SOUTHEASTERN PENNSYLVANIA UROLOGIC SURGERY, P.C. (NPI# 1376723643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376723643 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN PENNSYLVANIA UROLOGIC SURGERY, P.C. |
| Practice Address |
1011 W Baltimore Pike Ste 312 West Grove PA 19390-9446 |
| Practice Telephone | 5108696851 |
| Mailing Telephone | 5108696851 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2010-12-07 |
| Authorized Official Name | DR. MICHAEL CHIUSANO (OWNER) |
| Authorized Official Telephone | 6108696851 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | OXFORD | P484619 | 01 |
| PA | PA BLUE SHIELD | 1378803 | 01 |
| PA | KEYSTONE HPE | 2070420000 | 01 |
| PA | MERCY HEALTH PLAN | 1039444 | 01 |
| PA | 0015965780009 | 05 | |
| PA | RAIL ROAD MEDICARE | 340019880 | 01 |
| Street Address |
1011 W BALTIMORE PIKE STE 312 |
| City | WEST GROVE |
| State | PA |
| Zip Code | 19390-9446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235125329 | Jennserville Obstetrics and Gynecology, LLC | Obstetrics & Gynecology | 1011 W Baltimore Pike, Suite 102, West Grove, PA 19390-9446 | 2005-09-23 |
| 1073974457 | Abigail Twerdok | Advanced Practice Midwife | 1011 W Baltimore Pike, Suite 208, West Grove, PA 19390-9446 | 2016-03-14 |
| 1538426424 | Pauline S Cousineau | Nurse Practitioner | 1011 W Baltimore Pike, Suite 304, West Grove, PA 19390-9446 | 2012-04-16 |
| 1740506237 | Heather Dyan Carrion | Advanced Practice Midwife | 1011 W Baltimore Pike, Ste 208, West Grove, PA 19390-9446 | 2010-04-09 |
| 1124353172 | Chester County Eye Care Associates, PC | Optometrist | 1011 W Baltimore Pike, Suite 303, West Grove, PA 19390-9446 | 2009-10-08 |
| 1073748844 | Jennersville Medical Associates, PC | Internal Medicine | 1011 W Baltimore Pike, Suite 301, West Grove, PA 19390-9446 | 2009-05-22 |
| 1356581334 | Chester County Heart and Vascular Center PC | Internal Medicine | 1011 W Baltimore Pike, Ste 101, West Grove, PA 19390-9446 | 2009-03-03 |
| 1659547560 | Christiana Care Health Services Inc | Internal Medicine | 1011 W Baltimore Pike, Suite 304, West Grove, PA 19390 | 2008-05-01 |
| 1356544381 | Michael P. Stewart, M.d. | Specialist | 1011 W Baltimore Pike, Suite 106, West Grove, PA 19390-9446 | 2007-06-07 |
| 1841409919 | Autumn Blair Smith | Nurse Practitioner | 1011 W Baltimore Pike, Suite 007, West Grove, PA 19390-9446 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922660323 | Patrick Michael Kiger | Physical Therapy Assistant | 200 Greenbriar Lane, West Grove, PA 19390 | 2019-07-05 |
| 1003190620 | Michael N Mount | Physical Therapist | One Commerce Blvd, Suite 103, West Grove, PA 19390 | 2011-09-30 |
| 1558511899 | Frank Farrell | Occupational Therapist | 8 West Meadow Court, West Grove, PA 19390 | 2008-09-23 |
| 1265691026 | Alexandra Cortese | Audiologist | 1 Commerce Boulevard, Suite 201, West Grove, PA 19390 | 2008-06-06 |
| 1548441488 | Arthur B Belson Md | Ophthalmology | 1011 W Balt Pk 203, West Grove, PA 19390 | 2007-11-20 |
| 1669541553 | Avon Grove Charter School | Local Education Agency (LEA) | 110 E State Road, West Grove, PA 19390 | 2006-11-07 |
| 1205850831 | Linda Barkasy | Pediatrics | 455 Woodview Road, Suite 220, West Grove, PA 19390 | 2006-07-27 |
| 1427094531 | John Aaron | Internal Medicine | 900 West Baltimore Pike, Ste 101, West Grove, PA 19390 | 2006-06-20 |
| 1447238423 | Tim Mudgett-mcgeoch | Physical Therapist | 100 Sycamore Dr, Jenner's Pond Retirement Community, West Grove, PA 19390 | 2006-01-09 |
| 1134789597 | Josie Tate | Nurse Practitioner | 2000 Greenbriar Ln, West Grove, PA 19390 | 2019-06-18 |
| Find all providers in zip 19390 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366415150 | Michael Augustus Chiusano | Urology | 1011 W Baltimore Pike, Suite 312, West Grove, PA 19390-9446 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230468 | St Clair Medical Services, Inc. | Urology | 2000 Oxford Dr Ste 410, Bethel Park, PA 15102-1841 | 2020-09-22 |
| 1326673690 | Glade Run Medical Associates, Inc. | Urology | 500 Medical Arts Bldg Ste 520, Kittanning, PA 16201-7137 | 2020-03-07 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1558859645 | East Freedom Surgical Associates, LLC | Urology | 15721 Dunnings Hwy, Duncansville, PA 16635 | 2018-04-25 |
| 1528560943 | Lancaster Urology PC | Urology | 175 Martin Ave Ste 300, Ephrata, PA 17522-1761 | 2018-03-01 |
| 1841706561 | Urology of Central Pennsylvania, Inc | Urology | 815 Sir Thomas Ct Ste 100, Harrisburg, PA 17109-4839 | 2017-12-18 |
| 1003326869 | St Luke's Physician Group Inc | Urology | 5325 Northgate Dr Ste 203, Bethlehem, PA 18017-9413 | 2017-10-06 |
| 1952829350 | Centers for Advanced Urology, LLC | Urology | 140 W Germantown Pike Ste 250, Plymouth Meeting, PA 19462-1421 | 2017-09-06 |
| 1346767944 | Nazareth Physician Services | Urology | 2701 Holme Ave Ste 101, Phila, PA 19152-2029 | 2017-08-24 |
| 1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
| Find all providers with the same taxonomy | ||||
| City | WEST GROVE |
| Zip Code | 19390 |
Please comment or provide details below to improve the information on SOUTHEASTERN PENNSYLVANIA UROLOGIC SURGERY, P.C..
| 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.