LEONARD DZUBOW AMBULATORY SURGICAL CENTER LLC (NPI# 1194718593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194718593 |
| Entity Type | Organization |
| Organization Name | LEONARD DZUBOW AMBULATORY SURGICAL CENTER LLC |
| Practice Address |
101 Chesley Dr Media PA 19063-1761 |
| Practice Telephone | 4846210082 |
| Practice Fax Number | 4846210083 |
| Mailing Telephone | 4846210082 |
| Mailing Fax Number | 4846210083 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2014-06-11 |
| Authorized Official Name | DR. LEONARD MARK DZUBOW (PRESIDENT) |
| Authorized Official Telephone | 4846210082 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
16731501 | PA | Ambulatory Health Care Facilities |
| Street Address |
101 CHESLEY DR |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-1761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134127848 | John Joseph Laskas | Dermatology | 101 Chesley Dr, Suite 100, Media, PA 19063-1761 | 2005-07-07 |
| 1508153545 | Trisha Sujaya Dasgupta | Dermatology | 101 Chesley Dr, Dermatology, Ltd., Media, PA 19063-1761 | 2011-06-28 |
| 1477791929 | Center for Dermatopathology, P.C. | Clinical Medical Laboratory | 101 Chesley Dr, Suite 201, Media, PA 19063-1761 | 2009-01-21 |
| 1659538148 | Joseph William Laskas | Dermatology | 101 Chesley Dr, Media, PA 19063-1761 | 2008-05-21 |
| 1619163706 | Aesthetic Facial Plastic Surgery Center, Inc. | Plastic Surgery | 101 Chesley Dr, Georgtown Building, Media, PA 19063-1761 | 2007-09-21 |
| 1093922536 | Karen Pearce Riggs | Dermatology | 101 Chesley Dr, Suite Number 740, Media, PA 19063-1761 | 2007-05-16 |
| 1588746937 | Megan Leigh Bovero | Physician Assistant | 101 Chesley Dr, Media, PA 19063-1761 | 2006-10-19 |
| 1568417467 | Leonard Dzubow Md PC | Dermatology | 101 Chesley Dr, Media, PA 19063-1761 | 2006-05-23 |
| 1477508257 | Dermatology Ltd | Dermatology | 101 Chesley Dr, Suite 100, Media, PA 19063-1761 | 2006-05-23 |
| 1700848082 | Nancy Slater Woolf | Psychiatry & Neurology | 101 Chesley Dr, Suite 201, Media, PA 19063-1761 | 2006-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467720649 | Riddle Memorial Hospital | Clinic/Center | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2011-12-02 |
| 1316174782 | Riddle Surgical Center LLC | Clinic/Center | 1118 W Baltimore Pike, Health Center 4, 4th Floor, Media, PA 19063-6104 | 2009-06-12 |
| 1578748232 | Delco Gastroenterology | Clinic/Center | 1088 West Baltimore Pike, Suite 2407, Media, PA 19063-5146 | 2007-12-31 |
| 1265434740 | Sally K Balin Ambulatory Surgical Center Inc | Clinic/Center | 110 Chesley Dr, Media, PA 19063-1755 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871108068 | Tilden Ambulatory Surgery Center, LLC | Clinic/Center | 61 Industrial Dr, Hamburg, PA 19526-8768 | 2020-09-14 |
| 1447862834 | Us Cardio Washington LLC | Clinic/Center | 1000 Park Place Dr Ste 201, Washington, PA 15301-2064 | 2020-08-18 |
| 1518575778 | Eye Surgery of The Main Line, LLC | Clinic/Center | 333 E City Avenue, Two Bala Plaza, Bala Cynwyd, PA 19004-1501 | 2020-07-14 |
| 1053934919 | Doylestown Surgery Center, LLC | Clinic/Center | 593 West State Street, Doylestown, PA 18901 | 2020-05-26 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1508400920 | Nazareth Endoscopy Center, LLC | Clinic/Center | 2401 Northampton St Ste 220, Easton, PA 18045-2764 | 2019-10-29 |
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1841759040 | Beaver Valley Ambulatory Surgery Center, LLC | Clinic/Center | 79 Wagner Road, Suite 101, Monaca, PA 15061-2489 | 2019-03-18 |
| 1669931861 | Urology Health Surgery Center, LLC | Clinic/Center | 1974 Sproul Rd Ste 104, Broomall, PA 19008-3402 | 2019-03-18 |
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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.