Daniel J Maydonovitch (NPI# 1154396802, PAC ID# 8426021205) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1154396802 |
| PAC ID by PECOS | 8426021205 |
| Professional Enrollment ID | I20040819000042 |
| Full Name | Daniel J Maydonovitch |
| Organization Legal Name | POTTSTOWN MEDICAL SPECIALISTS, INC |
| Address |
1555 Medical Dr Pottstown PA 19464-3224 |
| Phone Number | 6103267820 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 8224024096 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390123 | POTTSTOWN HOSPITAL |
| 390044 | READING HOSPITAL |
| 390096 | ST JOSEPH MEDICAL CENTER |
| 390133 | LEHIGH VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1315 Route 100, Barto, PA 19504-8724 | 6108452011 | POTTSTOWN MEDICAL SPECIALISTS, INC |
| 1555 Medical Dr, Pottstown, PA 19464-3224 | 6103267820 | POTTSTOWN MEDICAL SPECIALISTS, INC |
| 1591 Medical Dr, Pottstown, PA 19464-3224 | 6103268005 | POTTSTOWN MEDICAL SPECIALISTS, INC |
| Organization Legal Name | POTTSTOWN MEDICAL SPECIALISTS, INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dolores Desanto Dwyer | Nurse Practitioner | Pottstown Medical Specialists, Inc | 555 2nd Ave, Suite 300, Collegeville, PA 19426-3600 |
| Priya Rana | Physician Assistant | Pottstown Medical Specialists, Inc | 1555 Medical Dr, Pottstown, PA 19464-3224 |
| Kara Costanzo | Physician Assistant | Pottstown Medical Specialists, Inc | 1555 Medical Dr, Pottstown, PA 19464-3224 |
| Genevieve Court | Nurse Practitioner | Pottstown Medical Specialists, Inc | 1555 Medical Dr, Pottstown, PA 19464-3224 |
| Street Address |
1555 MEDICAL DR |
| City | POTTSTOWN |
| State | PA |
| Zip | 19464-3224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mbettie Worrell | Nurse Practitioner | Pottstown Medical Specialists Inc | 1555 Medical Dr, Pottstown, PA 19464-3224 |
| Nahid Sultana | Family Medicine | Pottstown Medical Specialists Inc | 1555 Medical Dr, Pottstown, PA 19464-3224 |
| Madushini Gunawardana Craner | Family Medicine | Pottstown Medical Specialists Inc | 1555 Medical Dr, Pottstown, PA 19464-3224 |
| Michele Chai | Physician Assistant | Pottstown Medical Specialists Inc | 1555 Medical Dr, Pottstown, PA 19464-3224 |
| Shelby Jae Walker | Physician Assistant | Pottstown Medical Specialists Inc | 1555 Medical Dr, Pottstown, PA 19464-3224 |
| Birgit M Wiswe | Family Medicine | Pottstown Medical Specialists Inc | 1555 Medical Dr, Pottstown, PA 19464-3224 |
| Rimma Oganesova | Physician Assistant | Pottstown Medical Specialists Inc | 1555 Medical Dr, Pottstown, PA 19464-3224 |
| Paul P Doghramji | Family Medicine | Pottstown Medical Specialists Inc | 1555 Medical Dr, Pottstown, PA 19464-3224 |
| Alan Goldberg | Family Medicine | Pottstown Medical Specialists Inc | 1555 Medical Dr, Pottstown, PA 19464-3224 |
| Stanton A Bree | Physical Medicine and Rehabilitation | 1555 Medical Dr, Pottstown, PA 19464-3224 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Woods | Physical Therapy | Dynamic Therapy Services LLC | 1300 N Charlotte St, Suite 14a, Pottstown, PA 19464-2351 |
| Robert White | Physical Therapy | Dynamic Therapy Services LLC | 1300 N Charlotte St, Suite 14a, Pottstown, PA 19464-2351 |
| Peter O Oskanian | Urology | Centers for Advanced Urology LLC | 20 N Sunnybrook Rd, Academic Urology Pottstown, Pottstown, PA 19464-2946 |
| Robert C Capperella | Certified Registered Nurse Anesthetist (crna) | 20 N Sunnybrook Rd, Suite 2, Pottstown, PA 19464-2946 | |
| Allison Friede | Nurse Practitioner | Geps Physician Group of Pennsylvania PC | 225 Evergreen Rd, Pottstown, PA 19464-3143 |
| Sergio R Vaisman | Nephrology | Geps Physician Group of Pennsylvania PC | 227 Evergreen Rd, Sanatago Court, Pottstown, PA 19464-3143 |
| William C Dilks | Nurse Practitioner | Geps Physician Group of Pennsylvania PC | 225 Evergreen Rd, Pottstown, PA 19464-3143 |
| Ann L Kirkpatrick | Nurse Practitioner | Geps Physician Group of Pennsylvania PC | 225 Evergreen Rd, Pottstown, PA 19464-3143 |
| Jessica L Krishnakumar | Chiropractic | Tri-county Chiropractic P C. | 1954 E High St, Pottstown, PA 19464-3210 |
| Linda A Whitaker | Optometry | J. James Suydam, Od PC | 2087 E High St, Pottstown, PA 19464-3211 |
| Find all physicians in zip 19464 | |||
| City | POTTSTOWN |
| Zip Code | 19464 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | POTTSTOWN + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Daniel J Maydonovitch.
| 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.