PROSPECT HEALTH ACCESS NETWORK, INC. (NPI# 1912354432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912354432 |
| Entity Type | Organization |
| Organization Name | PROSPECT HEALTH ACCESS NETWORK, INC. |
| Other Organization Name | INTERNAL MEDICINE |
| Practice Address |
1 Medical Center Blvd Chester PA 19013-3902 |
| Practice Telephone | 6104472000 |
| Mailing Telephone | 6104472000 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | ELLEN SHIN (SECRETARY) |
| Authorized Official Telephone | 3109434520 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Internal Medicine | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619322112 | Prospect Health Access Network, Inc. | Psychologist | 176 S Middletown Rd, Media, PA 19063-5255 | 2016-05-03 |
| 1982152294 | Prospect Health Access Network, Inc. | Urology | 2100 Keystone Ave, Drexel Hill, PA 19026-1129 | 2016-09-15 |
| 1083061006 | Prospect Health Access Network, Inc. | Physical Therapist | 485 Baltimore Pike, Suite 202, Glen Mills, PA 19342-1161 | 2016-05-19 |
| 1780031005 | Prospect Health Access Network, Inc. | Pediatrics | 30 Medical Center Blvd, 3 East, Chester, PA 19013-3955 | 2016-05-17 |
| 1013364520 | Prospect Health Access Network, Inc. | Psychiatry & Neurology | 1 Medical Center Blvd, Acp Ste 533, Chester, PA 19013-3902 | 2016-05-16 |
| 1740637255 | Prospect Health Access Network, Inc. | Internal Medicine | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078-2214 | 2016-05-16 |
| 1922455443 | Prospect Health Access Network, Inc. | Surgery | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2016-05-16 |
| 1013364538 | Prospect Health Access Network, Inc. | Transplant Surgery | 1 Medical Center Blvd, Pob II Suite 220, Chester, PA 19013-3902 | 2016-05-16 |
| 1659728178 | Prospect Health Access Network, Inc. | Internal Medicine | 2100 Keystone Ave, Suite 406, Drexel Hill, PA 19026-1129 | 2016-05-16 |
| 1477900991 | Prospect Health Access Network, Inc. | Pediatrics | 1 Medical Center Blvd, 3rd Floor, Chester, PA 19013-3902 | 2016-05-16 |
| Street Address |
1 MEDICAL CENTER BLVD |
| City | CHESTER |
| State | PA |
| Zip Code | 19013-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626064 | Rachelle Lynn Dambman | Nurse Practitioner | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-10-13 |
| 1588274930 | Hui Chong Lau | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-07-31 |
| 1679194856 | Pooja Manjunatha | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-29 |
| 1609497981 | Jessica Hyman | Physician Assistant | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-28 |
| 1740800242 | Jared Blum | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-24 |
| 1487274312 | Patrick Sean Sullivan | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-21 |
| 1629698550 | Brett Houston Palmer | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-21 |
| 1922627231 | Oluwadara Nnoli | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-16 |
| 1730708181 | Sachi Singhal | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-15 |
| 1770102014 | Mary Howland Williamson | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-15 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 19013 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1467483875 | Sujatha P Vuyyuru | Internal Medicine | 110 Old Bermuda Hundred Rd, Chester, VA 23836-5609 | 2006-07-05 |
| 1841462959 | Tri City Arthritis Center | Internal Medicine | 110 Old Bermuda Hundred Rd, Chester, VA 23836-5609 | 2008-03-28 |
| 1558480715 | Health Access Network | Internal Medicine | 30 Medical Center Blvd, Chester, PA 19013-3955 | 2007-03-28 |
| 1629120076 | Barbara M Matteucci | Internal Medicine | 30 Medical Center Blvd, Suite 306, Chester, PA 19013-3955 | 2007-01-17 |
| 1104977982 | Susan Hoch | Internal Medicine | 30 Medical Center Blvd, Suite 306, Chester, PA 19013-3955 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570916 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St Fl 6, Philadelphia, PA 19107-1519 | 2019-10-25 |
| 1154980878 | Heritage Valley Medical Group, Inc. | Internal Medicine | 27 Heckel Rd Ste 207, Mc Kees Rocks, PA 15136-1673 | 2019-06-06 |
| 1730609991 | Pinnacle Health Regional Physicians | Internal Medicine | 1725 Oregon Pike Ste B107, Lancaster, PA 17601-4290 | 2017-06-20 |
| 1295268050 | Peter Callegari | Internal Medicine | 1803 Hawkweed Way, Malvern, PA 19355-8723 | 2017-04-09 |
| 1841652740 | Carole Dorsch | Internal Medicine | 2021 Garnet Rd, York, PA 17403-4205 | 2016-03-22 |
| 1144687336 | Rheumatology Care Center Pllc | Internal Medicine | 3551 Rhoads Ave, Newtown Square, PA 19073-3629 | 2016-01-20 |
| 1811372022 | Lancaster Medical Group, LLC | Internal Medicine | 1725 Oregon Pike Ste 107, Lancaster, PA 17601-4206 | 2015-07-29 |
| 1134527666 | Noble Medical Care | Internal Medicine | 6760 Market Street, 1st Floor, Upper Darby, PA 19082 | 2014-12-16 |
| 1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
| 1093058877 | Kanchana Nilupul Herath | Internal Medicine | 1261 Division Highway, Ste 2, Philadelphia, PA 17522-8822 | 2013-03-31 |
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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.