NEPHROLOGY ASSOCIATES INC (NPI# 1457349797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457349797 |
| Entity Type | Organization |
| Organization Name | NEPHROLOGY ASSOCIATES INC |
| Practice Address |
100 E Lancaster Ave Suite 130 Medical Building West Wynnewood PA 19096-3450 |
| Mailing Address |
100 E Lancaster Ave Suite 130w Wynnewood PA 19096-3450 |
| Practice Telephone | 6106491175 |
| Practice Fax Number | 6106492933 |
| Mailing Telephone | 6106491175 |
| Mailing Fax Number | 6106492933 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2014-10-01 |
| Authorized Official Name | EDWARD T HOVICK (PRESIDENT) |
| Authorized Official Telephone | 6106491175 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0007326200002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366426801 | Nephrology Associates Inc | Internal Medicine | 318 Waterman Ave, East Providence, RI 02914-3525 | 2005-11-29 |
| Street Address |
100 E LANCASTER AVE SUITE 130 MEDICAL BUILDING WEST |
| City | WYNNEWOOD |
| State | PA |
| Zip Code | 19096-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819079 | Robert D. Smink Jr. | Surgery | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2005-05-24 |
| 1164021713 | Clay Johnson | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-23 |
| 1447858725 | Anthony Montello | Nurse Anesthetist, Certified Registered | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-09 |
| 1982216107 | Delaware Valley I.d. Associates, P.C. | Clinic/Center | 100 E Lancaster Ave, Mob East 556, Wynnewood, PA 19096 | 2020-08-19 |
| 1831708551 | Farouk Al Chami | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1225647944 | Farah Olleik | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1134738859 | Talar Telvizian | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1962011833 | Fares Sukhon | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-27 |
| 1700494028 | Aviad Lavian | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-22 |
| 1700404472 | Dalia Amrom | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-09 |
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| 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 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1932139037 | Robert A Grossman | Internal Medicine | 543 Moreno Rd, Wynnewood, PA 19096-1107 | 2006-07-04 |
| 1558366237 | Geoffrey Stephan Teehan | Internal Medicine | 100 E Lancaster Ave Ste 130, Wynnewood, PA 19096-3453 | 2005-06-17 |
| 1366837759 | Ghazal Zekavat Quinn | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2015-04-01 |
| 1366709909 | Robert Charles Schoepe Jr. | Internal Medicine | 100 E Lancaster Ave Ste 130, Wynnewood, PA 19096-3453 | 2012-04-20 |
| 1932339124 | Umber Burhan | Internal Medicine | 100 E Lancaster Ave Ste 130, Wynnewood, PA 19096-3453 | 2009-07-22 |
| 1861632325 | Sachin Lal Shrestha | Internal Medicine | 100 E Lancaster Ave Ste 130, Wynnewood, PA 19096-3453 | 2009-02-24 |
| 1649268665 | Aqeel Ahmed Siddiqui | Internal Medicine | 100 E Lancaster Ave Ste 130, Wynnewood, PA 19096-3453 | 2005-10-13 |
| 1598753691 | Robert Lawrence Benz | Internal Medicine | 100 E Lancaster Ave Ste 130, Wynnewood, PA 19096-3453 | 2005-10-12 |
| 1508854506 | Paul Sylvester Robbins | Internal Medicine | 100 E Lancaster Ave Ste 130, Wynnewood, PA 19096-3453 | 2005-10-12 |
| 1700874021 | Keith Robert Superdock | Internal Medicine | 100 E Lancaster Ave Ste 130, Wynnewood, PA 19096-3453 | 2005-10-11 |
| Find all providers in WYNNEWOOD | ||||
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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.