PMSI DIVISION OF HEMATOLOGY (NPI# 1851416176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851416176 |
| Entity Type | Organization |
| Organization Name | PMSI DIVISION OF HEMATOLOGY |
| Other Organization Name | POTTSTOWN MEDICAL SPECIALISTS HEM ONC |
| Practice Address |
1591 Medical Drive Pottstown PA 19464 |
| Mailing Address |
1610 Medical Drive Suite 310 Pottstown PA 19464 |
| Practice Telephone | 6103268005 |
| Practice Fax Number | 6103279629 |
| Mailing Telephone | 6103274200 |
| Mailing Fax Number | 6103278160 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2016-07-14 |
| Authorized Official Name | SHANA M ENOCHS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 6103274200 |
| Is Organization Subpart | Y |
| Parent Organization Name | POTTSTOWN MEDICAL SPECIALISTS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD065910L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE SHIELD ASSIGN ACCT | 919533 | 01 |
| PA | KEYSTONE HMO | 0859307000 | 01 |
| Other Name | Type Code |
|---|---|
| POTTSTOWN MEDICAL SPECIALISTS HEM ONC | Other Name - Individual/Organization |
| Street Address |
1591 MEDICAL DRIVE |
| City | POTTSTOWN |
| State | PA |
| Zip Code | 19464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023098894 | Joseph D Krantzler | Internal Medicine | 1591 Medical Drive, Pottstown, PA 19464 | 2006-01-18 |
| 1124396254 | Amber H. Iqbal | Internal Medicine | 1591 Medical Drive, Pmsi Division of Hematology/oncology, Pottstown, PA 19464-1946 | 2011-12-03 |
| 1740462043 | Kim Churach | Nurse Practitioner | 1591 Medical Drive, Pottstown, PA 19464 | 2007-11-29 |
| 1245451426 | Pottstown Medical Specialists, Inc. | Internal Medicine | 1591 Medical Drive, Pottstown, PA 19464 | 2007-05-02 |
| 1114042595 | Pmsi Division of Pulmonary | Internal Medicine | 1591 Medical Drive, Pottstown, PA 19464 | 2007-03-21 |
| 1679698401 | Pmsi Division of Nephrology | Internal Medicine | 1591 Medical Drive, Pottstown, PA 19464 | 2007-03-20 |
| 1982728309 | Pmsi Division of Gastroenterology | Internal Medicine | 1591 Medical Drive, Pottstown, PA 19464 | 2007-03-19 |
| 1710001136 | Pmsi Division of Cardiology | Internal Medicine | 1591 Medical Drive, Pottstown, PA 19464 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770051971 | Jennifer Vernon | Counselor | 111 Robinson Street, Pottstown, PA 19464 | 2018-11-06 |
| 1609356732 | Wisna Serenity Homes Corp | Home Health | 444 North Mount Vernon Ave, Pottstown, PA 19464 | 2018-08-17 |
| 1164919007 | Katie A Lewis | Counselor | Creative Health Services Inc., 11 Robinson Street, Pottstown, PA 19464 | 2018-04-17 |
| 1326564998 | Dana Marie Skilton | Counselor | 11 Robinson Ave, Pottstown, PA 19464 | 2017-08-16 |
| 1629425954 | Edith Mary French | Registered Nurse | 1630 East High Street, Bldg #4, Pottstown, PA 19464 | 2016-05-17 |
| 1215314547 | Amy Lynne Campos | Counselor | 1200 E. High St. Suite 202, Pottstown, PA 19464 | 2015-05-06 |
| 1417346560 | Erica L Avello | Psychologist | 404 E High Street, Pottstown, PA 19464 | 2015-01-13 |
| 1336559145 | Beth Sue Desch | Dental Hygienist | 11 Robinson St. Suite 100, Pottstown, PA 19464 | 2014-05-01 |
| 1043638414 | Claudia Baumert | Dietitian, Registered | 555 E High Sreet, Pottstown, PA 19464 | 2014-04-02 |
| 1770922692 | Marie Elizabeth Bisconti | Optometrist | 264 Upland Square Dr, Pottstown, PA 19464 | 2013-06-25 |
| Find all providers in zip 19464 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134129869 | Ronald L Swaab | Internal Medicine | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2005-07-22 |
| 1124396254 | Amber H. Iqbal | Internal Medicine | 1591 Medical Drive, Pmsi Division of Hematology/oncology, Pottstown, PA 19464-1946 | 2011-12-03 |
| 1104016674 | Kalyani Narra | Internal Medicine | 1600 E High St, Pmmc Regional Cancer Center, Pottstown, PA 19464-5008 | 2007-07-30 |
| 1104826825 | Wei Song | Internal Medicine | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2005-07-22 |
| 1659371383 | Jeffrey A Stevens | Internal Medicine | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372286 | Bethanie Jones | Internal Medicine | 200 St Lukes Ln Ste 100, Stroudsburg, PA 18360-6218 | 2020-09-26 |
| 1053930362 | Dubois Regional Medical Center | Internal Medicine | 88 Hospital Rd, Brookville, PA 15825-1368 | 2020-04-16 |
| 1760947840 | Russell Eugene Kaufman | Internal Medicine | 700 Glengarry Rd, Philadelphia, PA 19118-4111 | 2019-02-04 |
| 1891204921 | Ahmed Mostafa | Internal Medicine | Hahnemann University Hospital, 230 N. Broad St., Philadelphia, PA 19102 | 2017-09-20 |
| 1730607755 | Penn State Health Community Medical Group, LLC | Internal Medicine | 233 College Ave Ste 303, Lancaster, PA 17603-3384 | 2017-08-30 |
| 1831619097 | Pinnacle Health Regional Physicians | Internal Medicine | 233 College Ave Ste 100, Lancaster, PA 17603-3372 | 2017-06-20 |
| 1194193656 | Allen Oliff | Internal Medicine | 1412 Florence Dr, Gwynedd Valley, PA 19437 | 2015-09-14 |
| 1679958912 | Lancaster Medical Group, LLC | Internal Medicine | 1575 Highlands Dr Ste 205, Lititz, PA 17543-7507 | 2015-07-28 |
| 1780077735 | Arnon I Dreyfuss | Internal Medicine | 239 Delancey St, Philadelphia, PA 19106-4318 | 2015-03-16 |
| 1164841193 | Maria Vershvovsky | Internal Medicine | 440 E Marshall St Ste 101, West Chester, PA 19380-5414 | 2014-04-07 |
| 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.