334252 | Wall Street Internal Medicine | Internal Medicine | 73 Quarter Master Crt, Jeffersonville, IN 47130-3759 | 2006-07-09 |
| 1427087543 | John M Dunn | Internal Medicine | 22 Old Main Street, Jeffersonville, VT 05464-0157 | 2006-07-01 |
| 1417909458 | Lloyd C Trommler | Internal Medicine | 1806 E 10th St, Jeffersonville, IN 47130-6016 | 2006-05-17 |
| 1821053851 | David A Dues | Internal Medicine | 3118 E 10th St Ste A, Jeffersonville, IN 47130-5904 | 2006-04-20 |
| 1487619888 | Syed Q Kazmi | Internal Medicine | 1035 Wall St Ste 104-c1, Jeffersonville, IN 47130-3602 | 2006-04-19 |
| Find all providers in JEFFERSONVILLE | ||||
| City | JEFFERSONVILLE |
| Zip Code | 19403 |
Please comment or provide details below to improve the information on FORNANCE PHYSICIAN SERVICES, INC.
| 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.