MANOA DIAGNOSTIC CENTER (NPI# 1457397945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457397945 |
| Entity Type | Organization |
| Organization Name | MANOA DIAGNOSTIC CENTER |
| Practice Address |
1010 West Chester Pike Suite 101 Havertown PA 19083-3442 |
| Mailing Address |
1010 West Chester Pike Suite 202 Havertown PA 19083-3442 |
| Practice Telephone | 6107893510 |
| Practice Fax Number | 6107893591 |
| Mailing Telephone | 6107893510 |
| Mailing Fax Number | 6107893591 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-05-19 |
| Authorized Official Name | STEVEN JOEL NUSSBAUM (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 6107893510 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | RAILROAD MEDICARE | P00307061 | 01 |
| Street Address |
1010 WEST CHESTER PIKE SUITE 101 |
| City | HAVERTOWN |
| State | PA |
| Zip Code | 19083-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467646406 | Kristie Margevich Ressler | Colon & Rectal Surgery | 1010 West Chester Pike, Suite 201, Havertown, PA 19083-3442 | 2007-09-04 |
| 1740325513 | Stephen C Silver | Colon & Rectal Surgery | 1010 West Chester Pike, Suite 201, Havertown, PA 19083-3442 | 2007-02-20 |
| 1518002393 | Taro Arai | Colon & Rectal Surgery | 1010 West Chester Pike, Suite 201, Havertown, PA 19083-3442 | 2007-02-20 |
| 1417092297 | Tristate Colon and Rectal Associates PC | Colon & Rectal Surgery | 1010 West Chester Pike, Suite 201, Havertown, PA 19083-3442 | 2007-02-20 |
| 1982621629 | Rita Lorraine Ritsema | Internal Medicine | 1010 West Chester Pike, Ste #202, Havertown, PA 19083-3442 | 2006-07-17 |
| 1548285141 | Suburban Gastroenterology Associates Inc | Internal Medicine | 1010 West Chester Pike, Ste 202, Havertown, PA 19083-3442 | 2006-07-13 |
| 1013943885 | Mark Jacobs | Internal Medicine | 1010 West Chester Pike, Suite #202, Havertown, PA 19083-3442 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1588216238 | Angela Wrolstad | Registered Nurse | 614 Darby Road, Havertown, PA 19083 | 2019-07-12 |
| 1639696214 | Osaru Anyumba | Case Manager/Care Coordinator | 311 Lansdowne Road, Havertown, PA 19083 | 2017-08-24 |
| 1346762739 | Luke Francis Mattson | Pharmacist | 60 West Hillcrest Avenue, Havertown, PA 19083 | 2017-07-07 |
| 1124558150 | Clare M Chakey | Counselor | 1631 Ridgeway Road, Haventown, PA 19083 | 2017-06-13 |
| 1205382553 | Silverware Home Care Service LLC | Residential Treatment Facility, Physical Disabilities | 2010 Wester Chester Pike, Suite 448, Havertown, PA 19083 | 2016-08-28 |
| 1275903486 | Megan Keeley Ramaika | Dietitian, Registered | 404 Fairmont Road, Havertown, PA 19083 | 2015-09-30 |
| 1972987246 | Katie Paugh | Occupational Therapist | One North Belfield Avenue, Havertown, PA 19083 | 2015-07-16 |
| 1497140180 | Total Health Home Care Corporation | Nurse's Aide | 2710 West Township Line Rd, Havertown, PA 19083 | 2015-03-31 |
| 1851704084 | Ul Sik Jason Chong | Pharmacist | 700 East Townshipline Road Ste Ll, Havertown, PA 19083 | 2014-06-05 |
| Find all providers in zip 19083 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396877726 | Regional Gastroenterology Associates of Lancaster, Ltd | Clinic/Center | 4140 Oregon Pike, Ephrata, PA 17522 | 2007-03-12 |
| 1447362769 | Bethlehem Endoscopy Center LLC | Clinic/Center | 5325 North Gate Drive, Suite 101, Bethlehem, PA 18017 | 2006-08-31 |
| 1841295201 | Digestive Disease Institute Inc. | Clinic/Center | 899 Poplar Church Rd, Camp Hill, PA 17011-2206 | 2005-06-14 |
| 1922608785 | St. Luke's Ambulatory Services Inc. | Clinic/Center | 20 Community Dr, Easton, PA 18045-2658 | 2020-10-29 |
| 1952868622 | York Endoscopy Center LLC | Clinic/Center | 2690 Southfield Dr, York, PA 17403-4510 | 2019-02-28 |
| 1588152250 | Dh Physicians Ambulatory Services | Clinic/Center | 599 W State St Ste 102, Doylestown, PA 18901-2567 | 2018-04-27 |
| 1821529892 | Allegheny Clinic | Clinic/Center | 118 Nature Park Rd, Suite 200, Greensburg, PA 15601-6960 | 2017-03-22 |
| 1972977627 | Jefferson Endoscopy Center At Bala, LLC | Clinic/Center | 130 Presidential Blvd, Bala Cynwyd, PA 19004-1110 | 2015-11-18 |
| 1730511718 | Securemd Professionals - California PC | Clinic/Center | 2500 York Rd, Ste 300, Jamison, PA 18929-1068 | 2013-08-01 |
| 1700228079 | Northampton Endoscopy Center LLC | Clinic/Center | 20 Community Dr, Easton, PA 18045-2658 | 2013-07-26 |
| 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.