Angelo B Sutera Jr. (NPI# 1295722874, PAC ID# 6507874880) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1295722874 |
| PAC ID by PECOS | 6507874880 |
| Professional Enrollment ID | I20060330000049 |
| Full Name | Angelo B Sutera Jr. |
| Organization Legal Name | SUTERA AND JONES SURGICAL PODIATRY PC |
| Address |
280 N Providence Rd Uppr Level Media PA 19063-3527 |
| Phone Number | 6105664383 |
| Gender | M |
| Credential | DPM |
| Graduation Year | 1991 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 8628086907 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390222 | RIDDLE MEMORIAL HOSPITAL |
| 390180 | CROZER CHESTER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1068 W Baltimore Pike, Suite 3311, Media, PA 19063-5104 | 6105664383 | SUTERA AND JONES SURGICAL PODIATRY PC |
| 280 N Providence Rd, Uppr Level, Media, PA 19063-3527 | 6105664383 | SUTERA AND JONES SURGICAL PODIATRY PC |
| Organization Legal Name | SUTERA AND JONES SURGICAL PODIATRY PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Jones | Podiatry | Sutera and Jones Surgical Podiatry PC | 280 N Providence Rd, Uppr Level, Media, PA 19063-3527 |
| Street Address |
280 N PROVIDENCE RD UPPR LEVEL |
| City | MEDIA |
| State | PA |
| Zip | 19063-3527 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Domenica M Knudsen | Psychologist, Clinical | 280 N Providence Rd, Suite 106, Media, PA 19063-3530 | |
| Maryrose W Smith | Clinical Social Worker | 280 N Providence Rd, Media, PA 19063-3525 | |
| Melanie R Oneill | Psychologist, Clinical | 280 N Providence Rd, Suite 6, Media, PA 19063-3525 | |
| Scott Jones | Podiatry | Sutera and Jones Surgical Podiatry PC | 280 N Providence Rd, Uppr Level, Media, PA 19063-3527 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Bankes | Nurse Practitioner | Rose Tree Medical Associates LLC | 1098 Baltimore Pike, Media, PA 19063 |
| Jay Joseph Constantine | Endocrinology | 100 W 6th St, Suite 5, Media, PA 19063 | |
| Leon G De Masi | Preventative Medicine | Rose Tree Medical Associates LLC | 1098 Baltimore Pike, Media, PA 19063 |
| Roger C Sealy | Psychologist, Clinical | 890 Paxon Hollow Rd, Media, PA 19063-1003 | |
| Sonya Ombima | Nurse Practitioner | Inpatient Consultants of Pennsylvania PC | 100 Halcyon Dr, Media, PA 19063-1041 |
| Valentine B Czubaroff | Psychiatry | 4 Saddlebrook Cir, Media, PA 19063-1053 | |
| Mitchell Jay Cohen | Clinical Psychologist | 11 Martins Run, Media, PA 19063-1057 | |
| Robert W Guerra | Optometry | 1315 N Providence Rd, Media, PA 19063-1205 | |
| Patrick Joseph Mchugh | Psychologist, Clinical | 1223 N Providence Rd, Rose Tree Office Campus Suite 3, Media, PA 19063-1235 | |
| Jerry M Lazaroff | Psychologist, Clinical | 1029 N Providence Rd, Media, PA 19063-1404 | |
| Find all physicians in zip 19063 | |||
| City | MEDIA |
| Zip Code | 19063 |
| Specialty | PODIATRY |
| City + Specialty | MEDIA + PODIATRY |
Please comment or provide details below to improve the information on Angelo B Sutera 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.