MR. MICHAEL LYNN NUSSBAUM (NPI# 1164409678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164409678 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL LYNN NUSSBAUM |
| Credential | M.D. |
| Practice Address |
1245 Highland Ave Suite 600 Abington PA 19001-3714 |
| Practice Telephone | 2158873990 |
| Practice Fax Number | 2158871140 |
| Mailing Telephone | 2158873990 |
| Mailing Fax Number | 2158871140 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2014-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD-038733E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0012574100008 | 05 | |
| PA | AETNA | 1002111 | 01 |
| PA | KEYSTONE | 0072656000 | 01 |
| PA | BLUE CROSS BLUE SHIELD | 265028 | 01 |
| PA | RAILROAD MEDICARE | 020054344 | 01 |
| PW | CIGNA | 7290859004 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932100856 | Michael Nussbaum | Anesthesiology | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2005-08-02 |
| 1508023342 | Michael Bart Nussbaum | Dentist | 3660 Stoneridge Rd, B101, Austin, TX 78746-7760 | 2008-05-20 |
| 1356458442 | Michael Nussbaum | Pediatrics | 270 Union Ave, Holbrook, NY 11741-1823 | 2006-08-24 |
| 1972571669 | Michael Nussbaum | Surgery | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2006-03-09 |
| Street Address |
1245 HIGHLAND AVE SUITE 600 |
| City | ABINGTON |
| State | PA |
| Zip Code | 19001-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679579916 | Richard Eisenstaedt | Internal Medicine | 1245 Highland Ave, Ste 302, Abington, PA 19001-3724 | 2005-06-22 |
| 1013469238 | Nancy Deangelis | Nurse Practitioner | 1245 Highland Ave, Suite #308, Abington, PA 19001-3714 | 2016-11-04 |
| 1851843809 | Molly Rae Prince | Physician Assistant | 1245 Highland Ave, Suite 404, Abington, PA 19001-3714 | 2016-10-25 |
| 1205209731 | Stephanie Elizabeth-eaton Kagan | Nurse Practitioner | 1245 Highland Ave, Ste 404, Abington, PA 19001-3714 | 2015-11-05 |
| 1952782245 | Jillian Sansoni | Pharmacist | 1245 Highland Ave, Abington, PA 19001-3714 | 2015-06-12 |
| 1326443615 | Barbara Sklar | Social Worker | 1245 Highland Ave, Suite #305, Abington, PA 19001-3714 | 2014-10-29 |
| 1528403904 | Abington Memorial Hospital | Surgery | 1245 Highland Ave, Suite 401, Abington, PA 19001-3714 | 2013-04-30 |
| 1578813747 | Julia Rainsford | Audiologist | 1245 Highland Ave, Suite 502, Abington, PA 19001-3714 | 2012-09-14 |
| 1891062576 | Tanneil L Davis | Nurse Practitioner | 1245 Highland Ave, Suite 604-price Medical Office Building, Abington, PA 19001-3714 | 2011-11-22 |
| 1184946063 | Stephen George Whittaker | Occupational Therapist | 1245 Highland Ave, Abington, PA 19001-3714 | 2010-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831671254 | Mohammed D Assali | Surgery | 1200 Old York Road Department of Surgery/suite 604, Abington, PA 19001 | 2018-09-01 |
| 1851886303 | Child and Family Focus, Inc. | Community/Behavioral Health | 2001 Old Welsh Road, Abington, PA 19001 | 2018-06-27 |
| 1376064394 | Rachel Cockerham | Registered Nurse | 1355 Old York Road, Suite 101, Abington, PA 19001 | 2017-06-29 |
| 1598141715 | Thomas Roarty | Nurse Practitioner | 1369 Old York Road, Abington, PA 19001 | 2015-08-11 |
| 1205249448 | Wendy Lorisme | Social Worker | 2223 Florey Ln Apt E3, Abington, PA 19001 | 2014-06-05 |
| 1417376682 | Nabil Zeineddine | Internal Medicine | 1235 Old York Rd Ste 220, Abington, PA 19001 | 2014-04-15 |
| 1578868782 | Phyllis O. Paul | Family Medicine | 1710 Woodland Rd., Abington, PA 19001 | 2011-01-19 |
| 1659674497 | Gerson S Paul | Obstetrics & Gynecology | 1710 Woodland Road, Abington, PA 19001 | 2010-12-17 |
| 1205145596 | Syreeta Tisha Mctavous | Dentist | 1200 Old York Rd., Arches Building, Abington, PA 19001 | 2010-10-04 |
| 1538481635 | Equipsource | Durable Medical Equipment & Medical Supplies | 1302 Easton Road, Suite 1005, Abington, PA 19001 | 2010-02-17 |
| Find all providers in zip 19001 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831671254 | Mohammed D Assali | Surgery | 1200 Old York Road Department of Surgery/suite 604, Abington, PA 19001 | 2018-09-01 |
| 1245723709 | Ian Stuart Leopold | Surgery | 1200 Old York Rd Bldg Suite604, Abington, PA 19001-3720 | 2018-06-10 |
| 1972866770 | Francesca Marcelle Delach | Surgery | 1245 Highland Ave Ste 401, Abington, PA 19001-3725 | 2012-06-18 |
| 1902901119 | Robert Kevin Josloff | Surgery | 1245 Highland Ave Ste 600, Price Medical Office Building, Abington, PA 19001-3714 | 2006-09-13 |
| 1568426492 | Ho Pak | Surgery | 1584 Old York Rd, Abington, PA 19001-1709 | 2006-04-17 |
| 1972580462 | James Thomas Moore | Surgery | 1208 Highland Ave, Abington, PA 19001-3706 | 2005-12-27 |
| 1841785979 | Michael Romani | Surgery | 1200 Old York Rd, Abington, PA 19001-3720 | 2018-07-01 |
| 1821582347 | Luis Mejia Sierra | Surgery | 1200 York Rd, Abington, PA 19001-3720 | 2018-06-18 |
| 1659865293 | Jaclyn Heilman | Surgery | 1200 Old York Rd, Abington, PA 19001-3720 | 2018-06-18 |
| 1710470729 | Aditya Das | Surgery | 1200 Old York Road, Department of Surgery Price Building, Suite 604, Abington, PA 19001 | 2018-06-13 |
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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.