DR. PAUL IMPELLIZZERI (NPI# 1760652911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760652911 |
| Entity Type | Individual |
| Full Name | DR. PAUL IMPELLIZZERI |
| Credential | M.D. |
| Practice Address |
301 S 7th Ave Suite 1070 West Reading PA 19611 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 4846282468 |
| Practice Fax Number | 4846282467 |
| Mailing Telephone | 7178511405 |
| Mailing Fax Number | 7172703754 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2019-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD440394 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102496650 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 301 S 7th Ave, Suite 1070, West Reading, PA 19611 | 4846282468 | 4846282467 |
| Street Address |
301 S 7TH AVE SUITE 1070 |
| City | WEST READING |
| State | PA |
| Zip Code | 19611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839693 | Ron D. Nutting | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 301 S 7th Ave, Ste 1120, West Reading, PA 19611-1493 | 2005-05-31 |
| 1114564911 | Naomi Owusu Acheampong | Nurse Practitioner | 301 S 7th Ave, West Reading, PA 19611-1410 | 2019-11-30 |
| 1639646565 | Daniel S Hawkins | Physician Assistant | 301 S 7th Ave, West Reading, PA 19611-1410 | 2018-10-29 |
| 1841733961 | Tower Health Medical Group | Obstetrics & Gynecology | 301 S 7th Ave, Ste 245, West Reading, PA 19611-1451 | 2016-11-21 |
| 1164972147 | Keystone Orthopaedic Specialists LLC | Orthopaedic Surgery | 301 S 7th Ave, Suite 365, West Reading, PA 19611-1410 | 2016-10-13 |
| 1114476504 | Janine Louise Gurtowski | Physician Assistant | 301 S 7th Ave, Suite 365, West Reading, PA 19611-1410 | 2016-09-26 |
| 1487017539 | Jody Kilpatrick | Nurse Practitioner | 301 S 7th Ave, Suite 210, West Reading, PA 19611-1410 | 2016-04-05 |
| 1124487210 | Tower Health Medical Group | Internal Medicine | 301 S 7th Ave, Ste 2020, West Reading, PA 19611-1495 | 2016-02-17 |
| 1275991960 | Laura Rhodes | Nurse Practitioner | 301 S 7th Ave, Suite 1120, West Reading, PA 19611-1410 | 2016-02-09 |
| 1306212733 | Donna Lamson | Nurse Practitioner | 301 S 7th Ave, Suite 245, West Reading, PA 19611-1410 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033645247 | Donna Connor | Nurse Practitioner | S. 6th Ave, Reading, PA 19611 | 2017-05-08 |
| 1215397286 | Brian Punnoose | Pharmacist | 301 S. 6th Avenue, West Reading, PA 19611 | 2016-03-03 |
| 1700273323 | Sheila Kalathil | Internal Medicine | 420 S 5th Avenue, West Reading, PA 19611 | 2015-04-21 |
| 1497174502 | Marianne Sharon | Counselor | 20-22 North 6th Ave., West Reading, PA 19611 | 2014-04-16 |
| 1699191718 | Meghan Ward | Nurse Practitioner | Bldg N Ground- 6th Avenue & Spruce Street, West Reading, PA 19611 | 2014-03-13 |
| 1821413378 | Elizabeth Rider-williams | Counselor | 6th Avenue & Spruce Street - K Bldg, West Reading, PA 19611 | 2014-02-20 |
| 1295050193 | John Oliver Mclain Jr. | Psychiatry & Neurology | S. 6th Ave and Spruce Street, West Reading, PA 19611 | 2010-04-02 |
| 1215252515 | Sara L Lee | Physician Assistant | S Sixth Ave and Spruce St, Thrmc Regional Cancer Center, West Reading, PA 19611 | 2010-03-30 |
| 1508012683 | Kathryn Mraz Marr | Physical Therapist | 629 Court St, West Reading, PA 19611 | 2008-08-08 |
| 1316116809 | Genesis House Reading | Clinic/Center | 697 Reading Avenue, West Reading, PA 19611 | 2008-02-28 |
| Find all providers in zip 19611 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992720247 | Robert A Brigham | Surgery | 301 S 7th Ave, Suite 1070, West Reading, PA 19611-1410 | 2006-07-13 |
| 1316906407 | James A Coffey | Surgery | 301 S 7th Ave, Suite 1070, West Reading, PA 19611-1410 | 2006-03-20 |
| 1871562207 | Reading Vascular Surgical Specialists | Surgery | 301 S 7th Ave, Suite 1070, West Reading, PA 19611-1410 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720630650 | Broad Street Professional Medical Services LLC | Surgery | 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1124670922 | Broad Street Medical LLC | Surgery | 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1932610755 | Vascular Surgical Specialists Pllc | Surgery | 1450 E Boot Rd Ste 600b, West Chester, PA 19380-5968 | 2017-10-19 |
| 1336515956 | Aria Health Physician Services | Surgery | 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 | 2015-08-18 |
| 1437525490 | Advanced Vein and Laser Center Lancaster, LLC | Surgery | 896a Plaza Blvd, Lancaster, PA 17601-2745 | 2015-08-13 |
| 1447658877 | Center for Vein Restoration Pa Pllc | Surgery | 1338 Bristol Pike Ste 205, Bensalem, PA 19020-5679 | 2014-12-17 |
| 1023423167 | Catherine Go | Surgery | 420 S Aiken Ave, Apt A6, Pittsburgh, PA 15232-1226 | 2014-06-27 |
| 1659703635 | Walter J. Fagan | Surgery | 211 Center Ave, Jim Thorpe, PA 18229-1205 | 2013-08-01 |
| 1346521267 | Usa Vein Clinics of Philadelphia LLC | Surgery | 51 Cameron Rd, Huntingdon Valley, PA 19006-1401 | 2011-09-06 |
| 1124314893 | Nathan Loren Liang | Surgery | 200 Lothrop St # A-1017, Pittsburgh, PA 15213-2536 | 2011-06-21 |
| Find all providers with the same taxonomy | ||||
| City | WEST READING |
| Zip Code | 19611 |
Please comment or provide details below to improve the information on DR. PAUL IMPELLIZZERI.
| 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.