PROSPECT HEALTH ACCESS NETWORK, INC. (NPI# 1740637255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740637255 |
| Entity Type | Organization |
| Organization Name | PROSPECT HEALTH ACCESS NETWORK, INC. |
| Other Organization Name | HAN CARDIOVASCULAR GROUP |
| Practice Address |
1 Bartol Ave Suite 10 Ridley Park PA 19078-2214 |
| Practice Telephone | 6105210150 |
| Practice Fax Number | 6105210567 |
| Mailing Telephone | 6105210150 |
| Mailing Fax Number | 6105210567 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |
| Authorized Official Name | ELLEN SHIN (SECRETARY) |
| Authorized Official Telephone | 3109434520 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| HAN Cardiovascular Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619322112 | Prospect Health Access Network, Inc. | Psychologist | 176 S Middletown Rd, Media, PA 19063-5255 | 2016-05-03 |
| 1982152294 | Prospect Health Access Network, Inc. | Urology | 2100 Keystone Ave, Drexel Hill, PA 19026-1129 | 2016-09-15 |
| 1083061006 | Prospect Health Access Network, Inc. | Physical Therapist | 485 Baltimore Pike, Suite 202, Glen Mills, PA 19342-1161 | 2016-05-19 |
| 1780031005 | Prospect Health Access Network, Inc. | Pediatrics | 30 Medical Center Blvd, 3 East, Chester, PA 19013-3955 | 2016-05-17 |
| 1912354432 | Prospect Health Access Network, Inc. | Internal Medicine | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2016-05-16 |
| 1013364520 | Prospect Health Access Network, Inc. | Psychiatry & Neurology | 1 Medical Center Blvd, Acp Ste 533, Chester, PA 19013-3902 | 2016-05-16 |
| 1922455443 | Prospect Health Access Network, Inc. | Surgery | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2016-05-16 |
| 1013364538 | Prospect Health Access Network, Inc. | Transplant Surgery | 1 Medical Center Blvd, Pob II Suite 220, Chester, PA 19013-3902 | 2016-05-16 |
| 1659728178 | Prospect Health Access Network, Inc. | Internal Medicine | 2100 Keystone Ave, Suite 406, Drexel Hill, PA 19026-1129 | 2016-05-16 |
| 1477900991 | Prospect Health Access Network, Inc. | Pediatrics | 1 Medical Center Blvd, 3rd Floor, Chester, PA 19013-3902 | 2016-05-16 |
| Street Address |
1 BARTOL AVE SUITE 10 |
| City | RIDLEY PARK |
| State | PA |
| Zip Code | 19078-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023010444 | Howard T Gitter | Internal Medicine | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078 | 2005-08-15 |
| 1700419991 | Christine Elizabeth Carroll | Nurse Practitioner | 1 Bartol Ave, Ridley Park, PA 19078-2214 | 2020-02-17 |
| 1588064869 | Caitlin C Moore | Physician Assistant | 1 Bartol Ave, Suite 100, Ridley Park, PA 19078-2214 | 2014-08-24 |
| 1346588258 | Kaitlin Elizabeth Ciotoli | Nurse Practitioner | 1 Bartol Ave, Suite 15, Ridley Park, PA 19078-2214 | 2013-01-28 |
| 1366786055 | Health Access Network | Internal Medicine | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078-2214 | 2012-11-19 |
| 1225395817 | Ifeoma Nwabuzor | Obstetrics & Gynecology | 1 Bartol Ave, Suite 15, Ridley Park, PA 19078-2214 | 2012-04-19 |
| 1346512688 | Lacey M. O'hara | Physician Assistant | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078-2214 | 2012-02-02 |
| 1104110535 | Lewis W Lo | Obstetrics & Gynecology | 1 Bartol Ave, Suite 15, Ridley Park, PA 19078-2214 | 2011-06-02 |
| 1184944167 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Internal Medicine | 1 Bartol Ave, Ste 100, Ridley Park, PA 19078-2214 | 2010-06-02 |
