WESTERN MAIN LINE MEDICAL ASSOCIATES, LLC (NPI# 1427246321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427246321 |
| Entity Type | Organization |
| Organization Name | WESTERN MAIN LINE MEDICAL ASSOCIATES, LLC |
| Practice Address |
460 Creamery Way Suite 104 Exton PA 19341-2533 |
| Practice Telephone | 6102807960 |
| Practice Fax Number | 6102807962 |
| Mailing Telephone | 6102807960 |
| Mailing Fax Number | 6102807962 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |
| Authorized Official Name | DR. ANDREW B ULICHNEY (PRINCIPAL) |
| Authorized Official Telephone | 6102807960 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD062918-L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
460 CREAMERY WAY SUITE 104 |
| City | EXTON |
| State | PA |
| Zip Code | 19341-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841276425 | Michael A. Hoffmann | Otolaryngology | 460 Creamery Way, Exton, PA 19341-2533 | 2005-12-15 |
| 1902205990 | Mariana Melendez Collins | Audiologist | 460 Creamery Way, Ste 103, Exton, PA 19341-2533 | 2014-08-15 |
| 1376972281 | Kristie Chandler | Dietitian, Registered | 460 Creamery Way, Suite 104, Exton, PA 19341-2533 | 2013-11-01 |
| 1700170248 | Gina M Genesio | Nurse Practitioner | 460 Creamery Way, Exton, PA 19341-2533 | 2011-06-01 |
| 1285955682 | Kellye Christine Carder | Audiologist | 460 Creamery Way, Suite 103, Exton, PA 19341-2533 | 2010-06-20 |
| 1740423532 | John Kenneth Denlinger | Anesthesiology | 460 Creamery Way, Suite 100, Exton, PA 19341-2533 | 2009-04-09 |
| 1336310861 | Suzanne M Tonetti | Audiologist-Hearing Aid Fitter | 460 Creamery Way, Suite 103, Exton, PA 19341-2533 | 2008-03-12 |
| 1477640860 | Andre O Williams | Anesthesiology | 460 Creamery Way, Ste 102, Exton, PA 19341-2533 | 2006-10-06 |
| 1659463669 | Arusha LLC | Clinic/Center | 460 Creamery Way, Suite 100, Exton, PA 19341-2533 | 2006-09-28 |
| 1972613859 | Brandywine Valley Pain Control Center, Inc. | Anesthesiology | 460 Creamery Way, Suite 102, Exton, PA 19341-2533 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972156024 | Kathryn Avery | Physical Therapy Assistant | Powerback Exton, 501 Thomas Jones Way, Exton, PA 19341 | 2019-07-18 |
| 1457814188 | Your Best Hearing, LLC | Audiologist | 308 Shoen Rd, Exton, PA 19341 | 2019-04-10 |
| 1467932574 | Stephanie Johanna Costello | Behavioral Analyst | 1801 Worthington Drive, Exton, PA 19341 | 2018-08-17 |
| 1831606870 | Mark Wieland | Counselor | 47 Marchwood Rd Ste 1-j1, Exton, PA 19341 | 2017-12-29 |
| 1972017671 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 141 West Lincoln Hwy, Exton, PA 19341 | 2017-11-17 |
| 1073039012 | Katelyn Price | Pharmacist | 141 West Lincoln Highway, Exton, PA 19341 | 2017-08-22 |
| 1205378502 | Brenda Bobko | Counselor | 526 Summercroft Drive, Exton, PA 19341 | 2016-11-17 |
| 1669846945 | Sue C Lischuk | Dietitian, Registered | 455 Concord Avenue, Exton, PA 19341 | 2015-11-24 |
| 1619357118 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 487 Lisa Lane, Exton, PA 19341 | 2015-06-01 |
| 1609262179 | Diane Mcquillen | Internal Medicine | 278 Eagleview Blvd # 2, Exton, PA 19341 | 2015-04-12 |
| Find all providers in zip 19341 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609262179 | Diane Mcquillen | Internal Medicine | 278 Eagleview Blvd # 2, Exton, PA 19341 | 2015-04-12 |
| 1164632568 | Sailaja Satturu Rao | Internal Medicine | 495 Thomas Jones Way, Suite 100, Baxter Building II, Exton, PA 19341 | 2007-05-23 |
| 1922105758 | Calvin Lu | Internal Medicine | 720 W Lincoln Hwy Ste 720, Exton, PA 19341-2547 | 2006-09-20 |
| 1952407108 | Edward Robert O'dell | Internal Medicine | 625 N Pottstown Pike, Exton, PA 19341-1628 | 2006-09-15 |
| 1285657650 | Shagufta H Shaikh | Internal Medicine | 45 Lindenwood Dr, Exton, PA 19341-2147 | 2006-07-25 |
| 1902842842 | Janet Soeffing Jacapraro | Internal Medicine | 724 W Lincoln Hwy Fl 2, Exton, PA 19341-2547 | 2006-06-21 |
| 1821039132 | Professional Providers Inc | Internal Medicine | 119 E Uwchlan Ave, Suite 201, Exton, PA 19341-1206 | 2006-06-09 |
| 1487635488 | Kimberly Ann Sabadish | Internal Medicine | 750 W Lincoln Hwy, Exton, PA 19341-2547 | 2005-11-08 |
| 1639787740 | Pentahealth, LLC | Internal Medicine | 412 Creamery Way Ste 400, Exton, PA 19341-2551 | 2020-07-15 |
| 1104255561 | New Path Md Inc | Internal Medicine | 80 W Welsh Pool Rd, Suite 101s, Exton, PA 19341-1233 | 2013-11-06 |
| Find all providers in EXTON | ||||
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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.