WHCGPA CENTER FOR BREAST HEALTH (NPI# 1659770964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659770964 |
| Entity Type | Organization |
| Organization Name | WHCGPA CENTER FOR BREAST HEALTH |
| Practice Address |
4 Industrial Blvd Suite 130 Paoli PA 19301-1605 |
| Mailing Address |
Po Box 1109 Suite 300 Oaks PA 19456-1109 |
| Practice Telephone | 6109941136 |
| Practice Fax Number | 2156874775 |
| Mailing Telephone | 6104824778 |
| Mailing Fax Number | 6106663310 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |
| Authorized Official Name | NANCY BICKEL (COO) |
| Authorized Official Telephone | 4848310200 |
| Is Organization Subpart | Y |
| Parent Organization Name | WOMENS HEALTH CARE GROUP OF PENNSYLVANIA LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
4 INDUSTRIAL BLVD SUITE 130 |
| City | PAOLI |
| State | PA |
| Zip Code | 19301-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457782948 | Aligned Medical Group, PC | Chiropractor | 4 Industrial Blvd, Suite 200, Paoli, PA 19301-1602 | 2013-12-09 |
| 1285163816 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 4 Industrial Blvd, Ste 155, Paoli, PA 19301-1614 | 2017-06-07 |
| 1700338506 | John Ryan | Physical Therapist | 4 Industrial Blvd, Suite 200, Paoli, PA 19301-1605 | 2016-10-27 |
| 1801277488 | Geraldine Fried | Nurse Practitioner | 4 Industrial Blvd, Suite 130, Paoli, PA 19301-1605 | 2015-06-09 |
| 1790197606 | Urology Health Surgery Center, LLC | Clinic/Center | 4 Industrial Blvd, Suite 175, Paoli, PA 19301-1605 | 2014-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
| 1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
| 1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
| 1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
| 1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
| 1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
| Find all providers in zip 19301 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366854325 | William Joseph Rusnak | Radiology | 105 Gable Rd, Paoli, PA 19301-1806 | 2014-05-27 |
| 1588078315 | Ida Tsaghig Teberian | Radiology | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2014-06-19 |
| 1144630823 | Jesse Kavi-raj Sinanan | Radiology | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2014-05-02 |
| 1144640061 | Shivam Shah | Radiology | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2014-04-17 |
| 1285074104 | Shamit Shailendra Desai | Radiology | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2013-06-25 |
| 1386930139 | Darshan Rajendra Patel | Radiology | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2011-06-21 |
| 1710273511 | Samuel Borofsky | Radiology | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2011-06-21 |
| 1457642019 | Omar Abousoud | Radiology | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2011-04-29 |
| 1629377361 | Philipose Getachew Mulugeta | Radiology | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2011-03-21 |
| 1518288331 | Brian A Tweddale | Radiology | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2010-06-16 |
| Find all providers in PAOLI | ||||
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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.