BRUCE KORNBERG (NPI# 1487627055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487627055 |
| Entity Type | Individual |
| Full Name | BRUCE KORNBERG |
| Credential | DO |
| Practice Address |
100 East Lancaster Avenue Jd Lankenau Pavilion, Mezzanine Wynnewood PA 19096-3450 |
| Mailing Address |
100 E Lancaster Ave Wynnewood PA 19096-3450 |
| Practice Telephone | 4844761000 |
| Practice Fax Number | 4844769000 |
| Mailing Telephone | 4844761000 |
| Mailing Fax Number | 4844769000 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2018-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
OS004228L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
100 EAST LANCASTER AVENUE JD LANKENAU PAVILION, MEZZANINE |
| City | WYNNEWOOD |
| State | PA |
| Zip Code | 19096-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285293027 | Jacqueline Neminski | Genetic Counselor, MS | 100 East Lancaster Avenue, Medical Science Building, Cancer Center, Wynnewood, PA 19096 | 2019-06-06 |
| 1285928358 | Nathan Edward Gargus | Internal Medicine | 100 East Lancaster Avenue, Lankenau Hospital, Internal Medicine Dept., Wynnewood, PA 19096 | 2011-06-06 |
| 1932292729 | John M Morgan | Specialist | 100 East Lancaster Avenue, Suite 356, Wynnewood, PA 19096 | 2006-10-02 |
| 1952493009 | Main Line Dental Health Associates | Dentist | 100 East Lancaster Avenue, 664 Lankenau Medical Building East, Wynnewood, PA 19096-3450 | 2006-09-28 |
| 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 |
| Find all providers in zip 19096 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1083946420 | Robert H Schwab | Internal Medicine | 632 Montgomery School Ln, Wynnewood, PA 19096-1029 | 2010-02-10 |
| 1114182110 | Norman Eisenstadt | Internal Medicine | 512 Sabine Cir, Wynnewood, PA 19096-1316 | 2008-07-20 |
| 1265620215 | Robert Leonard Krause | Internal Medicine | 433 Warick Rd, Wynnewood, PA 19096-2343 | 2007-10-03 |
| 1215249909 | Mara F Caroline | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2010-07-09 |
| 1356576755 | Lena Mukherji | Internal Medicine | 100 E Lancaster Ave, Attn. Roe Wells, Heart Center, Wynnewood, PA 19096-3450 | 2009-05-28 |
| 1740421346 | Jeffrey Wuhl | Internal Medicine | 6 E Lancaster Ave, Wynnewood, PA 19096-3430 | 2009-03-12 |
| 1326298159 | Colleen M Hanley | Internal Medicine | 100 E Lancaster Ave, Jd Lankenau Pavilion, Mezzanine, Wynnewood, PA 19096-3450 | 2008-09-29 |
| 1104085745 | Katie M Hawthorne | Internal Medicine | 100 E Lancaster Ave, Jd Lankenau Pavilion, Mezzanine, Wynnewood, PA 19096-3450 | 2008-06-09 |
| 1922200922 | Steven Domsky | Internal Medicine | 100 E Lancaster Ave, The Heart Pavillion, Mezzanine Level, Wynnewood, PA 19096-3450 | 2007-06-01 |
| 1316154255 | Jason T. Bradley | Internal Medicine | 6 E Lancaster Ave, Wynnewood, PA 19096-3430 | 2007-05-17 |
| 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.