STC PEDIATRICS LLC (NPI# 1003451345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003451345 |
| Entity Type | Organization |
| Organization Name | STC PEDIATRICS LLC |
| Other Organization Name | ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES INFECTIOUS DISEASE - JENKINTOWN |
| Practice Address |
500 York Rd Ste 250 Jenkintown PA 19046-2870 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 6107436049 |
| Mailing Telephone | 6107436049 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | GARY CONNER (VP & CEO) |
| Authorized Official Telephone | 4846288181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Christopher's Pediatric Associates Infectious Disease - Jenkintown | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516279 | Stc Pediatrics LLC | Pediatrics | 3601 A St Fl Family, Philadelphia, PA 19134-1043 | 2020-07-23 |
| 1932722881 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 | 2020-05-27 |
| 1649806217 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave Fl 3, Philadelphia, PA 19134-1011 | 2020-03-16 |
| 1033753439 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-30 |
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1639713944 | Stc Pediatrics LLC | Pediatrics | 1201 Langhorne Newtown Rd Ste 401, Langhorne, PA 19047-1201 | 2019-10-30 |
| 1548804909 | Stc Pediatrics LLC | Psychiatry & Neurology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
| 1962046474 | Stc Pediatrics LLC | Pediatrics | 301 Oxford Valley Rd Ste 1201, Yardley, PA 19067-7706 | 2019-10-29 |
| 1508466913 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-27 |
| 1548867476 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-05 |
| Street Address |
500 YORK RD STE 250 |
| City | JENKINTOWN |
| State | PA |
| Zip Code | 19046-2870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033753439 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-30 |
| 1104464742 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-12-13 |
| 1952949562 | Stc Pediatrics LLC | Internal Medicine | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-12-13 |
| 1548805047 | Stc Pediatrics LLC | Clinic/Center | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-11-08 |
| 1538703608 | Stc Pediatrics LLC | Psychiatry & Neurology | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-11-01 |
| 1144864216 | Stc Pediatrics LLC | Internal Medicine | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-11-01 |
| 1295379295 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-11-01 |
| 1972147197 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-31 |
| 1760026991 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-31 |
| 1083258214 | Stc Pediatrics LLC | Orthopaedic Surgery | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279061 | Yves Rose Josselin | In Home Supportive Care | 610 Old Yord Road, Suite 400, Jenkintown, PA 19046 | 2019-05-06 |
| 1942790498 | Elizabeth Collins Cook | Counselor | 501 Old York Rd Unit 4, Jenkintown, PA 19046 | 2018-05-10 |
| 1013407568 | Samuel Albert | Counselor | 501 York Rd Unit 4 Renew Family Services LLC, Jenkintown, PA 19046 | 2018-05-10 |
| 1275050841 | Khristina Tylo | Home Health Aide | 1653 The Fairway St, Jenkintown, PA 19046 | 2017-08-24 |
| 1073053898 | Jennifer Nicole Romania | Physician Assistant | 500 Old York Road, Suite 201, Jenkintown, PA 19046 | 2017-02-27 |
| 1790159648 | Crystina Kaylin Cave | Physician Assistant | Holy Redeemer Hospital, 1648 Huntingdon Pike, Huntingdon Valley, PA 19046 | 2015-11-16 |
| 1790112225 | Jerry H Herman | Obstetrics & Gynecology | 906 Frog Hollow Terrace, Rydal, PA 19046 | 2013-09-30 |
| 1861828774 | Christopher T Flood | Physical Therapist | 676 Old York Road, Jenkintown, PA 19046 | 2013-09-24 |
| 1013251420 | Ann K Lodovichetti | Physical Medicine & Rehabilitation | 1616 Hungtindon Pike, Meadowbrook, PA 19046 | 2012-11-26 |
| 1689941916 | Sandra H. Kosmin | Social Worker | 114 Forrest Avenue, Suite 2, Narberth, PA 19046 | 2011-12-01 |
| Find all providers in zip 19046 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265957906 | Daniel Jorgensen | Pediatrics | 5 Great Valley Pkwy Ste 160, Malvern, PA 19355-1445 | 2017-08-03 |
| 1528434495 | Judith Js Ochs | Pediatrics | 1213 Fairville Road, Chadds Ford, PA 19317 | 2015-08-14 |
| 1538579263 | Mark Leonard Bagarazzi | Pediatrics | 280 Garrison Way, Conshohocken, PA 19428-2546 | 2014-05-02 |
| 1477654044 | Lee Antoinette Darville | Pediatrics | 4401 Penn Ave., Division of Infectious Diseases, Pittsburgh, PA 15224-1334 | 2006-09-26 |
| 1578511994 | Jill Ann Foster | Pediatrics | Erie Avenue At Front Street, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2006-05-05 |
| 1750355053 | Leslie Serchuck | Pediatrics | 2118 Pine St, Philadelphia, PA 19103-6535 | 2006-02-14 |
| 1225037591 | Tibisay I Villalobos | Pediatrics | 1210 S Cedar Crest Blvd, Suite 2400, Allentown, PA 18103-6229 | 2005-07-19 |
| 1114535002 | Pinnacle Health Medical Services | Pediatrics | 3 Walnut St Ste 205, Lemoyne, PA 17043-1168 | 2020-07-17 |
| 1134763568 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
| 1538663067 | Ashley Elizabeth Sobel Leonard | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2018-03-20 |
| Find all providers with the same taxonomy | ||||
| City | JENKINTOWN |
| Zip Code | 19046 |
Please comment or provide details below to improve the information on STC PEDIATRICS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.