CONSTITUTION HEALTH LLC (NPI# 1982237145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982237145 |
| Entity Type | Organization |
| Organization Name | CONSTITUTION HEALTH LLC |
| Practice Address |
1215 Cedar Grove Rd Media PA 19063-1044 |
| Practice Telephone | 6105743978 |
| Mailing Telephone | 6105743978 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | HOLLY GLEESON SCHROCK (MANAGING PARTNER) |
| Authorized Official Telephone | 6105743978 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1215 CEDAR GROVE RD |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-1044 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689019226 | Mallory Harlin | Family Medicine | 200 E State St Ste 106, Media, PA 19063-3434 | 2013-05-09 |
| 1427355726 | Claude M. Williams | Family Medicine | 903 Heathdale Ln, Media, PA 19063-1647 | 2011-02-22 |
| 1730409459 | Evan Young Liu | Family Medicine | 2360 N Feathering Ln, Media, PA 19063-1967 | 2010-06-03 |
| 1659598118 | Wei-fan Chen | Family Medicine | 31, Cedar Meadow Lane, Media, PA 19063-6305 | 2007-04-19 |
| 1528126844 | Lynnanne Kasarda | Family Medicine | 176 S New Middletown Rd, Media, PA 19063-5255 | 2006-12-06 |
| 1497863518 | Richard Michael Dimonte Jr. | Family Medicine | 112 W Front St, Media, PA 19063-3208 | 2006-08-28 |
| 1346285053 | Emir Rubio | Family Medicine | 5130 Pennell Rd, Media, PA 19063-6507 | 2006-06-17 |
| 1205805413 | Peter Nicholas Christie | Family Medicine | 1215 W Baltimore Pike, Suite 13, Media, PA 19063-5540 | 2006-03-17 |
| 1164492757 | Edwin Arthur Schuller Jr. | Family Medicine | 1088 W Baltimore Pk, Suite 2201, Media, PA 19063-5146 | 2006-01-25 |
| 1831177682 | Ronald J Carlucci Sr. | Family Medicine | 720 Summer St, Media, PA 19063-1509 | 2006-01-03 |
| 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.