TOWER DREXEL ACADEMIC MEDICAL GROUP LLC (NPI# 1285271916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285271916 |
| Entity Type | Organization |
| Organization Name | TOWER DREXEL ACADEMIC MEDICAL GROUP LLC |
| Practice Address |
455 Boot Rd Downingtown PA 19335-3043 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 6107436049 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Authorized Official Name | GARY CONNER (CFO) |
| Authorized Official Telephone | 4846288181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| COUNTY INTERMEDIATE UNIT | Doing Business As Name - Organization |
| PSYCHIATRY TOWER HEALTH MEDICAL GROUP BOOT ROAD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995938 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 3401 Market St Ste 105b, Philadelphia, PA 19104-3315 | 2019-10-29 |
| 1811530512 | Tower Drexel Academic Medical Group LLC | Psychologist | 1427 Vine St Fl 1, Philadelphia, PA 19102-1031 | 2019-10-25 |
| 1205479904 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St 8fl, Philadelphia, PA 19107-1507 | 2019-10-25 |
| 1407499148 | Tower Drexel Academic Medical Group LLC | Psychiatry & Neurology | 160 E Erie Ave Fl 2, Philadelphia, PA 19134-1011 | 2019-10-25 |
| 1215570916 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St Fl 6, Philadelphia, PA 19107-1519 | 2019-10-25 |
| 1003459702 | Tower Drexel Academic Medical Group LLC | Psychologist | 4700 Wissahickon Ave Ste C102, Philadelphia, PA 19144-4248 | 2019-10-25 |
| 1306479829 | Tower Drexel Academic Medical Group LLC | Family Medicine | 10 Shurs Ln Ste 206, Philadelphia, PA 19127-2123 | 2020-02-13 |
| 1346872116 | Tower Drexel Academic Medical Group LLC | Family Medicine | 219 N Broad St, 8th Fl, Philadelphia, PA 19107-1519 | 2020-02-10 |
| 1225660095 | Tower Drexel Academic Medical Group LLC | Family Medicine | 3401 Market St Ste 105a, Philadelphia, PA 19104-3315 | 2020-02-10 |
| 1144868084 | Tower Drexel Academic Medical Group LLC | Family Medicine | 10 Shurs Ln Ste 206, Philadelphia, PA 19127-2123 | 2019-12-11 |
| Street Address |
455 BOOT RD |
| City | DOWNINGTOWN |
| State | PA |
| Zip Code | 19335-3043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295783066 | Chester County Intermediate Unit | Local Education Agency (LEA) | 455 Boot Rd, Downingtown, PA 19335-3043 | 2006-05-04 |
| 1194224840 | John Rose | Speech-Language Pathologist | 455 Boot Rd, Downingtown, PA 19335-3043 | 2018-02-08 |
| 1629577408 | Meghan Littlejohn | Speech-Language Pathologist | 455 Boot Rd, Downingtown, PA 19335-3043 | 2018-02-07 |
| 1386143121 | Lisa Renee Siu | Speech-Language Pathologist | 455 Boot Rd, Downingtown, PA 19335-3043 | 2018-02-07 |
| 1245740505 | Jolaine Baran | Speech-Language Pathologist | 455 Boot Rd, Downingtown, PA 19335-3043 | 2017-10-02 |
| 1033638663 | Dennis P Kerr | Psychologist | 455 Boot Rd, Downingtown, PA 19335-3043 | 2017-09-14 |
| 1649792524 | Karen Balbierer | Speech-Language Pathologist | 455 Boot Rd, Downingtown, PA 19335-3043 | 2017-07-12 |
| 1255852869 | Robert Carson Keller Jr. | Psychologist | 455 Boot Rd, Downingtown, PA 19335-3043 | 2017-07-05 |
