PRE DIABETES PHYSICIAN SERVICES INC (NPI# 1568873941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568873941 |
| Entity Type | Organization |
| Organization Name | PRE DIABETES PHYSICIAN SERVICES INC |
| Practice Address |
491 Allendale Rd Ste 222 King of Prussia PA 19406-1431 |
| Mailing Address |
3721 Executive Center Dr Ste 160 Austin TX 78731-1607 |
| Practice Telephone | 5126234900 |
| Mailing Telephone | 5126234900 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |
| Authorized Official Name | RANDY MARFIN (CEO) |
| Authorized Official Telephone | 5126234928 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD036645L | GA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639581077 | Pre Diabetes Physician Services Inc | Specialist | 1307 8th Ave Ste 502, Fort Worth, TX 76104-4137 | 2014-05-20 |
| 1154732535 | Pre Diabetes Physician Services Inc | Specialist | 12603 Southwest Fwy Ste 600, Stafford, TX 77477-3838 | 2014-05-19 |
| 1679984058 | Pre Diabetes Physician Services Inc | Specialist | 3280 Howell Mill Rd Nw Ste 204, Atlanta, GA 30327-4100 | 2014-05-19 |
| 1093052268 | Pre Diabetes Physician Services Inc | Specialist | 3724 Executive Center Dr Ste 150, Austin, TX 78731-1631 | 2013-01-08 |
| 1295146611 | Pre Diabetes Physician Services Inc | Specialist | 2541 E Carson St, Pittsburgh, PA 15203-2186 | 2014-05-20 |
| Street Address |
491 ALLENDALE RD STE 222 |
| City | KING OF PRUSSIA |
| State | PA |
| Zip Code | 19406-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887296 | Optical World Nj Corp | Optometrist | Optical World, 160 N. Gulph Rd King of Prussia Plaza Suite #2377, King of Prussia, PA 19406 | 2019-12-10 |
| 1194213694 | Compass Recovery Center | Clinic/Center | 901 E 8th Ave Ste 203, King of Prussia, PA 19406 | 2018-04-30 |
| 1154858520 | Recovery Centers of America At Ventnor Nj Medicaid Only | Clinic/Center | 2701 Renaissance Boulevard, 4th Floor, King of Prussia, PA 19406 | 2017-05-17 |
| 1568913192 | Luke Gillespie | Counselor | 680 American Avenue, Suite 320, King of Prussia, PA 19406 | 2016-10-19 |
| 1932652906 | Bayada Home Health Care, Inc. | Home Health | 700 American Ave Ste 103, King of Prussia, PA 19406 | 2016-07-26 |
| 1912357690 | Barsha Moktan | Dentist | 357 S Gulph Road, #110, King of Prussia, PA 19406 | 2016-06-14 |
| 1588057756 | National Counseling Group, Inc | Counselor | 1150 1st Avenue, #501, King of Prussia, PA 19406 | 2015-03-12 |
| 1184020174 | Dr. Jeanvickey Lusk, M.d. & Co. P.C. | Family Medicine | 315 Gypsy Lane, King of Prussia, PA 19406 | 2014-11-18 |
| 1912303033 | Masuma Bahora | Obstetrics & Gynecology | 210 Mall Blvd Ste 220, King of Prussia, PA 19406 | 2014-11-17 |
| 1942612486 | Delphi Medical Group | Durable Medical Equipment & Medical Supplies | 1600 First Avenue Ste 400, King of Prussia, PA 19406 | 2014-06-02 |
| Find all providers in zip 19406 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538675160 | Lauren Kathryn Barker | Specialist | 583 Shoemaker Rd Ste 230, King of Prussia, PA 19406-4201 | 2017-12-19 |
| 1881922292 | Kenneth Varano Do Inc. | Specialist | 555 Croton Rd, Suite 140, King of Prussia, PA 19406-3176 | 2009-11-23 |
| 1619152204 | Amy Lauren Gorecki | Specialist | 455 S Gulph Rd, Executive Terrace Suite 230, King of Prussia, PA 19406-3114 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863909 | Courtney Romain-lopez | Specialist | 301 Lenape Trl, Allentown, PA 18104-8531 | 2020-05-18 |
| 1235751116 | Steven Charles Snyder | Specialist | 119 Boyd Hollow Ln, Spring Mills, PA 16875-7812 | 2020-05-13 |
| 1083236582 | Chelsea Meadows | Specialist | 693 Topaz Dr, Lancaster, PA 17603-5864 | 2020-05-07 |
| 1982224655 | Eric Rickin Md LLC | Specialist | 102 Lexington Ave Ste 2, Aspinwall, PA 15215-3257 | 2020-04-22 |
| 1134748510 | Beaver County Regenerative Wellness Centers PC | Specialist | 3582 Brodhead Rd Ste 108, Monaca, PA 15061-3142 | 2020-04-15 |
| 1780203414 | Essence Allen-presley | Specialist | 252 Melrose Ave, Lansdowne, PA 19050-2532 | 2020-04-13 |
| 1174156012 | Sade Yolanda Davis | Specialist | 2414 N Garnet St, Philadelphia, PA 19132-3725 | 2020-02-19 |
| 1487285094 | Kim O'toole | Specialist | 105 Hay Rd, Milford, PA 18337-9020 | 2020-02-01 |
| 1437789740 | Kate Beer | Specialist | 3357 W 43rd St, Erie, PA 16506-4233 | 2020-01-26 |
| 1346888690 | Colleen Ruddy | Specialist | 205 Glenburn Rd, Clarks Green, PA 18411-2534 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
| City | KING OF PRUSSIA |
| Zip Code | 19406 |
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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.