DR. KEITH PHILIP PASICHOW (NPI# 1366754517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366754517 |
| Entity Type | Individual |
| Full Name | DR. KEITH PHILIP PASICHOW |
| Credential | M.D. |
| Practice Address |
1787 Sentry Pkwy W Ste 405 Blue Bell PA 19422-2239 |
| Mailing Address |
4236 Pechin St Philadelphia PA 19128-5022 |
| Practice Telephone | 2155423000 |
| Practice Fax Number | 8884871131 |
| Mailing Fax Number | 8884871131 |
| Enumeration Date | 2010-07-04 |
| Last Update Date | 2019-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 262283 | NY | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
MD459333 | PA | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
25MA10208200 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
MD459333 | PA | Allopathic & Osteopathic Physicians |
| N | 2080H0002X |
Pediatrics Specialization: Hospice and Palliative Medicine |
MD459333 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1035864390001 | 05 | |
| NY | 04301277 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 521 Fellowship Rd Ste 110, Mount Laurel, NJ 080543442 | 8567780222 | 8884871131 |
| 1400 N Providence Rd Ste 200, Media, PA 19063 | 6106272050 | 6106272054 |
| Street Address |
1787 SENTRY PKWY W STE 405 |
| City | BLUE BELL |
| State | PA |
| Zip Code | 19422-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851376503 | Ira U Smith | Internal Medicine | 1787 Sentry Pkwy W Ste 405, Blue Bell, PA 19422-2239 | 2005-12-14 |
| 1194357558 | Carolyn Claire Walker | Nurse Practitioner | 1787 Sentry Pkwy W Ste 405, Blue Bell, PA 19422-2239 | 2020-02-04 |
| 1699292854 | Madeline Martin | Nurse Practitioner | 1787 Sentry Pkwy W Ste 405, Blue Bell, PA 19422-2239 | 2017-08-28 |
| 1427406925 | Alexandra Anne Evans | Internal Medicine | 1787 Sentry Pkwy W Ste 405, Blue Bell, PA 19422-2239 | 2016-05-25 |
| 1902247513 | Amanda Rose Chipko | Nurse Practitioner | 1787 Sentry Pkwy W Ste 405, Blue Bell, PA 19422-2239 | 2013-07-11 |
| 1366797284 | Cynthia Natalini | Nurse Practitioner | 1787 Sentry Pkwy W Ste 405, Blue Bell, PA 19422-2239 | 2012-07-17 |
| 1902824519 | Rebecca Maury | Internal Medicine | 1787 Sentry Pkwy W Ste 405, Blue Bell, PA 19422-2239 | 2006-07-18 |
| 1093773442 | Mary Brigandi | Family Medicine | 1787 Sentry Pkwy W Ste 405, Blue Bell, PA 19422-2239 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233262 | Palmquest Inc. | Public Health or Welfare | 325 Sentry Parkway West Bldg, Suite 200, Blue Bell, PA 19422 | 2020-10-21 |
| 1003479825 | Marsha Frances Santangelo | General Practice | 107 Sawgrass Drive, Blue Bell, PA 19422 | 2019-04-17 |
| 1992368021 | Always Ready Home Care | Meals | 902 Union Meeting Rd, Blue Bell, PA 19422 | 2019-04-15 |
| 1013412287 | Blue Bell Asc, LLC | Clinic/Center | 518 East Township Line Rd Ste 120, Blue Bell, PA 19422 | 2018-03-28 |
| 1649779604 | Kristen Marie Tuscai | Dietitian, Registered | 725 Skippack Pike Suite 300, Blue Bell, PA 19422 | 2018-02-06 |
| 1134643802 | Roger Sze | Radiologic Technologist | 904 Phipps Way, Blue Bell, PA 19422 | 2017-08-03 |
| 1265984918 | Morris White Consulting Inc | In Home Supportive Care | 325 Sentry Parkway, W Bldg 5, Suite 200, Blue Bell, PA 19422 | 2016-10-28 |
| 1407308257 | Rebbakin Inc | In Home Supportive Care | 325 Sentry Pkwy Suite 200, Building 5 West, Blue Bell, PA 19422 | 2016-10-27 |
| 1306392014 | Lorraine S Caprioli | Physical Therapist | 1777 Sentry Prk West, Blue Bell, PA 19422 | 2016-09-01 |
| 1336585116 | Cline Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 508 Trinity Church Ct, Blue Bell, PA 19422 | 2013-05-20 |
| Find all providers in zip 19422 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427406925 | Alexandra Anne Evans | Internal Medicine | 1787 Sentry Pkwy W Ste 405, Blue Bell, PA 19422-2239 | 2016-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346571676 | Institute of Palliative Medicine PC | Internal Medicine | 1 Country Club Pl, South Abington Township, PA 18411-9199 | 2010-01-27 |
| 1598956013 | Eva B Reitschuler-cross | Internal Medicine | 200 Lothrop St # 933w, Pittsburgh, PA 15213 | 2007-08-08 |
| 1043265820 | Consultants In Medical Oncology & Hematology, PC | Internal Medicine | 30 Lawrence Rd, Suite 201, Broomall, PA 19008-3301 | 2006-05-23 |
| 1235183906 | Margaret Kreher | Internal Medicine | 925 Chestnut Street Suite 420, Philadelphia, PA 19107 | 2006-05-19 |
| 1013972058 | Jonathan L. Gelfand | Internal Medicine | 205 Rhyle Ln, Bala Cynwyd, PA 19004-2323 | 2006-04-20 |
| 1194361766 | Temple Faculty Practice Plan, Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2019-11-19 |
| 1235601238 | Mercy Management of Southeastern Pennsylvani | Internal Medicine | 1001 Baltimore Pike, Suite 14ll, Springfield, PA 19064-2800 | 2019-01-02 |
| 1821560350 | Mercy Management of Southeastern Pennsylvani | Internal Medicine | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2018-12-21 |
| 1033651245 | Thi of Pennsylvania At Samaritan Hospice LLC | Internal Medicine | 2 Campus Blvd, Newtown Square, PA 19073-3243 | 2016-11-07 |
| 1174979298 | Adam Francis Pennarola | Internal Medicine | 833 Chestnut St Ste 220, Philadelphia, PA 19107-4405 | 2016-05-07 |
| 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.