PATRICIA WALLACE BELANCIO (NPI# 1700148459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700148459 |
| Entity Type | Individual |
| Full Name | PATRICIA WALLACE BELANCIO |
| Other Name | PATRICIA DOLORES WALLACE |
| Credential | CRNP |
| Practice Address |
1722 Bethlehem Pike Flourtown PA 19031-1644 |
| Mailing Address |
Po Box 820933 Philadelphia PA 19182-0933 |
| Practice Telephone | 2152339700 |
| Practice Fax Number | 2152339710 |
| Mailing Telephone | 2159269010 |
| Mailing Fax Number | 2152268285 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP011629 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE TPI GROUP | 597586 | 01 |
| PA | RAILROAD MEDICARE TPI GROUP | CD4829 | 01 |
| PA | MEDICAID TPI GROUP | 100727800 | 01 |
| Street Address |
1722 BETHLEHEM PIKE |
| City | FLOURTOWN |
| State | PA |
| Zip Code | 19031-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295718252 | Ram Y. Gordon | Internal Medicine | 1722 Bethlehem Pike, Flourtown, PA 19031-1644 | 2005-11-23 |
| 1932467800 | Natasha Fonseka | Internal Medicine | 1722 Bethlehem Pike, Flourtown, PA 19031-1644 | 2012-04-30 |
| 1750659330 | Temple Physicians Inc | Internal Medicine | 1722 Bethlehem Pike, Flourtown, PA 19031-1644 | 2011-12-09 |
| 1023273919 | Thomas F Diaz | Internal Medicine | 1722 Bethlehem Pike, Flourtown, PA 19031-1644 | 2008-07-21 |
| 1245350248 | Charles S. Murphy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1722 Bethlehem Pike, Flourtown, PA 19031-1644 | 2007-03-31 |
| 1871680694 | Lorraine M Smith | Nurse Practitioner | 1722 Bethlehem Pike, Flourtown, PA 19031-1644 | 2006-10-05 |
| 1700825965 | Chestnut Hill Cardiology, Ltd. | Internal Medicine | 1722 Bethlehem Pike, Flourtown, PA 19031 | 2006-06-05 |
| 1700834041 | Raphael T Bloomgarden | Internal Medicine | 1722 Bethlehem Pike, Chestnut Hill Cardiology Ltd, Flourtown, PA 19031-1644 | 2006-05-05 |
| 1790733434 | Alison E Branigan | Internal Medicine | 1722 Bethlehem Pike, Chestnut Hill Cardiology Ltd, Flourtown, PA 19031-1644 | 2006-05-05 |
| 1497703003 | David E Chinn | Internal Medicine | 1722 Bethlehem Pike, Flourtown, PA 19031-1644 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043721616 | Audrey Diane Scanlon | Nurse Practitioner | 1811 Bethlehem Pike Ste A108, Flourtown, PA 19031 | 2017-10-23 |
| 1104342161 | David Azizyan | Dentist | 1605 Mulberry Rd, Flourtown, PA 19031 | 2017-08-21 |
| 1922535764 | Public Health Management Corporation | Clinic/Center | 71 West Wissachickon Ave., Flourtown, PA 19031 | 2017-05-11 |
| 1184077570 | Susan M Nagy | Social Worker | 18 Springfield Avenue, Flourtown, PA 19031 | 2016-07-20 |
| 1114292828 | Andrea Ingerson | Specialist/Technologist | 1206 Larchwood Road, Flourtown, PA 19031 | 2012-03-13 |
| 1942421235 | Flourtown Pediatric Dentistry Ltd | Dentist | 10 East Mill Road, Flourtown, PA 19031 | 2007-05-02 |
| 1487775110 | Jacqueline Kugler | Audiologist-Hearing Aid Fitter | 1107 Bethlehem Pike Ste 211, Flourtown, PA 19031 | 2007-04-02 |
| 1114973112 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 1640 Bethlehem Pike, Flourtown, PA 19031 | 2006-05-25 |
| 1558330738 | Robert M Epting | Physical Therapist | 5 W Wissehickon Ave, Flourtown, PA 19031 | 2006-03-17 |
| 1285609362 | Kathryn E Seelaus | Physical Therapist | 5 W Wissahickon Ave, Flourtown, PA 19031 | 2006-02-22 |
| Find all providers in zip 19031 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538439229 | Alannah Ryan | Nurse Practitioner | 40 Weiss Ave, Flourtown, PA 19031-1914 | 2012-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072641 | Pinnacle Health Medical Services | Nurse Practitioner | 250 Fame Ave Ste 201, Hanover, PA 17331-1587 | 2020-10-28 |
| 1265044093 | Michelle Lynn Hurst | Nurse Practitioner | 1590 Medical Dr Ste A, Pottstown, PA 19464-3247 | 2020-08-21 |
| 1255942272 | Jessica Ann Joy | Nurse Practitioner | 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 | 2020-08-13 |
| 1437768413 | Stephanie Marie Lesseski | Nurse Practitioner | 2014 Creekside Dr, Edinboro, PA 16412-1458 | 2020-07-27 |
| 1588272959 | Elaine Michele Matisko | Nurse Practitioner | 56 Dorthea Street Ext, Houtzdale, PA 16651-8607 | 2020-07-21 |
| 1275155012 | Jamie Lee Auyeung | Nurse Practitioner | 2413 Lytle Rd, Bethel Park, PA 15102-2790 | 2020-05-14 |
| 1730715822 | Suzette Jones | Nurse Practitioner | Mid-state Occupational Health Services, Inc., 1000 Meade Street, Dunmore, PA 18512 | 2020-03-20 |
| 1841834710 | Joseph Mascaro | Nurse Practitioner | 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 | 2019-11-04 |
| 1477100311 | Larissa Marie Glowinski | Nurse Practitioner | 502 Vna Rd, East Stroudsburg, PA 18301-7965 | 2019-08-26 |
| 1295382232 | Marthe Adler | Nurse Practitioner | 300b Lawrence Dr, West Chester, PA 19380-4289 | 2019-08-23 |
| 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.