PREMIER ORTHOPAEDICS AND SPORTS MEDICINE (NPI# 1255503181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255503181 |
| Entity Type | Organization |
| Organization Name | PREMIER ORTHOPAEDICS AND SPORTS MEDICINE |
| Practice Address |
One Medical Center Blvd. Pob II, Suite 324 Upland PA 19015 |
| Mailing Address |
Po Box 81 Bryn Mawr PA 19010-0081 |
| Practice Telephone | 6108760347 |
| Practice Fax Number | 6108724759 |
| Mailing Telephone | 6108760347 |
| Mailing Fax Number | 6108724759 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | JODY FRY (BILLING CLERK) |
| Authorized Official Telephone | 6108760347 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ========= | PA | Other Service Providers |
| Street Address |
ONE MEDICAL CENTER BLVD. POB II, SUITE 324 |
| City | UPLAND |
| State | PA |
| Zip Code | 19015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588651491 | Zsofia Szep | Internal Medicine | One Medical Center Blvd., Acp-331, Upland, PA 19013 | 2005-10-05 |
| 1104346428 | Leah Margolis | Obstetrics & Gynecology | One Medical Center Blvd., Upland, PA 19013 | 2017-06-27 |
| 1811377898 | Stan Naydin | Internal Medicine | One Medical Center Blvd., Acp, Suite 232, Upland, PA 19013 | 2015-06-04 |
| 1932515756 | Amy Miceli | Podiatrist | One Medical Center Blvd., Suite 302, Upland, PA 19013 | 2014-07-02 |
| 1871818039 | Deborah Ann Dix | Registered Nurse | One Medical Center Blvd., Crozer Chester Medical Center,pearl Hall Building, Upland, PA 19013-3995 | 2010-03-31 |
| 1104086776 | Yakir Konstantin Vaks | Psychiatry & Neurology | One Medical Center Blvd., Upland, PA 19013 | 2008-06-16 |
| 1649392994 | Shilpa Bhaskar Rao | Internal Medicine | One Medical Center Blvd., Acp-331, Upland, PA 19013 | 2007-04-06 |
| 1578655676 | Rinku Shah | Physician Assistant | One Medical Center Blvd., Acp, Suite 232, Upland, PA 19013-3902 | 2006-09-28 |
| 1154344661 | Craig A Bogen | Psychiatry & Neurology | One Medical Center Blvd., Acp, Suite 232, Upland, PA 19013-3902 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487262614 | Hometown Rx Services | Pharmacy | 3406 Edgmont Avenue, Suite B, Brookhaven, PA 19015 | 2020-07-14 |
| 1932650926 | Giant Food Stores LLC | Durable Medical Equipment & Medical Supplies | 4930 Edgemont Ave, Brookhaven, PA 19015 | 2016-10-14 |
| 1982009254 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 225 Upland Road, Brookhaven, PA 19015 | 2014-10-29 |
| 1790959633 | Darlene M Longstreth | Massage Therapist | 3766 Susan Lane, Kinderssage, Brookhaven, PA 19015 | 2008-04-22 |
| 1538205463 | Scott Thomas Steltz | Pharmacist | 601 Upland Ave Suite 112, Steltec Pharmacy - Crozier Mills Enterprise Center, Upland, PA 19015 | 2007-01-29 |
| 1083769327 | Parkside Fire Company | Ambulance | 107 West Roland, Parkside, PA 19015 | 2007-01-25 |
| 1295894699 | Elizabeth Katherine Deegan | Counselor | 4928 Shepard St., Brookhaven, PA 19015 | 2006-12-08 |
| 1013093244 | Jeffrey Keith Rosen | Family Medicine | 100 East Brookhaven Rd, Brookhaven, PA 19015 | 2006-10-31 |
| 1013015726 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3298 Edgemont Ave, Brookhaven, PA 19015 | 2006-09-20 |
| 1285743187 | Micheal A Erbicella | Dentist | 3213 Edgmont Ave, Brookhaven, PA 19015 | 2006-08-30 |
| Find all providers in zip 19015 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509146 | Divine Electrolysis LLC | Specialist | 111 N Benson Ave, Upland, CA 91786-5677 | 2020-05-07 |
| 1558981332 | Araceli Gadea | Specialist | 111 N Benson Ave Ste A, Upland, CA 91786-5677 | 2020-04-21 |
| 1376999177 | Matthew Callan | Specialist | 818 N Mountain Ave Ste 207, Upland, CA 91786-4165 | 2016-05-11 |
| 1922466929 | Neuro Medical Services, Inc. | Specialist | 154-a W. Foothill Blvd, Suite 406, Upland, CA 91786 | 2016-02-04 |
| 1760817670 | Advantage Vaccination Services | Specialist | 270 E 7th St Ste 2c, Upland, CA 91786 | 2013-09-10 |
| 1114201126 | Arturo Chu Uy Jr. | Specialist | 170 W. 24th Street, Upland, CA 91784-1162 | 2011-10-10 |
| 1962721662 | Vincent Joseph Carollo | Specialist | 1643 N 1st Ave, Upland, CA 91784-2006 | 2010-05-20 |
| 1760716278 | Sun Coast West Medical Clinic, Inc. | Specialist | 1045 W Foothill Blvd, Upland, CA 91786-3731 | 2009-09-30 |
| 1730324443 | Edward H. Park Md., A Medical Corporation | Specialist | 1330 San Bernardino Rd Ste C, Upland, CA 91786-4980 | 2008-12-09 |
| 1245418896 | Renee Denise Flanagan | Specialist | 400 N Mountain Ave Ste 222, Upland, CA 91786-5191 | 2008-02-06 |
| Find all providers in UPLAND | ||||
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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.