KING OF PRUSSIA FAMILY MEDICINE (NPI# 1710020664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710020664 |
| Entity Type | Organization |
| Organization Name | KING OF PRUSSIA FAMILY MEDICINE |
| Practice Address |
700 S Henderson Rd Suite 306 King of Prussia PA 19406-3530 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 6102650726 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2012-10-17 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX,INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD029085E | PA | Suppliers |
| Street Address |
700 S HENDERSON RD SUITE 306 |
| City | KING OF PRUSSIA |
| State | PA |
| Zip Code | 19406-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366400798 | Steven John Valentino | Orthopaedic Surgery | 700 S Henderson Rd, Suite 110, King of Prussia, PA 19406-4206 | 2006-05-03 |
| 1972037778 | Steven J Valentino Do PC | Non-Pharmacy Dispensing Site | 700 S Henderson Rd, Suite 110, King of Prussia, PA 19406-3530 | 2017-04-18 |
| 1437695111 | Haley Hanlin | Occupational Therapist | 700 S Henderson Rd, Suite 200, King of Prussia, PA 19406-3530 | 2017-01-18 |
| 1285184374 | Steven Valentino Do PC | Non-Pharmacy Dispensing Site | 700 S Henderson Rd, Suite 301, King of Prussia, PA 19406-3530 | 2016-10-12 |
| 1205299419 | Meredith Mccaffery | Occupational Therapist | 700 S Henderson Rd, Suite 200, King of Prussia, PA 19406-3530 | 2016-04-04 |
| 1861865826 | Brady Mcguire | Occupational Therapist | 700 S Henderson Rd, Suite 200, King of Prussia, PA 19406-3530 | 2015-11-12 |
| 1194112573 | Main Line Vascular Institute LLC | Radiology | 700 S Henderson Rd, Suite 304a, King of Prussia, PA 19406-3530 | 2015-04-23 |
| 1043649643 | David Hutchinson | Physical Therapist | 700 S Henderson Rd, Suite 200, King of Prussia, PA 19406-3530 | 2013-11-04 |
| 1760729107 | Norah Ann Malkinski | Occupational Therapist | 700 S Henderson Rd, Suite 200, King of Prussia, PA 19406-3530 | 2013-01-04 |
| 1346527645 | Katie Lynn Burkhart | Occupational Therapist | 700 S Henderson Rd, Suite 200, King of Prussia, PA 19406-3530 | 2011-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887296 | Optical World Nj Corp | Optometrist | Optical World, 160 N. Gulph Rd King of Prussia Plaza Suite #2377, King of Prussia, PA 19406 | 2019-12-10 |
| 1194213694 | Compass Recovery Center | Clinic/Center | 901 E 8th Ave Ste 203, King of Prussia, PA 19406 | 2018-04-30 |
| 1154858520 | Recovery Centers of America At Ventnor Nj Medicaid Only | Clinic/Center | 2701 Renaissance Boulevard, 4th Floor, King of Prussia, PA 19406 | 2017-05-17 |
| 1568913192 | Luke Gillespie | Counselor | 680 American Avenue, Suite 320, King of Prussia, PA 19406 | 2016-10-19 |
| 1932652906 | Bayada Home Health Care, Inc. | Home Health | 700 American Ave Ste 103, King of Prussia, PA 19406 | 2016-07-26 |
| 1912357690 | Barsha Moktan | Dentist | 357 S Gulph Road, #110, King of Prussia, PA 19406 | 2016-06-14 |
| 1588057756 | National Counseling Group, Inc | Counselor | 1150 1st Avenue, #501, King of Prussia, PA 19406 | 2015-03-12 |
| 1184020174 | Dr. Jeanvickey Lusk, M.d. & Co. P.C. | Family Medicine | 315 Gypsy Lane, King of Prussia, PA 19406 | 2014-11-18 |
| 1912303033 | Masuma Bahora | Obstetrics & Gynecology | 210 Mall Blvd Ste 220, King of Prussia, PA 19406 | 2014-11-17 |
| 1942612486 | Delphi Medical Group | Durable Medical Equipment & Medical Supplies | 1600 First Avenue Ste 400, King of Prussia, PA 19406 | 2014-06-02 |
| Find all providers in zip 19406 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972037778 | Steven J Valentino Do PC | Non-Pharmacy Dispensing Site | 700 S Henderson Rd, Suite 110, King of Prussia, PA 19406-3530 | 2017-04-18 |
| 1285184374 | Steven Valentino Do PC | Non-Pharmacy Dispensing Site | 700 S Henderson Rd, Suite 301, King of Prussia, PA 19406-3530 | 2016-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723806 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 719 Dresher Rd Ste B, Horsham, PA 19044-2205 | 2020-06-05 |
| 1144844507 | Diamond Drugs, Inc. | Non-Pharmacy Dispensing Site | 665 Kolter Dr, Indiana, PA 15701-3570 | 2020-06-02 |
| 1023655602 | Dedicated Pennsylvania Holding, LLC | Non-Pharmacy Dispensing Site | 330 W Oregon Ave # 170, Philadelphia, PA 19148-4723 | 2019-12-03 |
| 1275193336 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 103 Nesbitt Rd, New Castle, PA 16105-3401 | 2019-06-19 |
| 1770141491 | R&r Eyewear Imports, Inc. | Non-Pharmacy Dispensing Site | 311 W Moreland Rd, Willow Grove, PA 19090-3107 | 2019-05-29 |
| 1174089858 | Centers for Advanced Urology, LLC | Non-Pharmacy Dispensing Site | 400 Davis Dr Ste 200a, Plymouth Meeting, PA 19462-1718 | 2019-02-18 |
| 1811469760 | Dermatology and Mohs Surgery Center PC | Non-Pharmacy Dispensing Site | 920 Lawn Ave Ste 6, Sellersville, PA 18960-1560 | 2018-12-17 |
| 1437624244 | Highpoint Pain & Rehabilitation Physicians | Non-Pharmacy Dispensing Site | 2 Village Road, Horsham, PA 19044 | 2018-10-08 |
| 1649768110 | Qpharma Inc | Non-Pharmacy Dispensing Site | 20 Highland Park Dr Ste 202, Uniontown, PA 15401-8968 | 2018-04-30 |
| 1215424536 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1321 Fifth Ave Ste 1, Mckeesport, PA 15132-2403 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
| City | KING OF PRUSSIA |
| Zip Code | 19406 |
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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.