John M Fanning Jr. (NPI# 1053494435, PAC ID# 0941230155) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1053494435 |
| PAC ID by PECOS | 0941230155 |
| Professional Enrollment ID | I20050817000742 |
| Full Name | John M Fanning Jr. |
| Organization Legal Name | PROSPECT HEALTH ACCESS NETWORK INC |
| Address |
1 Medical Ctr Blvd Chester PA 19013-3902 |
| Gender | M |
| Credential | MD |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5698065142 |
| Number of Group Practice Members | 296 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390180 | CROZER CHESTER MEDICAL CENTER |
| 390081 | DELAWARE COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Medical Ctr Blvd, Chester, PA 19013-3902 | PROSPECT HEALTH ACCESS NETWORK INC | |
| 300 Evergreen Dr, Glen Mills, PA 19342-1059 | PROSPECT HEALTH ACCESS NETWORK INC | |
| 8 Morton Ave, Suite 303, Ridley Park, PA 19078-2217 | 6105956850 | PROSPECT HEALTH ACCESS NETWORK INC |
| Organization Legal Name | PROSPECT HEALTH ACCESS NETWORK INC |
| Physicians | 316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sana Sultan Siddique | Gastroenterology | Prospect Health Access Network Inc | 204 E Chester Pike, Suite 4 Crozer Keystone Gastroenterology Associates, Ridley Park, PA 19078-1709 |
| Matthew Smith | Nurse Practitioner | Prospect Health Access Network Inc | 196 W Sproul Rd, 205 Healthplex, Springfield, PA 19064-2045 |
| Mark D Cassano | Psychiatry | Prospect Health Access Network Inc | 1260 E Woodland Ave, 200 Ctr Fam Hlth, Springfield, PA 19064-3969 |
| Milad Kosa | Internal Medicine | Prospect Health Access Network Inc | 501 N Lansdowne Ave, Dcmh, Drexel Hill, PA 19026-1114 |
| Rama Dahal | Internal Medicine | Prospect Health Access Network Inc | 1324 Macdade Blvd, Woodlyn, PA 19094-1501 |
| Katarzyna Calderon | Nurse Practitioner | Prospect Health Access Network Inc | 2700 Chestnut St, Chester, PA 19013-4867 |
| Arlin J Silberman | Psychiatry | Prospect Health Access Network Inc | 2600 W 9th Str, Community Hosp, Chester, PA 19013-2040 |
| Dequilla Hurt | Nurse Practitioner | Prospect Health Access Network Inc | 8 Morton Ave, Suite 303, Ridley Park, PA 19078-2217 |
| Sinae Rhee | Nurse Practitioner | Prospect Health Access Network Inc | 1220 Chester Pike, Sharon Hill, PA 19079-1902 |
| Lloydia Reynolds | Obstetrics/gynecology | Prospect Health Access Network Inc | 2100 Keystone Ave, Suite 707, Drexel Hill, PA 19026-1134 |
| Street Address |
1 MEDICAL CTR BLVD |
| City | CHESTER |
| State | PA |
| Zip | 19013-3902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janice B Miller | Nurse Practitioner | Associates In Hematology-oncology, P.C. | 1 Medical Ctr Blvd, Suite 341, Chester, PA 19013-3902 |
| Robert Landry | Anesthesiology | Upper Cumberland Anesthesia Associates, PC | 1 Medical Ctr Blvd, Cookeville, TN 38501-4294 |
| Joseph N Tropea | Medical Oncology | Associates In Hematology-oncology, P.C. | 1 Medical Ctr Blvd, Suite 341, Chester, PA 19013-3902 |
| Simant K Shah | Emergency Medicine | Emergency Care Services of Pennsylvania PC | 1 Medical Ctr Blvd, Chester, PA 19013-3902 |
| Tatiana Parra | Internal Medicine | Cogent Healthcare of Pennsylvania, Inc. | 1 Medical Ctr Blvd, Chester, PA 19013-3902 |
| Foad I Abandeh | Infectious Disease | Infectious Disease Associates PC | 1 Medical Ctr Blvd, Chester, PA 19013-3902 |
| Sandra A Birnbaum | Obstetrics/gynecology | Prospect Health Access Network Inc | 1 Medical Ctr Blvd, Suite 333, Chester, PA 19013-3902 |
| Howard Ted Gitter | Cardiovascular Disease (cardiology) | Cardiology Consultants of Philadelphia PC | 1 Medical Ctr Blvd, Chester, PA 19013-3902 |
| Courtney Fay | Internal Medicine | Prospect Health Access Network Inc | 1 Medical Ctr Blvd, Chester, PA 19013-3902 |
| Harry J Guarino | Physician Assistant | Prospect Health Access Network Inc | 1 Medical Ctr Blvd, Chester, PA 19013-3902 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arlin J Silberman | Psychiatry | Prospect Health Access Network Inc | 2600 W 9th Str, Community Hosp, Chester, PA 19013-2040 |
| Paul M Burkat | Psychiatry | Prospect Health Access Network Inc | 2600 W 9th Str, Community Hosp, Chester, PA 19013-2040 |
| Neal Myles Stolar | Psychiatry | Prospect Health Access Network Inc | 2600 W 9th Str, Community Hosp, Chester, PA 19013-2040 |
| Sarah E. Falgowski | Psychiatry | Prospect Health Access Network Inc | 2600 W 9th Str, Community Hosp, Chester, PA 19013-2040 |
| Mamerto M Lebita | Family Medicine | 2621 W 9th St, Chester, PA 19013-2115 | |
| Christopher F Hannum | Internal Medicine | 920 Yarnall St, Chester, PA 19013-2652 | |
| Mary Lou Patton | General Surgery | Surgical Care Associates | One Med Ctr Blvd, S241 Suite 241, Chester, PA 19013-3902 |
| Peter G Stein | Family Medicine | Cogent Healthcare of Pennsylvania, Inc. | 1 Medical Ctr Blvd, Chester, PA 19013-3902 |
| Julia C Todd | Emergency Medicine | Emergency Care Services of Pennsylvania PC | 1 Medical Ctr Blvd, Chester, PA 19013-3902 |
| Amy Vogia | Diagnostic Radiology | Southeast Radiology Ltd | 1 Medical Ctr Blvd, Chester, PA 19013-3902 |
| Find all physicians in zip 19013 | |||
| City | CHESTER |
| Zip Code | 19013 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHESTER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John M Fanning Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.