KRISTEN SLACK (NPI# 1679916779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679916779 |
| Entity Type | Individual |
| Full Name | KRISTEN SLACK |
| Credential | M.D. |
| Practice Address |
633 West Lancaster Avenue Bryn Mawr PA 19010 |
| Practice Telephone | 6106580999 |
| Practice Fax Number | 6106581998 |
| Mailing Telephone | 6106580999 |
| Mailing Fax Number | 6106581998 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2016-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD457866 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
633 WEST LANCASTER AVENUE |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336229517 | Children's Hospital of Philadelphia | Pediatrics | 633 West Lancaster Avenue, Bryn Mawr, PA 19010 | 2006-10-16 |
| 1427491190 | Katherine Bering Murray | Pediatrics | 633 West Lancaster Avenue, Bryn Mawr, PA 19010 | 2013-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245706183 | Childrens Hospital of Philadelphia | Pediatrics | 663 W Lancaster Ave, Bryn Mawr, PA 19010-3805 | 2018-10-18 |
| 1962744888 | Rose Marie Reber | Pediatrics | 138 Montrose Ave, Unit#14, Bryn Mawr, PA 19010-1558 | 2013-03-18 |
| 1477829596 | Frances Mcniell Gill | Pediatrics | 665 Heatherwood Rd, Bryn Mawr, PA 19010-1725 | 2012-03-23 |
| 1962710186 | Judith Lee Jabloner | Pediatrics | 221 Morlyn Avenue, Bryn Mawr, PA 19010 | 2010-09-22 |
| 1538485289 | Jonathan Benensohn Rosefsky | Pediatrics | 1164 Saint Andrews Rd, Bryn Mawr, PA 19010-1951 | 2010-04-20 |
| 1265563373 | Ann Deborah Goldstein | Pediatrics | 939 Sulgrave Ln, Bryn Mawr, PA 19010-2223 | 2007-03-08 |
| 1336229517 | Children's Hospital of Philadelphia | Pediatrics | 633 West Lancaster Avenue, Bryn Mawr, PA 19010 | 2006-10-16 |
| 1578593901 | Charles Ross Smith | Pediatrics | 950 Haverford Rd, Ste 107, Bryn Mawr, PA 19010 | 2006-07-03 |
| 1245267145 | Lisa J Heller | Pediatrics | 950 Haverfor Rd, Ste 107, Bryn Mawr, PA 19010 | 2006-06-27 |
| 1043290760 | Karla Swatski | Pediatrics | 864 County Line Rd, Bryn Mawr, PA 19010-2516 | 2006-01-19 |
| Find all providers in BRYN MAWR | ||||
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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.