MARK LEONARD BAGARAZZI (NPI# 1538579263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538579263 |
Entity Type | Individual |
Full Name | MARK LEONARD BAGARAZZI |
Credential | MD |
Practice Address |
280 Garrison Way Conshohocken PA 19428-2546 |
Practice Telephone | 6105278997 |
Mailing Telephone | 6105278997 |
Enumeration Date | 2014-05-02 |
Last Update Date | 2014-05-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
MD047811L | PA | Allopathic & Osteopathic Physicians |
Street Address |
280 GARRISON WAY |
City | CONSHOHOCKEN |
State | PA |
Zip Code | 19428-2546 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497395149 | Kellan Katra | Physician Assistant | 400 Fayette Street, Suite 180, Conshohocken, PA 19428 | 2020-01-10 |
1275170151 | Barbara G. Hedges-hoffman | Counselor | 20 E 9th Ave Ste 100, Conshohocken, PA 19428 | 2019-12-10 |
1184102105 | Experience Chiropractic East, LLC | Chiropractor | 3038 Butler Pike, Conshohocken, PA 19428 | 2018-08-01 |
1861986713 | Bridget Mary Parkes | Speech-Language Pathologist | 301 Harry St, Conshohocken, PA 19428 | 2018-06-14 |
1588155857 | Intouch Med Supply | Mastectomy Fitter | 529 Fayette St, Conshohocken, PA 19428 | 2018-05-22 |
1841796711 | Davita Medical Group Philadelphia, LLC | Internal Medicine | 300 Four Falls Corporate Center, 300 Conshohocken State Rd., West Conshohocken, PA 19428 | 2018-04-01 |
1538600853 | Dermone Dermatology Associates of The Keystone State, P.c | Dermatology | 200 Barr Harbor Drive, Four Tower Bridge, Suite 200, West Conshohocken, PA 19428 | 2017-03-20 |
1891156766 | Kaitlyn Oliver | Speech-Language Pathologist | 1200 River Road, Aim Academy-, Conshohocken, PA 19428 | 2016-03-18 |
1992122782 | Titleman Orthopedics LLC | Prosthetic/Orthotic Supplier | 1100 E Hector St Ste 390, Conshohocken, PA 19428 | 2014-03-18 |
1447543004 | Barbara P. Mastriano | Speech-Language Pathologist | One West Elm St. Suite 100, Mercylife Program, Conshohocken, PA 19428 | 2011-05-16 |
Find all providers in zip 19428 |
Taxonomy Code | 2080P0208X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Infectious Diseases |
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265957906 | Daniel Jorgensen | Pediatrics | 5 Great Valley Pkwy Ste 160, Malvern, PA 19355-1445 | 2017-08-03 |
1528434495 | Judith Js Ochs | Pediatrics | 1213 Fairville Road, Chadds Ford, PA 19317 | 2015-08-14 |
1477654044 | Lee Antoinette Darville | Pediatrics | 4401 Penn Ave., Division of Infectious Diseases, Pittsburgh, PA 15224-1334 | 2006-09-26 |
1578511994 | Jill Ann Foster | Pediatrics | Erie Avenue At Front Street, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2006-05-05 |
1750355053 | Leslie Serchuck | Pediatrics | 2118 Pine St, Philadelphia, PA 19103-6535 | 2006-02-14 |
1225037591 | Tibisay I Villalobos | Pediatrics | 1210 S Cedar Crest Blvd, Suite 2400, Allentown, PA 18103-6229 | 2005-07-19 |
1114535002 | Pinnacle Health Medical Services | Pediatrics | 3 Walnut St Ste 205, Lemoyne, PA 17043-1168 | 2020-07-17 |
1003451345 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-11-11 |
1134763568 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
1538663067 | Ashley Elizabeth Sobel Leonard | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2018-03-20 |
Find all providers with the same taxonomy |
City | CONSHOHOCKEN |
Zip Code | 19428 |
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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.