DR. ANDREW JOSEPH MEHALICK (NPI# 1821424102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821424102 |
| Entity Type | Individual |
| Full Name | DR. ANDREW JOSEPH MEHALICK |
| Credential | D.O. |
| Practice Address |
One Medical Center Blvd Bldg 1 - Suite 400 Upland PA 19013 |
| Mailing Address |
207 N Broad St Fl 3 Philadelphia PA 19107-1500 |
| Practice Telephone | 6108762400 |
| Practice Fax Number | 6108762400 |
| Mailing Telephone | 2674794142 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2019-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
OS020056 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1036308040002 | 05 | |
| PA | 1036308040001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2100 Keystone Ave Ste 200, Drexel Hill, PA 190261124 | 6102590240 | 6102590606 |
| Street Address |
ONE MEDICAL CENTER BLVD BLDG 1 - SUITE 400 |
| City | UPLAND |
| State | PA |
| Zip Code | 19013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014628 | Calvin Randolph Stafford Jr. | Psychiatry & Neurology | One Medical Center Blvd, Suite 533, Upland, PA 19013-3902 | 2005-06-28 |
| 1609495035 | Lindsay Alexandra West | Student in an Organized Health Care Education/Training Program | One Medical Center Blvd, Acp Suite 332, Upland, PA 19013 | 2020-04-15 |
| 1780171876 | Alice Shen | Student in an Organized Health Care Education/Training Program | One Medical Center Blvd, Department of Medicine, Third Floor, East Wing, Upland, PA 19013 | 2018-04-16 |
| 1679002083 | Kirankumar Patel | Internal Medicine | One Medical Center Blvd, Department of Medicine 3 East, Upland, PA 19013 | 2017-06-08 |
| 1194130328 | Baotram Ngoc Luu | Physician Assistant | One Medical Center Blvd, Suite 404, Upland, PA 19013 | 2014-06-26 |
| 1790048437 | Michael Andrew Lashner | Internal Medicine | One Medical Center Blvd, Bldg 1 - Suite 400, Upland, PA 19013 | 2012-06-18 |
| 1437411352 | Crozer Chester Medical Center | General Acute Care Hospital | One Medical Center Blvd, Acp 332, Upland, PA 19013 | 2012-06-15 |
| 1306112644 | Dexter Doromal Jacob | Internal Medicine | One Medical Center Blvd, Bldg 1 Ste 400, Upland, PA 19013-3902 | 2012-03-30 |
| 1831408871 | Aashay Navin Patel | Internal Medicine | One Medical Center Blvd, Suite 404, Upland, PA 19013-3902 | 2010-09-24 |
| 1144549536 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Durable Medical Equipment & Medical Supplies | One Medical Center Blvd, Ccmc Prof Office Bldg II Ste 320, Upland, PA 19013 | 2010-05-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
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| 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 |
|---|---|---|---|---|
| 1376905406 | Prohealth Partners A Medical Group Inc | Internal Medicine | 685 N 13th Ave Ste 7, Upland, CA 91786-4963 | 2016-03-28 |
| 1891929287 | Shadi A. Qasqas Md, Inc. | Internal Medicine | 1646 N Palm Ave, Upland, CA 91784-1922 | 2009-05-13 |
| 1902091663 | Sandeep K Sharma | Internal Medicine | 1 Medical Center Blvd Ste 400, Bldg 1, Upland, PA 19013 | 2007-09-06 |
| 1932264850 | Baidyanath Prasad | Internal Medicine | 1508 Grandview St, Upland, CA 91784-8622 | 2006-12-22 |
| 1942261904 | Roger Dennis Duber | Internal Medicine | 685 N 13th Ave, Ste 9, Upland, CA 91786 | 2006-03-30 |
| 1427024439 | Ancil Jones | Internal Medicine | 1 Medical Center Blvd - Bldg 1, Ste 400, Upland, PA 19013 | 2006-02-28 |
| 1265405823 | David Kleinman | Internal Medicine | 1 Medical Center Blvd - Bldg 1 Ste 400, Upland, PA 19013 | 2006-02-13 |
| 1558334151 | Rose M Lee | Internal Medicine | 1 Medical Center Blvd - Bldg 2 Ste 224, Upland, PA 19013 | 2006-02-13 |
| 1194715193 | Byung Don Ahn | Internal Medicine | 1382 E Foothill Blvd, Upland, CA 91786-4014 | 2005-10-21 |
| 1932101888 | Michael Adesman | Internal Medicine | 1 Medical Center Boulevard, Building #1 Suite 400, Upland, PA 19013 | 2005-08-11 |
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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.