GAURAV PRADEEP JADHAV (NPI# 1063861698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063861698 |
| Entity Type | Individual |
| Full Name | GAURAV PRADEEP JADHAV |
| Credential | MD |
| Practice Address |
1068 W Baltimore Pike Media PA 19063-5104 |
| Practice Telephone | 4842274280 |
| Practice Fax Number | 4842274230 |
| Mailing Telephone | 4842274280 |
| Mailing Fax Number | 4842274230 |
| Enumeration Date | 2016-06-04 |
| Last Update Date | 2020-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD467735 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 Lansdowne Ave, Darby, PA 190231200 | 6102374000 |
| Street Address |
1068 W BALTIMORE PIKE |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856099 | Riddle Memorial Hospital | General Acute Care Hospital | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2005-07-26 |
| 1841899630 | Meghan Angelos Tokarski | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2020-10-22 |
| 1851914303 | Casey Leigh Ryan | Genetic Counselor, MS | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2020-05-19 |
| 1073155479 | Rebecca Lynn Mckenna | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2019-10-17 |
| 1194372730 | Margaryta Tolchynska | Physician Assistant | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2019-08-19 |
| 1750866471 | Christina Cotellese | Physician Assistant | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2018-09-27 |
| 1063905370 | Kaela Mclaughlin | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063 | 2018-06-11 |
| 1134659550 | Wesley Gordon | Physician Assistant | 1068 W Baltimore Pike, Media, PA 19063 | 2017-06-18 |
| 1235671892 | Viyaleta Vaitulevich | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2016-11-14 |
| 1225581234 | Syed Ali | Internal Medicine | 1068 W Baltimore Pike, Media, PA 19063 | 2016-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1922472745 | Kim Annette Gilchrist | Internal Medicine | 14 Dyanna Lane, Media, PA 19063 | 2015-11-17 |
| 1174937775 | Jason Lange | Internal Medicine | 200 E State St Ste 105, Media, PA 19063-3434 | 2014-06-12 |
| 1346551769 | Rajeev Marreddy | Internal Medicine | 5 Ebie Cir, Media, PA 19063-2247 | 2010-06-30 |
| 1891950978 | Martin F Sturman | Internal Medicine | 923 Winding Ln, Media, PA 19063-1655 | 2008-07-28 |
| 1639331127 | Leemu Valerie Kerkula | Internal Medicine | 5201 Pennell Rd Ste A, Media, PA 19063-6502 | 2008-06-26 |
| 1558538207 | Regina Voit Baime | Internal Medicine | 1024 Palmers Mill Rd, Media, PA 19063-1007 | 2008-05-13 |
| 1801820980 | Dean R Dennis | Internal Medicine | 200 Emerald Ln, Media, PA 19063-3903 | 2006-07-11 |
| 1205863198 | Daniel E Soffer | Internal Medicine | 605 W State St, Media, PA 19063-2620 | 2006-06-27 |
| 1023045937 | Marc J Wertheimer | Internal Medicine | 605 West State St, Media, PA 19063 | 2006-06-27 |
| 1053347740 | Albert H Fink Jr. | Internal Medicine | 605 West State Street, Media, PA 19063 | 2006-06-24 |
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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.