JON HAMILTON MEYERLE (NPI# 1972552545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972552545 |
| Entity Type | Individual |
| Full Name | JON HAMILTON MEYERLE |
| Credential | M.D. |
| Practice Address |
995 Old Eagle School Rd Ste 304f Wayne PA 19087-1701 |
| Mailing Address |
220 Glenn Rd Ardmore PA 19003-2512 |
| Practice Telephone | 6106883099 |
| Practice Fax Number | 6106875350 |
| Mailing Telephone | 2022463262 |
| Mailing Fax Number | 6102001411 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD464849 | PA | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | D62336 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 407240500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 32 Parking Plz Ste 300, Ardmore, PA 19003 | 6102994561 | 6102001411 |
| 600 N Wolfe St, Baltimore, MD 212870005 | 4109555933 |
| Street Address |
995 OLD EAGLE SCHOOL RD STE 304F |
| City | WAYNE |
| State | PA |
| Zip Code | 19087-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487624367 | Alan Joseph Himmelsbach | Nurse Practitioner | 995 Old Eagle School Rd Ste 304f, Wayne, PA 19087-1701 | 2006-01-24 |
| 1639328032 | Ying Yang | Nurse Practitioner | 995 Old Eagle School Rd Ste 304f, Wayne, PA 19087-1701 | 2008-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037455 | Melissa Chipollini | Counselor | 487 Devon Park, Wayne, PA 19087 | 2020-06-11 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1538654363 | Brightview Wayne, LLC | Alzheimer Center (Dementia Center) | 301 E. Conestoga Road, Wayne, PA 19087 | 2018-06-25 |
| 1396234076 | Life Clinic of Pa PC | Physical Therapist | 700 E. Swedesford Rd., Wayne, PA 19087 | 2018-05-08 |
| 1841717246 | Laurie Anne Griffith | Counselor | 300 King of Prussia Rd, 2nd Floor, Radnor, PA 19087 | 2017-08-25 |
| 1457871279 | Tracy Kornafel | Physical Therapist | 288 Iven Ave, Apt 1a, Wayne, PA 19087 | 2017-06-22 |
| 1366980153 | Jodi Miller | Physical Therapist | 999 Old Eagle School Rd., Suite 106, Wayne, PA 19087 | 2017-02-01 |
| 1891244844 | Elite Pt LLC | Physical Therapist | 555 E Lancaster Ave Ste 30, Saint Davids, PA 19087 | 2016-09-30 |
| 1386190015 | Patrick Hanratty | Counselor | 468 Upper Weadley Rd, Wayne, PA 19087 | 2016-09-01 |
| 1316494958 | Main Line Day, LLC | Psychologist | 487 Devon Park Drive, Suite 207, Wayne, PA 19087 | 2016-09-01 |
| Find all providers in zip 19087 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447391172 | Edward Milano | Dermatology | 10 Route 23 South, Wayne, NJ 07470 | 2007-02-08 |
| 1295712487 | John K Wildemore Iv | Dermatology | 744 W Lancaster Ave, Suite 230, Wayne, PA 19087-2523 | 2005-12-28 |
| 1770801086 | Mona Lisa Cosmetic Surgery Center | Dermatology | 1176 Hamburg Tpke, Wayne, NJ 07470-5069 | 2010-05-11 |
| 1750610069 | K.neena Chima, M.d., L.L.C. | Dermatology | 508 Hamburg Tpke, Suite 101, Wayne, NJ 07470-8482 | 2009-12-15 |
| 1669622148 | Susan Seo | Dermatology | 995 Old Eagle School Rd, Wayne, PA 19087-1709 | 2008-09-22 |
| 1801950480 | Alice C Cardullo | Dermatology | 330 Ratzer Rd, Suite B9, Wayne, NJ 07470-7702 | 2006-12-20 |
| 1376632257 | John K. Wildemore, Md, LLC | Dermatology | 744 W Lancaster Ave, Building 2, Suite 230, Wayne, PA 19087-2523 | 2006-10-11 |
| 1447263744 | Diana S Leu | Dermatology | 601 Hamburg Tpke, Suite 211, Wayne, NJ 07470-2048 | 2006-08-15 |
| 1780614537 | Herbert Simon Maier | Dermatology | 220 Hamburg Tpke, Suite 22, Wayne, NJ 07470-2110 | 2006-07-04 |
| 1497794861 | Kuljit Chima | Dermatology | 246 Hamburg Tpke, Suite 306, Wayne, NJ 07470-2156 | 2006-06-04 |
| Find all providers in WAYNE | ||||
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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.