DR. SYREETA TISHA MCTAVOUS (NPI# 1205145596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205145596 |
| Entity Type | Individual |
| Full Name | DR. SYREETA TISHA MCTAVOUS |
| Credential | D.D.S. |
| Practice Address |
1200 Old York Rd. Arches Building Abington PA 19001 |
| Mailing Address |
110 Knollwood Estates Dr Ormond Beach FL 32174-4223 |
| Practice Telephone | 2154812193 |
| Mailing Telephone | 2025775952 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2018-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS038297 | MD | Dental Providers |
| Street Address |
1200 OLD YORK RD. ARCHES BUILDING |
| City | ABINGTON |
| State | PA |
| Zip Code | 19001 |
| 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 |
| 1538481635 | Equipsource | Durable Medical Equipment & Medical Supplies | 1302 Easton Road, Suite 1005, Abington, PA 19001 | 2010-02-17 |
| 1356563118 | Daniel Edmund Fitzgerald | Physical Therapist | 1215 Bockius Ave, Abington, PA 19001 | 2007-05-02 |
| Find all providers in zip 19001 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435458 | Healthy Smiles of Abington, LLC | Dentist | 1755 Old York Rd Uppr Floor, Abington, PA 19001-1801 | 2019-12-30 |
| 1871044263 | Abington Smile Center | Dentist | 1501 Old York Rd, Abington, PA 19001-1907 | 2016-10-20 |
| 1790947414 | Cary John Limberakis | Dentist | 1021 Old York Rd Ste 101, Abington, PA 19001-4626 | 2008-06-25 |
| 1831394592 | Kent Lane Mueller | Dentist | 1858 Guernsey Ave, Abington, PA 19001-3818 | 2007-06-20 |
| 1750503769 | John Francis Carabello | Dentist | 1047 Old York Road, Suite 201, Abington, PA 19001 | 2007-05-02 |
| 1578684767 | Jinsuk Oh | Dentist | 1883 London Rd, Abington, PA 19001-2708 | 2007-04-03 |
| 1245354711 | John A Bushnell | Dentist | 1377 Old York Rd, Abington, PA 19001-3411 | 2007-03-19 |
| 1114008323 | Stephen Jay Finkelman | Dentist | 1755 Old York Rd, Abington, PA 19001-1801 | 2006-10-17 |
| 1750491825 | Edward William Scoppettuolo Jr. | Dentist | 313 Adams St, Ste 202, Abington, MA 02351 | 2006-08-30 |
| 1700890183 | Scott Anthony Schipani | Dentist | 12 Lincoln Blvd, Abington, MA 02351 | 2006-07-28 |
| Find all providers in ABINGTON | ||||
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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.