CRISTIN SAMANTHA HAGELSTEIN (NPI# 1063646131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063646131 |
| Entity Type | Individual |
| Full Name | CRISTIN SAMANTHA HAGELSTEIN |
| Credential | M.D. |
| Practice Address |
154 Exton Square Mall Nemours Dupont Pediatrics, Exton Exton PA 19341-2440 |
| Mailing Address |
Po Box 191 Provider Enrollment Department Rockland DE 19732-0191 |
| Practice Telephone | 4845658507 |
| Practice Fax Number | 6102801531 |
| Mailing Telephone | 3026516212 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2015-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD446432 | PA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | MD446432 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MAIN LINE HEALTHCARE TAX ID | 23-2359401 | 01 |
| Street Address |
154 EXTON SQUARE MALL NEMOURS DUPONT PEDIATRICS, EXTON |
| City | EXTON |
| State | PA |
| Zip Code | 19341-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730159203 | Jeffrey R Melrose | Family Medicine | 154 Exton Square Mall, Exton, PA 19341-2440 | 2006-01-25 |
| 1396378584 | Samantha Victoria Elmer | Nurse Practitioner | 154 Exton Square Mall, Exton, PA 19341-2440 | 2020-02-17 |
| 1063889913 | Maura Pisano | Nurse Practitioner | 154 Exton Square Mall, Exton, PA 19341-2440 | 2015-08-26 |
| 1144631730 | Emilia Sophia Kleinman | Family Medicine | 154 Exton Square Mall, Exton, PA 19341-2440 | 2014-05-16 |
| 1801184684 | Tara Devoy | Registered Nurse | 154 Exton Square Mall, Exton, PA 19341-2440 | 2011-07-14 |
| 1548578438 | Christine M Mccusker | Nurse Practitioner | 154 Exton Square Mall, Exton, PA 19341-2440 | 2010-09-14 |
| 1881891083 | Michael J Richards | Family Medicine | 154 Exton Square Mall, Exton, PA 19341-2440 | 2007-06-29 |
| 1033328273 | Pallavi Arabolu | Pediatrics | 154 Exton Square Mall, Nemours Dupont Pediatrics, Exton, Exton, PA 19341-2440 | 2007-05-22 |
| 1356440770 | Sherry S Garg | Family Medicine | 154 Exton Square Mall, Exton, PA 19341-2440 | 2006-09-22 |
| 1215951330 | Anne D Fernando | Pediatrics | 154 Exton Square Mall, Nemours Dupont Pediatrics, Exton, Exton, PA 19341-2440 | 2006-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972156024 | Kathryn Avery | Physical Therapy Assistant | Powerback Exton, 501 Thomas Jones Way, Exton, PA 19341 | 2019-07-18 |
| 1457814188 | Your Best Hearing, LLC | Audiologist | 308 Shoen Rd, Exton, PA 19341 | 2019-04-10 |
| 1467932574 | Stephanie Johanna Costello | Behavioral Analyst | 1801 Worthington Drive, Exton, PA 19341 | 2018-08-17 |
| 1831606870 | Mark Wieland | Counselor | 47 Marchwood Rd Ste 1-j1, Exton, PA 19341 | 2017-12-29 |
| 1972017671 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 141 West Lincoln Hwy, Exton, PA 19341 | 2017-11-17 |
| 1073039012 | Katelyn Price | Pharmacist | 141 West Lincoln Highway, Exton, PA 19341 | 2017-08-22 |
| 1205378502 | Brenda Bobko | Counselor | 526 Summercroft Drive, Exton, PA 19341 | 2016-11-17 |
| 1669846945 | Sue C Lischuk | Dietitian, Registered | 455 Concord Avenue, Exton, PA 19341 | 2015-11-24 |
| 1619357118 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 487 Lisa Lane, Exton, PA 19341 | 2015-06-01 |
| 1609262179 | Diane Mcquillen | Internal Medicine | 278 Eagleview Blvd # 2, Exton, PA 19341 | 2015-04-12 |
| Find all providers in zip 19341 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851520472 | James Lewis | General Practice | 102 Pickering Way, Suite 200, Exton, PA 19341-1330 | 2009-07-02 |
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| 1831755735 | Good Hope Health Center Corp | General Practice | 7712 Buist Ave, Philadelphia, PA 19153-1705 | 2019-05-15 |
| 1366008260 | Ltc Treatment Center Inc | General Practice | 7712 Buist Ave Apt B, Philadelphia, PA 19153-1705 | 2019-05-15 |
| 1003479825 | Marsha Frances Santangelo | General Practice | 107 Sawgrass Drive, Blue Bell, PA 19422 | 2019-04-17 |
| 1972072288 | Paula Alejandra Pino Pommer | General Practice | 3551 North Broad St., Philadelphia, PA 19140-4160 | 2018-11-15 |
| 1033686159 | Star Wellness Center, Inc | General Practice | 511 E 3rd St Ste 202, Bethlehem, PA 18015-2180 | 2018-10-26 |
| 1891277620 | Donald C. Cameron | General Practice | 718 Kennett Pike, Chadds Ford, PA 19317 | 2018-08-29 |
| 1124510888 | Healing Place Medical, P.C. | General Practice | 1600 Horizon Dr Ste 122123, Chalfont, PA 18914-4100 | 2018-05-30 |
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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.