CONSULTANTS IN MEDICAL ONCOLOGY & HEMATOLOGY, PC (NPI# 1598877813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598877813 |
| Entity Type | Organization |
| Organization Name | CONSULTANTS IN MEDICAL ONCOLOGY & HEMATOLOGY, PC |
| Other Organization Name | MAIN LINE ONCOLOGY HEMATOLOGY ASSOCIATES |
| Practice Address |
100 Lancaster Ave Wynnewood PA 19096 |
| Mailing Address |
100 E Lancaster Avenue Suite 100 Wynnewood PA 19096 |
| Practice Telephone | 6106452494 |
| Practice Fax Number | 6106454456 |
| Mailing Telephone | 6106452494 |
| Mailing Fax Number | 6106454456 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-05-21 |
| Authorized Official Name | DOLORES P KEENEY (MANAGER) |
| Authorized Official Telephone | 6104925900 |
| Is Organization Subpart | Y |
| Parent Organization Name | CONSULTANTS IN MEDICAL ONCOLOGY & HEMATOLOGY, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MC542764A | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 0094364000 | 01 | |
| BLUE SHIELD | 000279824 | 01 | |
| PA | 919262 | 05 |
| Other Name | Type Code |
|---|---|
| Main Line Oncology Hematology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043265820 | Consultants In Medical Oncology & Hematology, PC | Internal Medicine | 30 Lawrence Rd, Suite 201, Broomall, PA 19008-3301 | 2006-05-23 |
| 1982615399 | Consultants In Medical Oncology & Hematology, PC | Internal Medicine | 201 Gibraltar Rd Ste 120, Horsham, PA 19044-2331 | 2006-08-10 |
| Street Address |
100 LANCASTER AVE |
| City | WYNNEWOOD |
| State | PA |
| Zip Code | 19096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134169386 | Shelia Parvin Kambin | Obstetrics & Gynecology | 100 Lancaster Ave, Suite 661 Lankenau Mob East, Wynnewood, PA 19096-3437 | 2006-06-07 |
| 1093212144 | Parth Shah | Student in an Organized Health Care Education/Training Program | 100 Lancaster Ave, Wynnewood, PA 19096 | 2018-04-06 |
| 1326544701 | Jennifer Silvia Paula Meyfeldt | Student in an Organized Health Care Education/Training Program | 100 Lancaster Ave, Wynnewood, PA 19096 | 2018-04-04 |
| 1417453895 | Mouhanned Eliliwi | Student in an Organized Health Care Education/Training Program | 100 Lancaster Ave, Wynnewood, PA 19096 | 2018-04-04 |
| 1619473287 | Jacob Philip Reiss | Student in an Organized Health Care Education/Training Program | 100 Lancaster Ave, Wynnewood, PA 19096 | 2018-04-03 |
| 1851824379 | Ksenia Mary Rogalo | Student in an Organized Health Care Education/Training Program | 100 Lancaster Ave, Wynnewood, PA 19096 | 2017-04-11 |
| 1922530328 | Daniel William Kurz | Student in an Organized Health Care Education/Training Program | 100 Lancaster Ave, Wynnewood, PA 19096-3450 | 2017-04-03 |
| 1992237184 | Jaclyn Therese Cronin | Student in an Organized Health Care Education/Training Program | 100 Lancaster Ave, Wynnewood, PA 19096-3450 | 2017-03-28 |
| 1629509971 | Lauren Josefa Hartwell | Student in an Organized Health Care Education/Training Program | 100 Lancaster Ave, Lankenau Medical Center, Wynnewood, PA 19096 | 2017-03-27 |
| 1336440700 | Lankenau Medical Center | General Acute Care Hospital | 100 Lancaster Ave, Suite 418 Lankenau Medical Center, Wynnewood, PA 19096 | 2010-11-16 |
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| 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 |
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| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200860 | Peter Lebowitz | Internal Medicine | 269 Hathaway Ln, Wynnewood, PA 19096-1902 | 2005-07-22 |
| 1053321059 | Theresa White Mchugh | Internal Medicine | 100 Lancaster Ave, Lankenau Msb, 1st Floor, Wynnewood, PA 19096 | 2006-08-09 |
| 1770592792 | Clifford Hollingsworth Pemberton | Internal Medicine | 100 Lancaster Ave, Main Line Oncology Hemotology Associates, Wynnewood, PA 19096 | 2006-08-07 |
| 1639188659 | Erik Leroy Zeger | Internal Medicine | 100 Lancaster Ave, Main Line Oncology Hematology Associates, Wynnewood, PA 19096 | 2006-08-07 |
| 1306852728 | Zonera Ashraf Ali | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2006-07-31 |
| 1215943634 | Paul Barth Gilman | Internal Medicine | 100 Lancaster Ave, Main Line Oncology Hematology Associates, Wynnewood, PA 19096 | 2006-07-31 |
| 1033152319 | Tracey L Evans | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096 | 2006-06-14 |
| 1871584169 | David T Harris | Internal Medicine | 100 E Lancaster Ave, Suite 417, Wynnewood, PA 19096-3450 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372286 | Bethanie Jones | Internal Medicine | 200 St Lukes Ln Ste 100, Stroudsburg, PA 18360-6218 | 2020-09-26 |
| 1053930362 | Dubois Regional Medical Center | Internal Medicine | 88 Hospital Rd, Brookville, PA 15825-1368 | 2020-04-16 |
| 1760947840 | Russell Eugene Kaufman | Internal Medicine | 700 Glengarry Rd, Philadelphia, PA 19118-4111 | 2019-02-04 |
| 1891204921 | Ahmed Mostafa | Internal Medicine | Hahnemann University Hospital, 230 N. Broad St., Philadelphia, PA 19102 | 2017-09-20 |
| 1730607755 | Penn State Health Community Medical Group, LLC | Internal Medicine | 233 College Ave Ste 303, Lancaster, PA 17603-3384 | 2017-08-30 |
| 1831619097 | Pinnacle Health Regional Physicians | Internal Medicine | 233 College Ave Ste 100, Lancaster, PA 17603-3372 | 2017-06-20 |
| 1194193656 | Allen Oliff | Internal Medicine | 1412 Florence Dr, Gwynedd Valley, PA 19437 | 2015-09-14 |
| 1679958912 | Lancaster Medical Group, LLC | Internal Medicine | 1575 Highlands Dr Ste 205, Lititz, PA 17543-7507 | 2015-07-28 |
| 1780077735 | Arnon I Dreyfuss | Internal Medicine | 239 Delancey St, Philadelphia, PA 19106-4318 | 2015-03-16 |
| 1164841193 | Maria Vershvovsky | Internal Medicine | 440 E Marshall St Ste 101, West Chester, PA 19380-5414 | 2014-04-07 |
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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.