PHOENIXVILLE CLINIC COMPANY LLC (NPI# 1790746345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790746345 |
| Entity Type | Organization |
| Organization Name | PHOENIXVILLE CLINIC COMPANY LLC |
| Other Organization Name | PHOENIXVILLE SURGICAL ASSOCIATES |
| Practice Address |
420 W Linfield Trappe Rd Ste 1100 Limerick PA 19468-4278 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 6104952550 |
| Practice Fax Number | 6104952588 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2019-03-26 |
| Authorized Official Name | GARY CONNER (VP & CFO) |
| Authorized Official Telephone | 4846288181 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHOENIXVILLE CLINIC COMPANY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Phoenixville Surgical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720018898 | Phoenixville Clinic Company LLC | Obstetrics & Gynecology | 300 Schuylkill Rd, Phoenixville, PA 19460 | 2006-07-04 |
| 1275173957 | Phoenixville Clinic Company LLC | Internal Medicine | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2020-01-10 |
| 1891866182 | Phoenixville Clinic Company LLC | Emergency Medicine | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2006-11-10 |
| Street Address |
420 W LINFIELD TRAPPE RD STE 1100 |
| City | LIMERICK |
| State | PA |
| Zip Code | 19468-4278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275515587 | Limerick Pet Associates LLC | Clinic/Center | 420 W Linfield Trappe Rd, Limerick, PA 19468-4278 | 2005-11-14 |
| 1851836191 | Pma Medical Specialists LLC | Pathology | 420 W Linfield Trappe Rd, Building B Suite 101, Limerick, PA 19468-4278 | 2016-12-22 |
| 1548615768 | Greater Philadelphia Spine and Pain, PC | Pain Medicine | 420 W Linfield Trappe Rd, Limerick, PA 19468-4278 | 2016-04-25 |
| 1932574662 | Traci Lynne Brennan | Nurse Practitioner | 420 W Linfield Trappe Rd, Bldg. A, Suite 1000, Limerick, PA 19468-4278 | 2015-12-07 |
| 1508158973 | Phoenixville Specialty Clinics LLC | Durable Medical Equipment & Medical Supplies | 420 W Linfield Trappe Rd, Bldg B Ste 102, Limerick, PA 19468-4278 | 2011-05-04 |
| 1275840274 | Phoenixville Surgery Associates LLC | Surgery | 420 W Linfield Trappe Rd, Suite 3200, Limerick, PA 19468-4278 | 2010-09-13 |
| 1053633560 | Ashley A. Reiter | Nurse Practitioner | 420 W Linfield Trappe Rd, Suite 100, Limerick, PA 19468-4278 | 2010-02-24 |
| 1053556167 | Annapurna Korimilli | Internal Medicine | 420 W Linfield Trappe Rd, Suite 100, Limerick, PA 19468-4278 | 2008-12-04 |
| 1174785711 | Cross Plastic Surgery Associates Pllc | Plastic Surgery | 420 W Linfield Trappe Rd, Ste 3300, Limerick, PA 19468-4278 | 2008-06-25 |
| 1376729715 | Endoscopy Associates of Valley Forge, LLC | Clinic/Center | 420 W Linfield Trappe Rd, Building B, Ste 101, Limerick, PA 19468-4278 | 2008-01-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942797535 | Phycare Asc, LLC | Clinic/Center | 475 Enterprise Drive, Suite 100, Royersford, PA 19468 | 2018-04-18 |
| 1427563840 | Blake Edward Tressler | Chiropractor | 332 West Ridge Pike, Limerick, PA 19468 | 2017-12-07 |
| 1235653205 | Ability Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 410 W Linfield Trappe Rd Ste 110, Royersford, PA 19468 | 2017-08-01 |
| 1083136907 | Jason Mahesh Sampat | Dentist | 8 White Crow Circle, Royersford, PA 19468 | 2017-07-12 |
| 1770012130 | Andre Omar Hewitt | Counselor | 1210 Foxmeadow Dr, Royersford, PA 19468 | 2017-06-08 |
| 1255879359 | Christina Lee | Physical Therapist | 341 10th Ave Ste 101, Royersford, PA 19468 | 2017-02-09 |
| 1083068571 | Lauren Zanikos | Dietitian, Registered | Bodymetrix Health and Wellness Services, 403 W. Ridge Pike, Limerick, PA 19468 | 2016-04-20 |
| 1386006708 | Chetan Nayak | Physical Therapist | 216 Lakeview Drive, 216, Royersford, PA 19468 | 2016-03-24 |
| 1053777037 | Komal Sampat | Dentist | Ambler Dental Care, 602 South Bethlehem Pike, C2, Ambler, PA 19468 | 2016-01-06 |
| 1902261332 | Tracey L Gunther | Behavioral Analyst | 296 W Riige Pike Ste 205, Limerick, PA 19468 | 2015-12-30 |
| Find all providers in zip 19468 | ||||
| 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 |
|---|---|---|---|---|
| 1548222979 | Edward K Pavillard | Surgery | 420 W Linfield Trappe Rd, Ste 3200, Limerick, PA 19468-4278 | 2006-04-03 |
| 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 |
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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.