| 1154649234 | Michelle Christine Mergenthal | Obstetrics & Gynecology | 1 Bartol Ave, Suite 15, Ridley Park, PA 19078-2214 | 2010-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952762999 | Rita Ropski | Physical Therapy Assistant | 115 Rosemont Ave, Ridley Park, PA 19078 | 2016-03-18 |
| 1063871846 | Knopf Radiology and Health Services | Clinic/Center | 634 E,chester Pike, Apt F 1, Ridley Park, PA 19078 | 2016-02-22 |
| 1932574340 | Benjamin Chartier | Physician Assistant | 105 Henderson Ave, Ridley Park, PA 19078 | 2015-12-10 |
| 1992068811 | Angel Companions of Delaware County, LLC | Home Health | 113 East Sellers Ave, Suite B, Ridley Park, PA 19078 | 2012-06-18 |
| 1023276425 | Martin Joseph Dwyer Jr. | Dentist | 212 Chester Pike West, Ridley Park, PA 19078 | 2008-06-02 |
| 1881893543 | Rhonda Lee Lagamba | Occupational Therapy Assistant | 175 Chester Pike, Ridley Park, PA 19078 | 2007-07-13 |
| 1205977592 | Leedom Fire Company No 1 | Ambulance | Darby Rd and Clymer La, Ridley Park, PA 19078 | 2007-02-09 |
| 1881758506 | Collins Chiropractic P.C. | Chiropractor | 648 A East Chester Pike, Ridley Park, PA 19078 | 2006-12-20 |
| 1164518742 | John Samuel Rizzo | Ophthalmology | 8 Morton Avenue, Suite 101, Ridley Park, PA 19078 | 2006-10-04 |
| 1972511947 | John R Callahan Dds Assoc | Dentist | 101 E Ward Ave, Ridley Park, PA 19078 | 2006-08-04 |
| Find all providers in zip 19078 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750545661 | Joanne Marie Ilustre | Internal Medicine | 1 Bartol Ave Ste 10, Ridley Park, PA 19078-2214 | 2008-07-10 |
| 1023010444 | Howard T Gitter | Internal Medicine | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078 | 2005-08-15 |
| 1366786055 | Health Access Network | Internal Medicine | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078-2214 | 2012-11-19 |
| 1659460350 | Aymen Alrez | Internal Medicine | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078 | 2006-10-12 |
| 1427050806 | Cardiovascular Group LLC | Internal Medicine | 1 Bartol Ave, Ste 10, Ridley Park, PA 19078-2214 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811507445 | St. Clair Medical Services, Inc. | Internal Medicine | 363 Vanadium Rd Ste 300, Pittsburgh, PA 15243-1477 | 2020-08-07 |
| 1336772490 | Gslpg Inc | Internal Medicine | 1165 Centre Tpke, Orwigsburg, PA 17961-9343 | 2020-02-18 |
| 1215560503 | Alliance Cardiology PC | Internal Medicine | 21 Yost Blvd Ste 216, Pittsburgh, PA 15221-5283 | 2020-02-15 |
| 1366007478 | Certified Cardiology of Roxborough PC | Internal Medicine | 640 Anthony Rd, Elkins Park, PA 19027-1702 | 2019-05-03 |
| 1023576436 | Mark J. Geller, Md, LLC | Internal Medicine | 121 Freeport Rd Ste 200, Blawnox, PA 15238-3411 | 2019-03-05 |
| 1215437173 | Walter Herman | Internal Medicine | 275 N Latches Ln, Merion Station, PA 19066-1726 | 2018-02-17 |
| 1780198754 | William Sigmund | Internal Medicine | 608 Spruce St, Philadelphia, PA 19106-4114 | 2017-11-28 |
| 1982128690 | Mercy Management of Sepa | Internal Medicine | 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1831637263 | Your Travel Health LLC | Internal Medicine | 847 Youngs Ford Rd, Gladwyne, PA 19035-1610 | 2017-02-06 |
| Find all providers with the same taxonomy | ||||
| City | RIDLEY PARK |
| Zip Code | 19078 |
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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.