DR. M. ELAYNE DESIMONE (NPI# 1972574788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972574788 |
| Entity Type | Individual |
| Full Name | DR. M. ELAYNE DESIMONE |
| Credential | NP |
| Practice Address |
900 Winding Ln Media PA 19063-1656 |
| Practice Telephone | 6108922888 |
| Mailing Telephone | 6108922888 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F300330-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP007112 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
900 WINDING LN |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-1656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114476207 | Kerry Ann Loughran Loughran | Nurse Practitioner | 200 E State St Ste 100, Media, PA 19063-3434 | 2016-09-29 |
| 1215969530 | Kathleen Borsa Malone | Nurse Practitioner | 605 W State Street, Media, PA 19063 | 2006-07-07 |
| 1316307960 | Sandra Mueller | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2016-02-24 |
| 1417316878 | Anne L Barton | Nurse Practitioner | 1088 W Baltimore Pike, Suite 2104 Health Center 2, Media, PA 19063-5146 | 2016-02-14 |
| 1043636301 | Phuong Ngo | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2014-03-11 |
| 1215368667 | Lisa Cilia | Nurse Practitioner | 1088 W Baltimore Pike, Health Center 2, Suite 2500, Media, PA 19063-5146 | 2013-12-11 |
| 1407117005 | Crestina Rodrigues | Nurse Practitioner | 1048 W Baltimore Pike, Media, PA 19063-6300 | 2012-05-31 |
| 1629200191 | Deborah Moehrle | Nurse Practitioner | 110 Chesley Dr, Media, PA 19063-1755 | 2009-08-18 |
| 1750588927 | Desales Foster | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2007-06-29 |
| 1033122494 | Janeen A Franz | Nurse Practitioner | 1088 W Baltimore Pike, Suite 2500, Media, PA 19063-5146 | 2006-08-15 |
| Find all providers in MEDIA | ||||
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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.