| 1245762590 | Bridgid Zvirblis | Speech-Language Pathologist | 455 Boot Rd, Downingtown, PA 19335-3043 | 2017-03-28 |
| 1225577257 | Lauren Haley | Speech-Language Pathologist | 455 Boot Rd, Downingtown, PA 19335-3043 | 2017-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184102337 | Jaison Sebastian | Physical Therapist | 797 East Lancaster Avenue, Downingtown, PA 19335 | 2018-07-31 |
| 1871090357 | Sage Medical Supply | Durable Medical Equipment & Medical Supplies | 142 Wallace Ave Ste 104, Downingtown, PA 19335 | 2018-04-10 |
| 1780186221 | Brooklyn Nichole Risser | Specialist/Technologist | 252 Park Drive, Downingtown, PA 19335 | 2018-03-01 |
| 1316358138 | Jessica Diiennocrossan | Social Worker | 516 E. Lancaster Avenue, Downington, PA 19335 | 2014-05-14 |
| 1659700946 | Annette Lucas | Physical Therapist | 103 Plaza Drive, Downingtown, PA 19335 | 2013-11-06 |
| 1033557277 | Kushal Shah | Dentist | 797 E Lancaster Ave Ste 8, Downingtown, PA 19335 | 2013-06-10 |
| 1952659831 | Debra Ann Silveri-hiller | Occupational Therapist | 148 Lake Drive, Downingtown, PA 19335 | 2012-08-27 |
| 1518212141 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 599 Bell Tavern Blvd, Downingtown, PA 19335 | 2012-07-19 |
| 1760751853 | Sherry Lynn Luke | Speech-Language Pathologist | 455 Boot Rd., Educational Service Center, Downingtown, PA 19335 | 2011-12-20 |
| 1467787176 | Eileen Lightner | Counselor | 273 W Uwchlan Ave., Downingtown, PA 19335 | 2009-10-14 |
| Find all providers in zip 19335 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598876930 | Frances Koblenzer | Psychiatry & Neurology | 410 Boot Rd, Downingtown, PA 19335-3405 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235663 | Doreen Thomas-payne | Psychiatry & Neurology | 422 Pheasant Ln, Lafayette Hill, PA 19444-1204 | 2020-11-03 |
| 1558961698 | Bierkortte Psychiatric Pllc | Psychiatry & Neurology | 1001 E Elfinwild Rd, Allison Park, PA 15101-3912 | 2020-10-28 |
| 1265031603 | Center for Integrative Psychiatry and Neuromodulation, Plc | Psychiatry & Neurology | 822 Montgomery Ave Ste 208, Narberth, PA 19072-1946 | 2020-10-17 |
| 1518576602 | Kathleen A Lyon, Md PC | Psychiatry & Neurology | 201 Water St Ste 1, Milford, PA 18337-1247 | 2020-07-24 |
| 1588272595 | Ade & Mo LLC | Psychiatry & Neurology | 589 Bethlehem Pike Ste 200, Montgomeryville, PA 18936-9744 | 2020-07-15 |
| 1962029306 | Ara Dadivanyan | Psychiatry & Neurology | 201 Reeceville Rd., Brandywine Hospital, Coatesville, PA 19320 | 2020-07-01 |
| 1669098919 | Sara Mostafa | Psychiatry & Neurology | Brandy Wine Hospital, 201 Reeceville Rd, Coatesville, PA 19320 | 2020-06-23 |
| 1205452760 | Xaler LLC | Psychiatry & Neurology | 4379 Easton Ave # 110, Bethlehem, PA 18020-1483 | 2020-06-22 |
| 1366067464 | Hgmd LLC | Psychiatry & Neurology | 3216 Hemlock Farms, Hawley, PA 18428-9113 | 2020-06-15 |
| 1356964506 | Timothy Robert Derosa | Psychiatry & Neurology | Brandywine Hospital 201 Reeceville Rd., Coatesville, Pa, PA 19320 | 2020-05-22 |
| Find all providers with the same taxonomy | ||||
| City | DOWNINGTOWN |
| Zip Code | 19335 |
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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.