STC PEDIATRICS LLC (NPI# 1760026991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760026991 |
Entity Type | Organization |
Organization Name | STC PEDIATRICS LLC |
Other Organization Name | ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES NEPRHOLOGY - JENKINTOWN |
Practice Address |
500 York Rd Ste 250 Jenkintown PA 19046-2870 |
Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
Practice Telephone | 6109544000 |
Enumeration Date | 2019-10-31 |
Last Update Date | 2020-01-21 |
Authorized Official Name | GARY CONNER (VP & CFO) |
Authorized Official Telephone | 4846280797 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
St. Christopher's Pediatric Associates Neprhology - Jenkintown | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912516279 | Stc Pediatrics LLC | Pediatrics | 3601 A St Fl Family, Philadelphia, PA 19134-1043 | 2020-07-23 |
1932722881 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 | 2020-05-27 |
1649806217 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave Fl 3, Philadelphia, PA 19134-1011 | 2020-03-16 |
1033753439 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-30 |
1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
1639713944 | Stc Pediatrics LLC | Pediatrics | 1201 Langhorne Newtown Rd Ste 401, Langhorne, PA 19047-1201 | 2019-10-30 |
1548804909 | Stc Pediatrics LLC | Psychiatry & Neurology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
1962046474 | Stc Pediatrics LLC | Pediatrics | 301 Oxford Valley Rd Ste 1201, Yardley, PA 19067-7706 | 2019-10-29 |
1508466913 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-27 |
1548867476 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-05 |
Street Address |
500 YORK RD STE 250 |
City | JENKINTOWN |
State | PA |
Zip Code | 19046-2870 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033753439 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-30 |
1104464742 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-12-13 |
1952949562 | Stc Pediatrics LLC | Internal Medicine | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-12-13 |
1003451345 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-11-11 |
1548805047 | Stc Pediatrics LLC | Clinic/Center | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-11-08 |
1538703608 | Stc Pediatrics LLC | Psychiatry & Neurology | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-11-01 |
1144864216 | Stc Pediatrics LLC | Internal Medicine | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-11-01 |
1295379295 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-11-01 |
1972147197 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-31 |
1083258214 | Stc Pediatrics LLC | Orthopaedic Surgery | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083279061 | Yves Rose Josselin | In Home Supportive Care | 610 Old Yord Road, Suite 400, Jenkintown, PA 19046 | 2019-05-06 |
1942790498 | Elizabeth Collins Cook | Counselor | 501 Old York Rd Unit 4, Jenkintown, PA 19046 | 2018-05-10 |
1013407568 | Samuel Albert | Counselor | 501 York Rd Unit 4 Renew Family Services LLC, Jenkintown, PA 19046 | 2018-05-10 |
1275050841 | Khristina Tylo | Home Health Aide | 1653 The Fairway St, Jenkintown, PA 19046 | 2017-08-24 |
1073053898 | Jennifer Nicole Romania | Physician Assistant | 500 Old York Road, Suite 201, Jenkintown, PA 19046 | 2017-02-27 |
1790159648 | Crystina Kaylin Cave | Physician Assistant | Holy Redeemer Hospital, 1648 Huntingdon Pike, Huntingdon Valley, PA 19046 | 2015-11-16 |
1790112225 | Jerry H Herman | Obstetrics & Gynecology | 906 Frog Hollow Terrace, Rydal, PA 19046 | 2013-09-30 |
1861828774 | Christopher T Flood | Physical Therapist | 676 Old York Road, Jenkintown, PA 19046 | 2013-09-24 |
1013251420 | Ann K Lodovichetti | Physical Medicine & Rehabilitation | 1616 Hungtindon Pike, Meadowbrook, PA 19046 | 2012-11-26 |
1689941916 | Sandra H. Kosmin | Social Worker | 114 Forrest Avenue, Suite 2, Narberth, PA 19046 | 2011-12-01 |
Find all providers in zip 19046 |
Taxonomy Code | 2080P0210X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Nephrology |
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386018844 | Brenda Cooperstone | Pediatrics | 394 Strathmore Dr, Bryn Mawr, PA 19010-1261 | 2015-11-20 |
1891037644 | Martin Sander Polinsky | Pediatrics | 953 Caledonia St, Philadelphia, PA 19128-1129 | 2013-03-20 |
1306135769 | Ruth Panzer Gottlieb | Pediatrics | 3300 Darby Rd Apt 5213, Haverford, PA 19041-7706 | 2011-04-06 |
1588826317 | Seth Schulman | Pediatrics | 15 Beth Dr, Ambler, PA 19002-1930 | 2008-07-02 |
1609986421 | Yosuke Miyashita | Pediatrics | 4401 Penn Ave / Faculty Pavilion, 44, Children's Hospital of Pittsburgh of Upmc, Pittsburgh, PA 15224 | 2006-08-30 |
1265480248 | Jonathan David Heiliczer | Pediatrics | St. Christopher's Hospital for Children, Erie Avenue At Front Street, Philadelphia, PA 19134-1095 | 2006-05-04 |
1932106077 | Carlton M Bates | Pediatrics | Upmc Children's Hospital of Pittsburgh, 4401 Penn Avenue, Rangos 5th Floor, Room 5130, Pittsburgh, PA 15201 | 2005-07-05 |
1730715830 | Katie Sullivan | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-03-20 |
1568000461 | Stc Pediatrics LLC | Pediatrics | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-12-11 |
1699319038 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
Find all providers with the same taxonomy |
City | JENKINTOWN |
Zip Code | 19046 |
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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.