JORGE BUSTILLO (NPI# 1679537435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679537435 |
| Entity Type | Individual |
| Full Name | JORGE BUSTILLO |
| Credential | M.D. |
| Practice Address |
2494 Bernville Road Suite 205 Reading PA 19605-9469 |
| Mailing Address |
2500 Bernville Road Reading PA 19605-9453 |
| Practice Telephone | 6103782996 |
| Practice Fax Number | 6102088812 |
| Mailing Telephone | 6103782000 |
| Mailing Fax Number | 6103782799 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2017-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | D0078545 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE | 580344 | 01 |
| PA | 0019586400010 | 05 | |
| MD | 745419800 | 05 |
| Street Address |
2494 BERNVILLE ROAD SUITE 205 |
| City | READING |
| State | PA |
| Zip Code | 19605-9469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376829606 | Rebecca A O'donnell | Nurse Practitioner | 2494 Bernville Road, Suite 207, Reading, PA 19605-9453 | 2011-11-01 |
| 1740581784 | Christine Pinto Hess | Nurse Practitioner | 2494 Bernville Road, Suite 200, Reading, PA 19605 | 2010-11-08 |
| 1013146141 | Amal George Kebede | Internal Medicine | 2494 Bernville Road, Suite 205, Reading, PA 19605-9469 | 2009-07-10 |
| 1124268859 | Navesh K Sharma | Radiology | 2494 Bernville Road, Reading, PA 19603 | 2009-02-20 |
| 1619093630 | Pv Pathanjali Pv Sharma | Surgery | 2494 Bernville Road, Suite 203, Reading, PA 19605-9453 | 2007-03-21 |
| 1780731604 | Eugene Michael Shaffer | Surgery | 2494 Bernville Road, Reading, PA 19605-9453 | 2007-01-04 |
| 1689604019 | Allen E Tyler | Psychiatry & Neurology | 2494 Bernville Road, Ste. G01, Reading, PA 19605 | 2006-07-03 |
| 1316980881 | Warqaa Majeed | Psychiatry & Neurology | 2494 Bernville Road, Suite G01, Reading, PA 19605-9453 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639715618 | Reading Behavioral Healthcare, LLC | Psychiatric Hospital | 201 Wellness Way, Reading, PA 19605 | 2019-11-25 |
| 1336663657 | Peace of Mind Transportation and Home Care | In Home Supportive Care | 2537 Leisczs Bridge Rd., Reading, PA 19605 | 2017-07-28 |
| 1780059709 | Daniel Kropf | Specialist/Technologist | 400 Sharp Ave, Reading, PA 19605 | 2015-12-02 |
| 1629455324 | Pooja Ahuja | Dentist | 3302 North 5th Street Hwy, Dental Dreams LLC, Reading, PA 19605 | 2015-05-01 |
| 1831531722 | Manmeet Kaur Kuckreja | Dentist | 3302 N Fifth St Highway, Dental Dreams LLC, Reading, PA 19605 | 2013-07-22 |
| 1104263698 | Vincent Zhang | Obstetrics & Gynecology | 2494 Bernville Rd Ste 100, Reading, PA 19605 | 2013-05-24 |
| 1407083876 | Rajiv Kolandaivelu | Dentist | 3302 North Fifth Street Highway, Reading, PA 19605 | 2009-06-12 |
| 1083820377 | Reading Hospital | Psychiatry & Neurology | Sharp Avenue & Frances Street, Laureldale, PA 19605 | 2007-05-15 |
| 1770632242 | Jennifer Maryniak | Specialist/Technologist | Sharp & Francis Streets, Laureldale, PA 19605 | 2007-01-10 |
| 1942359419 | Michael John Kaminskas IIi | Specialist/Technologist | Sharp St and Francis St, Muhlenberg High School, Laureldale, PA 19605 | 2007-01-10 |
| Find all providers in zip 19605 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194971192 | Advanced Orthopedics of Reading, LLC | Orthopaedic Surgery | 2211 Quarry Drive, Suite E52, Reading, PA 19609-1161 | 2008-08-11 |
| 1619975174 | John P Stelmach | Orthopaedic Surgery | 11 Fairlane Rd, Reading, PA 19606-9567 | 2005-07-08 |
| 1356635619 | Christopher Schumacher | Orthopaedic Surgery | 2494 Bernville Rd Ste 205, Reading, PA 19605-9467 | 2011-06-04 |
| 1699096768 | Justin Clayton | Orthopaedic Surgery | 2494 Bernville Rd, Suite 203, Reading, PA 19605-9469 | 2010-06-11 |
| 1497843924 | Martin Ross | Orthopaedic Surgery | 2494 Bernville Rd, Ste 200, Reading, PA 19605 | 2006-10-10 |
| 1447205265 | Leonid Dabuzhsky | Orthopaedic Surgery | 30 New Crossing Rd, Suite 200, Reading, MA 01867-3270 | 2006-05-23 |
| 1730148727 | Commonwealth Orthopaedic Associates, Inc. | Orthopaedic Surgery | 11 Fairlane Rd, Reading, PA 19606-9567 | 2006-03-20 |
| 1154329522 | John A Martin Jr. | Orthopaedic Surgery | 11 Fairlane Rd, Reading, PA 19606-9567 | 2005-07-11 |
| 1366440810 | John C Dethoff | Orthopaedic Surgery | 11 Fairlane Rd, Reading, PA 19606-9567 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708492 | Sunnyvale Orthopaedic and Rehabilitation Clinic | Orthopaedic Surgery | 1419 N 75th St, Philadelphia, PA 19151-2901 | 2020-10-25 |
| 1932722881 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 | 2020-05-27 |
| 1770103723 | Steel City Spine and Orthopedic Center LLC | Orthopaedic Surgery | 27 Heckel Rd Ste 203, Mc Kees Rocks, PA 15136-1673 | 2020-04-20 |
| 1053951251 | Lvhn Scranton Orthopedic Specialists | Orthopaedic Surgery | 334 Main St Ste 1, Dickson City, PA 18519-1668 | 2020-01-15 |
| 1689214488 | Geisinger Clinic | Orthopaedic Surgery | 112 N 15th St, Lewisburg, PA 17837-1224 | 2020-01-09 |
| 1770120537 | Marcel Orthopedics LLC | Orthopaedic Surgery | 3717 Chestnut St Apt 202.m, Philadelphia, PA 19104-3164 | 2019-11-28 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1205393006 | Theodore Roosevelt Moran | Orthopaedic Surgery | 30 Salem Rd, Greenville, PA 16125-8409 | 2019-02-27 |
| 1689160731 | Integrated Medical Group, P.C. | Orthopaedic Surgery | 700 Schuylkill Manor Rd Ste 1, Pottsville, PA 17901-3849 | 2018-07-02 |
| Find all providers with the same taxonomy | ||||
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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.