Dana B Burkholder (NPI# 1770577900, PAC ID# 2163499690) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1770577900 |
| PAC ID by PECOS | 2163499690 |
| Professional Enrollment ID | I20040914001007 |
| Full Name | Dana B Burkholder |
| Organization Legal Name | FORNANCE PHYSICIAN SERVICES INC |
| Address |
20000 Shannondell Dr Audubon PA 19403-5653 |
| Phone Number | 4843924045 |
| Gender | M |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8527962661 |
| Number of Group Practice Members | 100 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390329 | EINSTEIN MEDICAL CENTER MONTGOMERY |
| 390127 | PHOENIXVILLE HOSPITAL |
| 390195 | MAIN LINE HOSPITAL LANKENAU |
| Address | Phone | Organization |
|---|---|---|
| 20000 Shannondell Dr, Audubon, PA 19403-5653 | 4843924045 | FORNANCE PHYSICIAN SERVICES INC |
| 625 Clark Ave, Suite 13, King of Prussia, PA 19406-1438 | 6102658566 | FORNANCE PHYSICIAN SERVICES INC |
| Organization Legal Name | FORNANCE PHYSICIAN SERVICES INC |
| Physicians | 104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anagha Desai | Obstetrics/gynecology | Fornance Physician Services Inc | 1330 Powell St, Suite 507, Norristown, PA 19401-3352 |
| Ram Jhingan | Endocrinology | Fornance Physician Services Inc | 676 Dekalb Pike, Suite 104, Blue Bell, PA 19422-1223 |
| Sabeena S Fazili | Hospitalist | Fornance Physician Services Inc | 559 W Germantown Pike, East Norristown, PA 19403-4250 |
| Jennifer Mary Mccarthy | Family Medicine | Fornance Physician Services Inc | 4070 Butler Pike, Suite 200, Plymouth Meeting, PA 19462-1510 |
| Janis Rubin | Family Medicine | Fornance Physician Services Inc | 612 Fayette St, Fl 2, Conshohocken, PA 19428-1797 |
| Rebecca Michels | Family Medicine | Fornance Physician Services Inc | 721 Skippack Pike, Suite 3, Blue Bell, PA 19422-1700 |
| Marta Motel | Family Medicine | Fornance Physician Services Inc | 545 W Main St, Trappe, PA 19426-1981 |
| Lisa L Hamaker | Endocrinology | Fornance Physician Services Inc | 210 Mall Blvd, Suite G03, King of Prussia, PA 19406-3260 |
| Diana J Isaia | Nurse Practitioner | Fornance Physician Services Inc | 633 W Germantown Pike, Suite 105, Plymouth Meeting, PA 19462-1032 |
| Sherri Elise Blackstone | Internal Medicine | Fornance Physician Services Inc | 15 W Wood St, Suite 301, Norristown, PA 19401-3347 |
| Street Address |
20000 SHANNONDELL DR |
| City | AUDUBON |
| State | PA |
| Zip | 19403-5653 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Therese C Deschenes-fresconi | Optometry | 2900 W Germantown Pike, Trooper, PA 19403-1037 | |
| Catherine Quinn-kerins | Psychologist, Clinical | 2960 W Germantown Pike, Suite A, Norristown, PA 19403-1060 | |
| Melissa M Weigand | Nurse Practitioner | Suburban Medical Group LLC | 3055 Ridge Pike, 200 Mercy Primary Care At Eagleville, Eagleville, PA 19403-1411 |
| Mark John Brandl | Chiropractic | 2908 Eagleville Rd, Audubon, PA 19403-1827 | |
| Dolores A Hill-glenn | Clinical Social Worker | Ramesh B Eluri Md PC | 100 Eagleville Rd, Eagleville Hospital Gero Psych Inpatient Unit, Eagleville, PA 19403-1829 |
| Ramesh B Eluri | Psychiatry | Ramesh B Eluri Md PC | 100 Eagleville Rd, Eagleville Hospital Gero Psych Inpatient Unit, Eagleville, PA 19403-1829 |
| Mark E Walthofer | Clinical Social Worker | Ramesh B Eluri Md PC | 100 Eagleville Rd, Eagleville Hospital Gero Psych Inpatient Unit, Eagleville, PA 19403-1829 |
| Trish M Hartman Moyer | Clinical Social Worker | Ramesh B Eluri Md PC | 100 Eagleville Rd, Eagleville Hospital Gero Psych Inpatient Unit, Eagleville, PA 19403-1829 |
| Joyce E Yablunsky | Nurse Practitioner | Ramesh B Eluri Md PC | 100 Eagleville Rd, Eagleville Hospital Gero Psych Inpatient Unit, Eagleville, PA 19403-1829 |
| Lisa Oliver-connolly | Clinical Social Worker | Ramesh B Eluri Md PC | 100 Eagleville Rd, Eagleville Hospital Gero Psych Inpatient Unit, Eagleville, PA 19403-1829 |
| Find all physicians in zip 19403 | |||
| City | AUDUBON |
| Zip Code | 19403 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | AUDUBON + FAMILY MEDICINE |
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| 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.