DR. LUIS E KODUMAL (NPI# 1225083694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225083694 |
| Entity Type | Individual |
| Full Name | DR. LUIS E KODUMAL |
| Credential | M.D. |
| Practice Address |
1245 Jefferson Ave Box 65 Woodlyn PA 19094-1314 |
| Practice Telephone | 6108331616 |
| Practice Fax Number | 6108331269 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2010-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD035462L | PA | Other Service Providers |
| Street Address |
1245 JEFFERSON AVE BOX 65 |
| City | WOODLYN |
| State | PA |
| Zip Code | 19094-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003977331 | Russell E. Young | Dentist | Fairview Rd. At 5th Ave., Woodlyn, PA 19094 | 2006-12-12 |
| 1619038940 | Bruce H. Godick | Dentist | Fairview Road At 5th Ave., Woodlyn, PA 19094 | 2006-12-12 |
| 1568522712 | Pauline E Pappas | Counselor | 428 North Fairview Rd, Woodlyn, PA 19094 | 2006-12-11 |
| 1356805337 | Woodlyn Dentistry Group LLC | Dentist | 550 Fairview Rd, Woodlyn, PA 19094-1014 | 2019-01-24 |
| 1063072981 | Julia Regina Segal | Dentist | 550 Fairview Rd, Woodlyn, PA 19094-1014 | 2019-06-13 |
| 1679605745 | Elwyn | Intermediate Care Facility, Mentally Retarded | 1 Private Rd, Woodlyn, PA 19094-1121 | 2007-03-12 |
| 1043854672 | Jill Detweiler Ruggieri | Speech-Language Pathologist | 1024 Vauclain Ave, Woodlyn, PA 19094-1215 | 2019-11-06 |
| 1669473906 | Woodlyn Fire Company | Ambulance | 228 Fairview Rd, Woodlyn, PA 19094-1303 | 2005-08-09 |
| 1669740882 | Edward J Manderfield | Pharmacist | 242 Morris Ave, Woodlyn, PA 19094-1317 | 2011-12-01 |
| 1073987186 | Mary Deitch | Psychologist | 1112 Macdade Blvd, Woodlyn, PA 19094-1322 | 2015-12-01 |
| Find all providers in zip 19094 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1235751116 | Steven Charles Snyder | Specialist | 119 Boyd Hollow Ln, Spring Mills, PA 16875-7812 | 2020-05-13 |
| 1083236582 | Chelsea Meadows | Specialist | 693 Topaz Dr, Lancaster, PA 17603-5864 | 2020-05-07 |
| 1982224655 | Eric Rickin Md LLC | Specialist | 102 Lexington Ave Ste 2, Aspinwall, PA 15215-3257 | 2020-04-22 |
| 1134748510 | Beaver County Regenerative Wellness Centers PC | Specialist | 3582 Brodhead Rd Ste 108, Monaca, PA 15061-3142 | 2020-04-15 |
| 1780203414 | Essence Allen-presley | Specialist | 252 Melrose Ave, Lansdowne, PA 19050-2532 | 2020-04-13 |
| 1174156012 | Sade Yolanda Davis | Specialist | 2414 N Garnet St, Philadelphia, PA 19132-3725 | 2020-02-19 |
| 1487285094 | Kim O'toole | Specialist | 105 Hay Rd, Milford, PA 18337-9020 | 2020-02-01 |
| 1437789740 | Kate Beer | Specialist | 3357 W 43rd St, Erie, PA 16506-4233 | 2020-01-26 |
| 1346888690 | Colleen Ruddy | Specialist | 205 Glenburn Rd, Clarks Green, PA 18411-2534 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
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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.