PENNCARE - ROYERSFORD MEDICAL ASSOCIATES (NPI# 1831231679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831231679 |
| Entity Type | Organization |
| Organization Name | PENNCARE - ROYERSFORD MEDICAL ASSOCIATES |
| Practice Address |
420 W Linfield Rd Limerick PA 19468-4278 |
| Mailing Address |
5810 Nancy Ridge Dr 100 San Diego CA 92121-2834 |
| Practice Telephone | 6104952650 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2010-08-25 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | OS006549L | PA | Suppliers |
| Street Address |
420 W LINFIELD RD |
| City | LIMERICK |
| State | PA |
| Zip Code | 19468-4278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508919440 | Janice Sumner | Family Medicine | 420 W Linfield Rd, Ste. 2000, Limerick, PA 19468-4278 | 2007-01-22 |
| 1740323005 | David Stepansky | Internal Medicine | 420 W Linfield Rd, Suite 100, Limerick, PA 19468-4278 | 2007-02-15 |
| 1215079330 | Somera Ali | Internal Medicine | 420 W Linfield Rd, Limerick, PA 19468-4278 | 2007-02-13 |
| 1295871598 | Mark Real | Internal Medicine | 420 W Linfield Rd, Suite 100, Limerick, PA 19468-4278 | 2007-01-30 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700315041 | Brandywine Family Foot Care, PC | Non-Pharmacy Dispensing Site | 410 W Linfield Trappe Rd Ste 120, Limerick, PA 19468-4200 | 2017-06-09 |
| 1043744352 | Premier Immediate Medical Care, LLC | Non-Pharmacy Dispensing Site | 43 W Ridge Pike, Limerick, PA 19468-1711 | 2017-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723806 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 719 Dresher Rd Ste B, Horsham, PA 19044-2205 | 2020-06-05 |
| 1144844507 | Diamond Drugs, Inc. | Non-Pharmacy Dispensing Site | 665 Kolter Dr, Indiana, PA 15701-3570 | 2020-06-02 |
| 1023655602 | Dedicated Pennsylvania Holding, LLC | Non-Pharmacy Dispensing Site | 330 W Oregon Ave # 170, Philadelphia, PA 19148-4723 | 2019-12-03 |
| 1275193336 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 103 Nesbitt Rd, New Castle, PA 16105-3401 | 2019-06-19 |
| 1770141491 | R&r Eyewear Imports, Inc. | Non-Pharmacy Dispensing Site | 311 W Moreland Rd, Willow Grove, PA 19090-3107 | 2019-05-29 |
| 1174089858 | Centers for Advanced Urology, LLC | Non-Pharmacy Dispensing Site | 400 Davis Dr Ste 200a, Plymouth Meeting, PA 19462-1718 | 2019-02-18 |
| 1811469760 | Dermatology and Mohs Surgery Center PC | Non-Pharmacy Dispensing Site | 920 Lawn Ave Ste 6, Sellersville, PA 18960-1560 | 2018-12-17 |
| 1437624244 | Highpoint Pain & Rehabilitation Physicians | Non-Pharmacy Dispensing Site | 2 Village Road, Horsham, PA 19044 | 2018-10-08 |
| 1649768110 | Qpharma Inc | Non-Pharmacy Dispensing Site | 20 Highland Park Dr Ste 202, Uniontown, PA 15401-8968 | 2018-04-30 |
| 1215424536 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1321 Fifth Ave Ste 1, Mckeesport, PA 15132-2403 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
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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.