POTTSTOWN HOSPITAL COMPANY LLC (NPI# 1881696664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881696664 |
| Entity Type | Organization |
| Organization Name | POTTSTOWN HOSPITAL COMPANY LLC |
| Other Organization Name | COVENTRY MEDICAL GROUP - PEDS |
| Practice Address |
1610 Medical Dr Pottstown PA 19464-3292 |
| Mailing Address |
730 S Hanover St Pottstown PA 19465-7520 |
| Practice Telephone | 6103268660 |
| Practice Fax Number | 6103268408 |
| Mailing Telephone | 6103236835 |
| Mailing Fax Number | 6103234154 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GARY D NEWSOME (PRESIDENT) |
| Authorized Official Telephone | 6153739600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ========= | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007517440011 | 05 |
| Other Name | Type Code |
|---|---|
| Coventry Medical Group - Peds | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386646164 | Pottstown Hospital Company LLC | Family Medicine | 193 Old Swede Rd, Douglassville, PA 19518-1522 | 2005-08-11 |
| 1760484539 | Pottstown Hospital Company LLC | Family Medicine | 730 S Hanover St, Pottstown, PA 19465-7520 | 2005-08-11 |
| 1881883817 | Pottstown Hospital Company LLC | Psychiatry & Neurology | 1600 E High St, Pottstown, PA 19464-5008 | 2007-10-16 |
| 1952516684 | Pottstown Hospital Company LLC | Clinic/Center | 1600 E High St, Pottstown, PA 19464-5008 | 2007-05-14 |
| 1023125929 | Pottstown Hospital Company LLC | Clinic/Center | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2006-08-24 |
| 1891768099 | Pottstown Hospital Company LLC | General Acute Care Hospital | 1600 E High St, Pottstown, PA 19464-5008 | 2006-02-08 |
| 1427021625 | Pottstown Hospital Company LLC | Psychiatric Unit | 1600 E High St, Pottstown, PA 19464-5008 | 2006-02-08 |
| 1669445870 | Pottstown Hospital Company LLC | Skilled Nursing Facility | 1600 E High St, Pottstown, PA 19464-5008 | 2006-02-08 |
| 1568432003 | Pottstown Hospital Company LLC | General Acute Care Hospital | 1600 E High St, Pottstown, PA 19464-5008 | 2006-01-26 |
| 1548230469 | Pottstown Hospital Company LLC | Obstetrics & Gynecology | 1600 E High St, Pottstown, PA 19464-5008 | 2006-01-24 |
| Street Address |
1610 MEDICAL DR |
| City | POTTSTOWN |
| State | PA |
| Zip Code | 19464-3292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730189473 | Maria A Tucker | Obstetrics & Gynecology | 1610 Medical Dr, Suite 105, Pottstown, PA 19464-3292 | 2005-07-22 |
| 1891101390 | Pottstown Medical Specialists, Inc. | Internal Medicine | 1610 Medical Dr, Suite 310, Pottstown, PA 19464-3292 | 2014-07-03 |
| 1215281696 | Jeremy Lincoln | Nurse Practitioner | 1610 Medical Dr, Suite 105, Pottstown, PA 19464-3292 | 2012-11-06 |
| 1578716056 | Pottstown Medical Specialists, Inc. | Physical Medicine & Rehabilitation | 1610 Medical Dr, Suite 101, Pottstown, PA 19464-3292 | 2008-10-29 |
| 1356502827 | Jessica Nancy Williams | Obstetrics & Gynecology | 1610 Medical Dr, Suite 105, Pottstown, PA 19464-3292 | 2008-06-18 |
| 1639293046 | Stowe Medical Group | Internal Medicine | 1610 Medical Dr, Suite 310, Pottstown, PA 19464-3292 | 2007-03-19 |
| 1730103177 | William Guillermo Cano | Physical Medicine & Rehabilitation | 1610 Medical Dr, Suite 101, Pottstown, PA 19464-3292 | 2006-07-27 |
| 1699777060 | Karen L Kleger | Nurse Practitioner | 1610 Medical Dr, Pottstown, PA 19464-3292 | 2005-08-15 |
| 1902898158 | Kathleen Vanburen | Nurse Practitioner | 1610 Medical Dr, Pottstown, PA 19464-3292 | 2005-08-15 |
| 1386646735 | Claire B Olstad | Pediatrics | 1610 Medical Dr, Pottstown, PA 19464-3292 | 2005-08-15 |
| Find all providers in the same location | ||||
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457395626 | Joshua B Williamson | Pediatrics | 730 South Hanover Street, Pottstown, PA 19465 | 2006-06-16 |
| 1184164279 | Ashleigh Clair Sobotka | Pediatrics | 800 Heritage Dr, Suite 820, Pottstown, PA 19464-9220 | 2017-03-08 |
| 1851738587 | Sheila Aseto | Pediatrics | 800 Heritage Dr, Suite 820, Pottstown, PA 19464-9220 | 2013-06-04 |
| 1932462025 | Samantha Adrienne Morrow | Pediatrics | 1600 E High St, Pottstown, PA 19464-5008 | 2012-06-22 |
| 1962721092 | Dorota Kaminski | Pediatrics | 1590 Medical Dr, Suite E, Pottstown, PA 19464-3247 | 2010-05-28 |
| 1720312325 | Karen Smith Bigelow | Pediatrics | 1590 Medical Drive, Suite E, Pottstown, PA 19467 | 2009-09-29 |
| 1588843759 | Maryann Snyder | Pediatrics | 1600 E High St, Pottstown, PA 19464-5008 | 2007-10-24 |
| 1720116627 | Children's Hospital of Philadelphia | Pediatrics | 1590 Medical Dr, Suite E, Pottstown, PA 19464-3247 | 2007-03-01 |
| 1609933415 | Marvin H Kromash | Pediatrics | 1590 Medical Dr, Suite E, Pottstown, PA 19464-3247 | 2007-01-02 |
| 1306908918 | Maria Conwell | Pediatrics | 1590 Medical Drive, Suite E, Pottstown, PA 19464 | 2006-12-14 |
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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.