DR. PAUL MAURY PRUSKY (NPI# 1588989719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588989719 |
| Entity Type | Individual |
| Full Name | DR. PAUL MAURY PRUSKY |
| Credential | M.A. |
| Practice Address |
25 East Athens Ave Ardmore PA 19003 |
| Practice Telephone | 6106423100 |
| Practice Fax Number | 6106429709 |
| Mailing Telephone | 6106423100 |
| Mailing Fax Number | 6106429709 |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD010784E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
25 EAST ATHENS AVE |
| City | ARDMORE |
| State | PA |
| Zip Code | 19003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396231973 | Ann's Professional Home Care, LLC. | Home Health | 119 Coulter Ave Ste 210, Ardmore, PA 19003 | 2018-07-06 |
| 1154864247 | Renee Suzanne Downey | Counselor | 63 W. Lancaster Ave., Suite 2, Ardmore, PA 19003 | 2016-11-22 |
| 1972908739 | Teleradiology Solutions PC | Clinic/Center | 22 Lianfair Road, Unit 6, Ardmore, PA 19003 | 2014-10-23 |
| 1194120832 | Lindsay Coffman | Nurse Practitioner | 610 West Lancaster Avenue, Ardmore, PA 19003 | 2014-10-23 |
| 1306247143 | Samantha Hunsicker | Social Worker | 9 Cricket Terrace Ctr, Ardmore, PA 19003 | 2014-09-11 |
| 1730514050 | Ultimate Hearing Solutions | Audiologist-Hearing Aid Fitter | 14 Greenfield Avenue, Ardmore, PA 19003 | 2013-09-05 |
| 1861831455 | See Inc | Optometrist | 39 Coulter, Ardmore, PA 19003 | 2013-06-18 |
| 1265740518 | Nicole Quigley Finnegan | Occupational Therapist | 120 Saint Pauls Rd, Ardmore, PA 19003 | 2010-09-21 |
| 1790017333 | Dongxiao Liu | Acupuncturist | 2 W. Lancaster Ave, Ardmore, PA 19003 | 2010-02-08 |
| 1306173356 | Harvey Alan Horowitz | Psychiatry & Neurology | 125 Coulter Ave., Ardmore, PA 19003 | 2009-11-12 |
| Find all providers in zip 19003 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407237704 | Primecare Family Clinic LLC | Family Medicine | 1405 4th Ave Nw # 311, Ardmore, OK 73401-2708 | 2015-06-11 |
| 1295025765 | Jorge Luis Carmona Rodriguez | Family Medicine | 731 12th Ave Nw Ste 100, Ardmore, OK 73401-5762 | 2011-04-18 |
| 1518025469 | Vicky Berberian | Family Medicine | 647 Ardmore Ave, Ardmore, PA 19003-1831 | 2006-12-04 |
| 1922044494 | Lister Health Care Corporation | Family Medicine | 30320 Al Highway 53 Ste B&c, Ardmore, AL 35739-8766 | 2006-06-21 |
| 1437109394 | Anna Christella Burson | Family Medicine | 720 Grand Ave, Ardmore, OK 73401-4343 | 2006-05-11 |
| 1053377937 | Steven K Watkins | Family Medicine | 908 N Rockford Rd, Suite G, Ardmore, OK 73401-2540 | 2006-04-21 |
| 1740269430 | Karen L. Abrams | Family Medicine | 233 E. Lancaster Ave, Suite 303a, Ardmore, PA 19003 | 2006-01-11 |
| 1689652075 | Phillip Alton Nokes | Family Medicine | 1105 Michelin Rd, Michelin Family Health Center, Ardmore, OK 73401-1085 | 2006-01-05 |
| 1285611160 | James Forrestal | Family Medicine | 830 16th Ave Nw, Ardmore, OK 73401-1818 | 2005-12-30 |
| 1568448967 | Claude Schofield Bridges IIi | Family Medicine | 30320 Al Highway 53 Ste Bandc, Ardmore, AL 35739-8766 | 2005-12-16 |
| Find all providers in ARDMORE | ||||
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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.