INTEGRATED DIABETES SERVICES LLC (NPI# 1700115847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700115847 |
| Entity Type | Organization |
| Organization Name | INTEGRATED DIABETES SERVICES LLC |
| Practice Address |
333 E Lancaster Ave Suite 204 Wynnewood PA 19096-1929 |
| Practice Telephone | 6106426055 |
| Practice Fax Number | 6106428046 |
| Mailing Telephone | 6106426055 |
| Mailing Fax Number | 6106428046 |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |
| Authorized Official Name | MR. GARY SCHEINER (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6106426055 |
| Authorized Official Credential | MS, CDE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
333 E LANCASTER AVE SUITE 204 |
| City | WYNNEWOOD |
| State | PA |
| Zip Code | 19096-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922102987 | Rcl Pharmacy Services Inc | Pharmacy | 333 E Lancaster Ave, Wynnewood, PA 19096-1929 | 2006-09-12 |
| 1063029346 | Aranaas Home Health Care Agency LLC | Home Health | 333 E Lancaster Ave, Wynnewood, PA 19096-1929 | 2020-09-30 |
| 1457611691 | Tepper Pharmacy | Pharmacy | 333 E Lancaster Ave, Wynnewood, PA 19096-1929 | 2012-05-22 |
| 1275800963 | Rcl Pharmacy Services, Inc. | Pharmacy | 333 E Lancaster Ave, Wynnewood, PA 19096-1929 | 2011-11-23 |
| 1972811867 | Michael David Levy | Dentist | 333 E Lancaster Ave, Ste 363, Wynnewood, PA 19096-1929 | 2010-09-14 |
| 1710292255 | Pennsylvania Dental Health PC | Dentist | 333 E Lancaster Ave, Ste 363, Wynnewood, PA 19096-1929 | 2010-08-09 |
| 1386852325 | Steven Tepper | Pharmacist | 333 E Lancaster Ave, Wynnewood, PA 19096-1929 | 2007-05-21 |
| 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 |
| Find all providers in zip 19096 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 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.