MAIN LINE CARDIOLOGY ASSOCIATES PC (NPI# 1033165592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033165592 |
| Entity Type | Organization |
| Organization Name | MAIN LINE CARDIOLOGY ASSOCIATES PC |
| Practice Address |
Paoli Memorial Medical Bldg 2 Ste 328 Paoli PA 19301 |
| Practice Telephone | 6106472400 |
| Practice Fax Number | 6106473902 |
| Mailing Telephone | 6106472400 |
| Mailing Fax Number | 6106473902 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. ELLIOT MARK GERBER (PRESIDENT MAIN LINE CARDIOLOGY ASSO) |
| Authorized Official Telephone | 6106472400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE | 018847000 | 01 |
| PA | TRAVELERS MEDICARE | CF4261 | 01 |
| PA | AETNA PPO | 1010783 | 01 |
| PA | US HEALTHCARE | 0093111 | 01 |
| PA | AMERICHOICE | 000274401 | 01 |
| PA | AMERIHEALTH AHPA | 01010769160007 | 01 |
| PA | BS PERSONAL CHOICE | 0108847000 | 01 |
| PA | AMERIHEALTH KEYSTONE NJ | 0108847000 | 01 |
| PA | PA BLUE SHIELD | 500661 | 01 |
| PA | COMMERCIAL INS | 500661 | 01 |
| PA | 001076916009 | 05 |
| Street Address |
PAOLI MEMORIAL MEDICAL BLDG 2 STE 328 |
| City | PAOLI |
| State | PA |
| Zip Code | 19301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
| 1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
| 1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
| 1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
| 1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
| 1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
| Find all providers in zip 19301 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144269408 | Neal Franklin Skop | Internal Medicine | Paoli Memorial Hospital Bldg 2, 255 West Lancaster Avenue Suite328, Paoli, PA 19301-1763 | 2006-06-05 |
| 1083681019 | Leo A Podolsky | Internal Medicine | 2 Industrial Blvd Ste 200, Paoli, PA 19301-1648 | 2006-03-08 |
| 1407456882 | Amanda N Linneman | Internal Medicine | 2 Industrial Blvd Ste 200, Paoli, PA 19301-1648 | 2020-10-27 |
| 1760790265 | Cfl Associates Ltd. | Internal Medicine | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2010-09-17 |
| 1205148657 | Summit Cardiovascular Care LLC | Internal Medicine | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2010-07-13 |
| 1033442496 | Matthew Levy | Internal Medicine | 2 Industrial Blvd Ste 200, Paoli, PA 19301-1648 | 2009-09-16 |
| 1205064482 | Robert Kuhn | Internal Medicine | 2 Industrial Blvd Ste 200, Paoli, PA 19301-1648 | 2009-06-26 |
| 1295960458 | Main Line Cardiology Associates, PC | Internal Medicine | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2009-05-18 |
| 1518126986 | Cardiovascular Healthcare Consultants, PC | Internal Medicine | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2008-06-02 |
| 1598967325 | Matthew Alan Goldstein | Internal Medicine | 2 Industrial Blvd Ste 200, Paoli, PA 19301-1648 | 2007-06-04 |
| Find all providers in PAOLI | ||||
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| 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.