DR. JACQUES E DECAESTECKER (NPI# 1215143094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215143094 |
| Entity Type | Individual |
| Full Name | DR. JACQUES E DECAESTECKER |
| Credential | MD |
| Practice Address |
1 Bartol Ave Suite 15 Ridley Park PA 19078-2214 |
| Practice Telephone | 6105213150 |
| Practice Fax Number | 6105213933 |
| Mailing Telephone | 6105213150 |
| Mailing Fax Number | 6105213933 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD029825L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1 BARTOL AVE SUITE 15 |
| City | RIDLEY PARK |
| State | PA |
| Zip Code | 19078-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023010444 | Howard T Gitter | Internal Medicine | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078 | 2005-08-15 |
| 1700419991 | Christine Elizabeth Carroll | Nurse Practitioner | 1 Bartol Ave, Ridley Park, PA 19078-2214 | 2020-02-17 |
| 1740637255 | Prospect Health Access Network, Inc. | Internal Medicine | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078-2214 | 2016-05-16 |
| 1588064869 | Caitlin C Moore | Physician Assistant | 1 Bartol Ave, Suite 100, Ridley Park, PA 19078-2214 | 2014-08-24 |
| 1346588258 | Kaitlin Elizabeth Ciotoli | Nurse Practitioner | 1 Bartol Ave, Suite 15, Ridley Park, PA 19078-2214 | 2013-01-28 |
| 1366786055 | Health Access Network | Internal Medicine | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078-2214 | 2012-11-19 |
| 1225395817 | Ifeoma Nwabuzor | Obstetrics & Gynecology | 1 Bartol Ave, Suite 15, Ridley Park, PA 19078-2214 | 2012-04-19 |
| 1346512688 | Lacey M. O'hara | Physician Assistant | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078-2214 | 2012-02-02 |
| 1104110535 | Lewis W Lo | Obstetrics & Gynecology | 1 Bartol Ave, Suite 15, Ridley Park, PA 19078-2214 | 2011-06-02 |
| 1184944167 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Internal Medicine | 1 Bartol Ave, Ste 100, Ridley Park, PA 19078-2214 | 2010-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952762999 | Rita Ropski | Physical Therapy Assistant | 115 Rosemont Ave, Ridley Park, PA 19078 | 2016-03-18 |
| 1063871846 | Knopf Radiology and Health Services | Clinic/Center | 634 E,chester Pike, Apt F 1, Ridley Park, PA 19078 | 2016-02-22 |
| 1932574340 | Benjamin Chartier | Physician Assistant | 105 Henderson Ave, Ridley Park, PA 19078 | 2015-12-10 |
| 1992068811 | Angel Companions of Delaware County, LLC | Home Health | 113 East Sellers Ave, Suite B, Ridley Park, PA 19078 | 2012-06-18 |
| 1023276425 | Martin Joseph Dwyer Jr. | Dentist | 212 Chester Pike West, Ridley Park, PA 19078 | 2008-06-02 |
| 1881893543 | Rhonda Lee Lagamba | Occupational Therapy Assistant | 175 Chester Pike, Ridley Park, PA 19078 | 2007-07-13 |
| 1205977592 | Leedom Fire Company No 1 | Ambulance | Darby Rd and Clymer La, Ridley Park, PA 19078 | 2007-02-09 |
| 1881758506 | Collins Chiropractic P.C. | Chiropractor | 648 A East Chester Pike, Ridley Park, PA 19078 | 2006-12-20 |
| 1164518742 | John Samuel Rizzo | Ophthalmology | 8 Morton Avenue, Suite 101, Ridley Park, PA 19078 | 2006-10-04 |
| 1972511947 | John R Callahan Dds Assoc | Dentist | 101 E Ward Ave, Ridley Park, PA 19078 | 2006-08-04 |
| Find all providers in zip 19078 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427265818 | Del Chesco Urology | Urology | 1 Bartol Ave, Suite15, Ridley Park, PA 19078-2214 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230468 | St Clair Medical Services, Inc. | Urology | 2000 Oxford Dr Ste 410, Bethel Park, PA 15102-1841 | 2020-09-22 |
| 1326673690 | Glade Run Medical Associates, Inc. | Urology | 500 Medical Arts Bldg Ste 520, Kittanning, PA 16201-7137 | 2020-03-07 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1558859645 | East Freedom Surgical Associates, LLC | Urology | 15721 Dunnings Hwy, Duncansville, PA 16635 | 2018-04-25 |
| 1528560943 | Lancaster Urology PC | Urology | 175 Martin Ave Ste 300, Ephrata, PA 17522-1761 | 2018-03-01 |
| 1841706561 | Urology of Central Pennsylvania, Inc | Urology | 815 Sir Thomas Ct Ste 100, Harrisburg, PA 17109-4839 | 2017-12-18 |
| 1003326869 | St Luke's Physician Group Inc | Urology | 5325 Northgate Dr Ste 203, Bethlehem, PA 18017-9413 | 2017-10-06 |
| 1952829350 | Centers for Advanced Urology, LLC | Urology | 140 W Germantown Pike Ste 250, Plymouth Meeting, PA 19462-1421 | 2017-09-06 |
| 1346767944 | Nazareth Physician Services | Urology | 2701 Holme Ave Ste 101, Phila, PA 19152-2029 | 2017-08-24 |
| 1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
| Find all providers with the same taxonomy | ||||
| City | RIDLEY PARK |
| Zip Code | 19078 |
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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.