Kimberly Tupper (NPI# 1629114608, PAC ID# 6709924806) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1629114608 |
| PAC ID by PECOS | 6709924806 |
| Professional Enrollment ID | I20091110000637 |
| Full Name | Kimberly Tupper |
| Organization Legal Name | WEST GROVE FAMILY PRACTICE LLC |
| Address |
900 W Baltimore Pike Suite 200 West Grove PA 19390-9313 |
| Phone Number | 6106894627 |
| Gender | F |
| Graduation Year | 1990 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0446317499 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390220 | JENNERSVILLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 900 W Baltimore Pike, Suite 200, West Grove, PA 19390-9313 | 6106894627 | WEST GROVE FAMILY PRACTICE LLC |
| Organization Legal Name | WEST GROVE FAMILY PRACTICE LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Barkasy | Family Medicine | West Grove Family Practice LLC | 900 W Baltimore Pike, Suite 200, West Grove, PA 19390-9313 |
| Daniel Nathan Duran | Family Medicine | West Grove Family Practice LLC | 200 Old Forge Ln, Kennett Square, PA 19348-1895 |
| Roberta Ann Humble | Nurse Practitioner | West Grove Family Practice LLC | 900 W Baltimore Pike, Suite 200, West Grove, PA 19390-9313 |
| Heather Penny | Physician Assistant | West Grove Family Practice LLC | 900 W Baltimore Pike, Suite 200, West Grove, PA 19390-9313 |
| Julia A Elcock Vengen | Family Medicine | West Grove Family Practice LLC | 200 Old Forge Ln, Kennett Square, PA 19348-1895 |
| Stefanie Margit Steiner | Family Medicine | West Grove Family Practice LLC | 900 W Baltimore Pike, Suite 200, West Grove, PA 19390-9313 |
| Street Address |
900 W BALTIMORE PIKE SUITE 200 |
| City | WEST GROVE |
| State | PA |
| Zip | 19390-9313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Barkasy | Family Medicine | West Grove Family Practice LLC | 900 W Baltimore Pike, Suite 200, West Grove, PA 19390-9313 |
| Roberta Ann Humble | Nurse Practitioner | West Grove Family Practice LLC | 900 W Baltimore Pike, Suite 200, West Grove, PA 19390-9313 |
| Kimberly Huntington | Occupational Therapy | Ati Holdings LLC | 900 W Baltimore Pike, Suite 103, West Grove, PA 19390-9313 |
| Heather Penny | Physician Assistant | West Grove Family Practice LLC | 900 W Baltimore Pike, Suite 200, West Grove, PA 19390-9313 |
| Brian C De Muth | Orthopedic Surgery | 900 W Baltimore Pike, Suite 101, West Grove, PA 19390-9313 | |
| Stefanie Margit Steiner | Family Medicine | West Grove Family Practice LLC | 900 W Baltimore Pike, Suite 200, West Grove, PA 19390-9313 |
| Elliott Leitman | Orthopedic Surgery | First State Orthopaedics Pa | 900 W Baltimore Pike, Suite 101, West Grove, PA 19390-9313 |
| Nicholas J Emge | Physical Therapy | Ati Holdings LLC | 900 W Baltimore Pike, Suite 103, West Grove, PA 19390-9313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Hardic | Optometry | Eric R. Miller, Od, PC | 57 Jenners Village Ctr, West Grove, PA 19390-8102 |
| Michele M. Dorian | Optometry | Eric R. Miller, Od, PC | 57 Jenners Village Ctr, West Grove, PA 19390-8102 |
| Eric R Miller | Optometry | Eric R. Miller, Od, PC | 57 Jenners Village Ctr, West Grove, PA 19390-8102 |
| Barbara J Thomson | Optometry | Eric R. Miller, Od, PC | 57 Jenners Village Ctr, West Grove, PA 19390-8102 |
| Elizabeth Marie Cerva | Family Medicine | Jennersville Family Medicine LLC | 390 Vineyard Way, West Grove, PA 19390-8835 |
| Sharon Jarrett | Nurse Practitioner | Jennersville Family Medicine LLC | 390 Vineyard Way, West Grove, PA 19390-8835 |
| Nicole Angela Karakasis | Physical Therapy | Ati Holdings LLC | 105 Vineyard Way, Suite 100, West Grove, PA 19390-8849 |
| Leigh A Manning-smith | Physical Therapy | Ati Holdings LLC | 105 Vineyard Way, Suite 100, West Grove, PA 19390-8849 |
| Yong I Park | Interventional Pain Management | Christiana Spine Center Pa | 105 Vineyard Way, Suite 101, West Grove, PA 19390-8849 |
| Daniel Charles Farber | Orthopedic Surgery | University of Penn Medical Group | 105 Vineyard Way, 101 Penn Orthopaedics Southern Chester County, West Grove, PA 19390-8849 |
| Find all physicians in zip 19390 | |||
| City | WEST GROVE |
| Zip Code | 19390 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WEST GROVE + PHYSICIAN ASSISTANT |
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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.