MAIN LINE HEALTHCARE (NPI# 1295214492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295214492 |
| Entity Type | Organization |
| Organization Name | MAIN LINE HEALTHCARE |
| Other Organization Name | MAIN LINE HEALTH URGENT CARE AND EXTENDED OUTPATIENT CARE |
| Practice Address |
306 E Lancaster Ave Ste 200 Wynnewood PA 19096 |
| Mailing Address |
3803 W Chester Pike Ste 160 Newtown Square PA 19073-2336 |
| Practice Telephone | 4845651293 |
| Practice Fax Number | 4844767855 |
| Mailing Telephone | 4843371585 |
| Mailing Fax Number | 4843371412 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Authorized Official Name | MICHELLE SNYDER (MANAGER) |
| Authorized Official Telephone | 4843371585 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAIN LINE HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
PA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Main Line Health Urgent Care and Extended Outpatient Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1020 Baltimore Pike, Glen Mills, PA 193421362 | 4845651293 | 4842277781 |
| 154 Exton Square Mall, Exton, PA 193412440 | 4845651293 | 4849031084 |
| 1991 Sproul Rd Ste 600, Broomall, PA 190083517 | 4845651293 | 6108860164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922077643 | Main Line Healthcare | Psychologist | 3803 West Chester Pike, H Bldg Suite 160, Newtown Square, PA 19073-2333 | 2006-03-15 |
| Street Address |
306 E LANCASTER AVE STE 200 |
| City | WYNNEWOOD |
| State | PA |
| Zip Code | 19096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710978507 | Robyn J Baron | Family Medicine | 306 E Lancaster Ave Ste 200, Wynnewood, PA 19096-2105 | 2005-11-02 |
| 1720526148 | Natalie Cotteta | Nurse Practitioner | 306 E Lancaster Ave Ste 200, Wynnewood, PA 19096-2105 | 2017-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727866 | Jeffrey Glenn Johnston | Hospitalist | Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 | 2020-03-27 |
| 1326500331 | Maitri Pancholy | Student in an Organized Health Care Education/Training Program | Annenberg Center, G-10, 100 Lancaster Avenue, Wynnewood, PA 19096 | 2019-04-01 |
| 1306355987 | Karie Elizabeth Melton | Social Worker | 250 E Wynnewood Rd E12, Wynnewood, PA 19096 | 2017-09-26 |
| 1518320662 | Kaitlyn Kennard | Surgery | 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 | 2016-04-05 |
| 1366814675 | Linda Elkins | Counselor | 543 Haverford Rd, Wynnewood, PA 19096 | 2015-10-26 |
| 1619347655 | Tessa Kovick | Registered Nurse | 100 E Lancaster Ave Ste 114, Wynnewood, PA 19096 | 2015-10-02 |
| 1922476415 | Amy Lenrow | Skilled Nursing Facility | 1510 Powder Mill Lane, Wynnewood, PA 19096 | 2015-09-14 |
| 1144602855 | Casey Dajao | Internal Medicine | 100 E Lancaster Ave Ste 140, Wynnewood, PA 19096 | 2015-06-18 |
| 1649666223 | Benjamin Larson | Internal Medicine | 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 | 2015-04-10 |
| 1760873285 | Kathleen Gilmartin | Nurse Practitioner | 100 East Lancaster Ave, Wynnewood, PA 19096 | 2015-02-06 |
| Find all providers in zip 19096 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518399104 | Wynnewood Urgent Care and Immediate Care Center PC | Clinic/Center | 106 N.powell, Wynnewood, OK 73098-0698 | 2013-08-06 |
| 1699138149 | Murray County Urgent Care Pllc | Clinic/Center | 116 E Robert S Kerr Blvd, Wynnewood, OK 73098-6621 | 2016-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022574 | Nurse Practitioners of The Valley, LLC | Clinic/Center | 3910 Adler Pl Ste 135, Bethlehem, PA 18017-9299 | 2020-04-23 |
| 1154968709 | On Demand Urgent Care Group PC | Clinic/Center | 5828 Market St, Philadelphia, PA 19139-3152 | 2019-12-03 |
| 1447891452 | On Demand Urgent Care Group, PC | Clinic/Center | 3626 Street Rd, Bensalem, PA 19020-1507 | 2019-10-01 |
| 1205486891 | Mydoc Urgent Care Chinatown | Clinic/Center | 1008 Arch St Ste 102, Philadelphia, PA 19107-3002 | 2019-09-16 |
| 1558917120 | All American Urgent Care, P.C. | Clinic/Center | 780 N Krocks Rd Ste 101, Allentown, PA 18106-9075 | 2019-08-10 |
| 1477118420 | Mhp Cheltenham LLC | Clinic/Center | 2401 W Cheltenham Ave Ste 132, Wyncote, PA 19095-2953 | 2019-05-06 |
| 1053873091 | Summit Physician Services | Clinic/Center | 24 Antrim Commons Drive, Greencastle, PA 17225-1623 | 2019-04-01 |
| 1114491594 | On Demand Urgent Care Group PC | Clinic/Center | 1500 Spring Garden St Ste R105, Philadelphia, PA 19130-4067 | 2019-01-18 |
| 1043797160 | Urgent Care Travel, Inc | Clinic/Center | 1501 Harrisburg Pike, Carlisle, PA 17015-7306 | 2018-07-21 |
| 1538667704 | Premier Urgent Care At Kennett Square, LLC | Clinic/Center | 10050 Roosevelt Blvd Ste 2, Philadelphia, PA 19116-3965 | 2018-01-23 |
| 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.