ST. JOSEPH MEDICAL GROUP (NPI# 1184754657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184754657 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH MEDICAL GROUP |
| Practice Address |
2500 Bernville Road Reading PA 19605-9453 |
| Mailing Address |
Po Box 4985 Lancaster PA 19603-0316 |
| Practice Telephone | 6103782000 |
| Practice Fax Number | 6102084640 |
| Mailing Telephone | 6102084649 |
| Mailing Fax Number | 6102084640 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2018-01-05 |
| Authorized Official Name | COURTNEY COFFMAN (VP FINANCE & CFO) |
| Authorized Official Telephone | 6103782300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1020409840001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841680881 | St. Joseph Medical Group | Nurse Anesthetist, Certified Registered | 2500 Bernville Rd, Reading, PA 19605-9453 | 2015-01-29 |
| 1750590881 | St. Joseph Medical Group | Clinic/Center | 403 N 13th St, Reading, PA 19604-2822 | 2007-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ST. JOSEPH MEDICAL GROUP, INC. | 4000 Meridian Blvd, Franklin, TN 37067 |
| Street Address |
2500 BERNVILLE ROAD |
| City | READING |
| State | PA |
| Zip Code | 19605-9453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154395952 | Qaiss Mohammed | Internal Medicine | 2500 Bernville Road, Reading, PA 19605 | 2006-02-16 |
| 1801024831 | Sara Catherine Kleiman | Family Medicine | 2500 Bernville Road, Reading, PA 19605-9453 | 2009-06-29 |
| 1730355223 | Victoria R Amato | Nurse Anesthetist, Certified Registered | 2500 Bernville Road, Reading, PA 19605 | 2008-05-05 |
| 1154512762 | Trina L Abla | Family Medicine | 2500 Bernville Road, Reading, PA 19605-9453 | 2007-08-08 |
| 1598798019 | Christopher Adrian Kuennen | Nurse Anesthetist, Certified Registered | 2500 Bernville Road, St Joseph's Hospital, Reading, PA 19605 | 2006-07-08 |
| 1962442897 | Bornemann Health Corporation, Bornemann Anesthesiology | Nurse Anesthetist, Certified Registered | 2500 Bernville Road, Reading, PA 19605 | 2006-06-08 |
| 1669440301 | Shailesh Malhotra | Internal Medicine | 2500 Bernville Road, Reading, PA 19605 | 2006-03-09 |
| 1720053119 | Atif E Qureshi | Internal Medicine | 2500 Bernville Road, Reading, PA 19605 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639715618 | Reading Behavioral Healthcare, LLC | Psychiatric Hospital | 201 Wellness Way, Reading, PA 19605 | 2019-11-25 |
| 1336663657 | Peace of Mind Transportation and Home Care | In Home Supportive Care | 2537 Leisczs Bridge Rd., Reading, PA 19605 | 2017-07-28 |
| 1780059709 | Daniel Kropf | Specialist/Technologist | 400 Sharp Ave, Reading, PA 19605 | 2015-12-02 |
| 1629455324 | Pooja Ahuja | Dentist | 3302 North 5th Street Hwy, Dental Dreams LLC, Reading, PA 19605 | 2015-05-01 |
| 1831531722 | Manmeet Kaur Kuckreja | Dentist | 3302 N Fifth St Highway, Dental Dreams LLC, Reading, PA 19605 | 2013-07-22 |
| 1104263698 | Vincent Zhang | Obstetrics & Gynecology | 2494 Bernville Rd Ste 100, Reading, PA 19605 | 2013-05-24 |
| 1407083876 | Rajiv Kolandaivelu | Dentist | 3302 North Fifth Street Highway, Reading, PA 19605 | 2009-06-12 |
| 1083820377 | Reading Hospital | Psychiatry & Neurology | Sharp Avenue & Frances Street, Laureldale, PA 19605 | 2007-05-15 |
| 1770632242 | Jennifer Maryniak | Specialist/Technologist | Sharp & Francis Streets, Laureldale, PA 19605 | 2007-01-10 |
| 1942359419 | Michael John Kaminskas IIi | Specialist/Technologist | Sharp St and Francis St, Muhlenberg High School, Laureldale, PA 19605 | 2007-01-10 |
| Find all providers in zip 19605 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1548727621 | Drayer Physical Therapy Institute LLC | Clinic/Center | 165 Glen Dr, Manchester, PA 17345-1336 | 2019-02-26 |
| 1962970830 | Drayer Physical Therapy Institute LLC | Clinic/Center | 6560 Carlisle Pike Ste 425, Mechanicsburg, PA 17050-8246 | 2018-11-08 |
| 1598233520 | Drayer Physical Therapy Institute LLC | Clinic/Center | 1606 N Center Ave Ste 170, Somerset, PA 15501-7052 | 2018-11-07 |
| 1477021921 | Tower Health Urgent Care, LLC | Clinic/Center | 1139 Ben Franklin Pkwy, Douglassville, PA 19518 | 2018-11-02 |
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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.