PAUL EZELL (NPI# 1235130741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235130741 |
| Entity Type | Individual |
| Full Name | PAUL EZELL |
| Credential | M.D. |
| Practice Address |
2010 W Chester Pike Havertown PA 19083-2700 |
| Practice Telephone | 6104462260 |
| Practice Fax Number | 6104463360 |
| Mailing Telephone | 6104462260 |
| Mailing Fax Number | 6104463360 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2012-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD025524E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | RAILROAD MEDICARE | P00420778 | 01 |
| Street Address |
2010 W CHESTER PIKE |
| City | HAVERTOWN |
| State | PA |
| Zip Code | 19083-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033762430 | Maria Anne Spano | Counselor | 2010 W Chester Pike, Havertown, PA 19083-2700 | 2019-07-24 |
| 1811363393 | Ashlee Eileen Geier | Physical Therapist | 2010 W Chester Pike, Suite 450, Havertown, PA 19083-2700 | 2015-08-19 |
| 1053715458 | Stephanie Bergey | Counselor | 2010 W Chester Pike, Ste 314, Havertown, PA 19083-2700 | 2014-10-14 |
| 1053734970 | Daniel Brown | Counselor | 2010 W Chester Pike, Havertown, PA 19083-2700 | 2014-01-28 |
| 1801143201 | Bai Dan | Mechanotherapist | 2010 W Chester Pike, #407, Havertown, PA 19083-2700 | 2012-08-06 |
| 1689949067 | Richard L Jahnle Md PC | Optometrist | 2010 W Chester Pike, Wellness Center; Suite 310, Havertown, PA 19083-2737 | 2012-03-19 |
| 1619253812 | Lorene Renee Peta | Counselor | 2010 W Chester Pike, Suite 314, Havertown, PA 19083-2700 | 2011-11-01 |
| 1457636037 | Lll-usa Integrated Health Care Association | Clinic/Center | 2010 W Chester Pike, Suite 407, Havertown, PA 19083-2700 | 2011-10-14 |
| 1770896839 | Yu Jiang | Dentist | 2010 W Chester Pike, Suite 420, Havertown, PA 19083-2700 | 2010-07-19 |
| 1952542615 | Domenick Braccia D.o. | Clinic/Center | 2010 W Chester Pike, Suite 310, Havertown, PA 19083-2700 | 2009-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1588216238 | Angela Wrolstad | Registered Nurse | 614 Darby Road, Havertown, PA 19083 | 2019-07-12 |
| 1639696214 | Osaru Anyumba | Case Manager/Care Coordinator | 311 Lansdowne Road, Havertown, PA 19083 | 2017-08-24 |
| 1346762739 | Luke Francis Mattson | Pharmacist | 60 West Hillcrest Avenue, Havertown, PA 19083 | 2017-07-07 |
| 1124558150 | Clare M Chakey | Counselor | 1631 Ridgeway Road, Haventown, PA 19083 | 2017-06-13 |
| 1205382553 | Silverware Home Care Service LLC | Residential Treatment Facility, Physical Disabilities | 2010 Wester Chester Pike, Suite 448, Havertown, PA 19083 | 2016-08-28 |
| 1275903486 | Megan Keeley Ramaika | Dietitian, Registered | 404 Fairmont Road, Havertown, PA 19083 | 2015-09-30 |
| 1972987246 | Katie Paugh | Occupational Therapist | One North Belfield Avenue, Havertown, PA 19083 | 2015-07-16 |
| 1497140180 | Total Health Home Care Corporation | Nurse's Aide | 2710 West Township Line Rd, Havertown, PA 19083 | 2015-03-31 |
| 1851704084 | Ul Sik Jason Chong | Pharmacist | 700 East Townshipline Road Ste Ll, Havertown, PA 19083 | 2014-06-05 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982014858 | Kelly L. Krespan | Ophthalmology | 2010 W Chester Pike Ste 310, Havertown, PA 19083-2737 | 2014-05-01 |
| 1235179391 | Robert David Lehman Jr. | Ophthalmology | 31 S Eagle Rd, Suite 107, Havertown, PA 19083-3340 | 2006-06-07 |
| 1811973472 | John J Lee | Ophthalmology | 2050 W Chester Pike, Suite 100, Havertown, PA 19083-2742 | 2005-12-15 |
| 1386649176 | John N. Negrey Jr. | Ophthalmology | 56 W Eagle Rd, Havertown, PA 19083-1447 | 2005-06-17 |
| 1083619878 | Richard L. Jahnle | Ophthalmology | 2010 West Chester Pike, Wellness Center; Suite 310, Havertown, PA 19083-2737 | 2005-06-17 |
| 1316508666 | Nestor Biletsky | Ophthalmology | 2010 W Chester Pike Ste 310, Havertown, PA 19083-2737 | 2019-06-27 |
| 1376968636 | Robert D. Lehman, Jr., Md, PC | Ophthalmology | 31 S Eagle Rd, Ste. 107, Havertown, PA 19083-3340 | 2014-02-24 |
| 1225103575 | Michael A Negrey | Ophthalmology | 56 W Eagle Rd, Havertown, PA 19083-1447 | 2006-11-22 |
| 1972504017 | Bari Michele Brandt | Ophthalmology | 56 W Eagle Rd, Havertown, PA 19083-1447 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256782 | Maria Manquez Hatta | Ophthalmology | 840 Walnut St Fl 14, Philadelphia, PA 19107-5109 | 2020-08-18 |
| 1871115691 | Harold P Koller Md LLC | Ophthalmology | 1650 Huntingdon Pike Ste 208, Meadowbrook, PA 19046-8006 | 2020-05-14 |
| 1851938039 | Katherine Marie Mehalik | Ophthalmology | 301 S Hills Vlg Ste 2115a, Pittsburgh, PA 15241-1400 | 2019-12-05 |
| 1275177602 | Vision Innovation Centers of Pa LLC | Ophthalmology | 1000 Market St Ste 5, Bloomsburg, PA 17815-2601 | 2019-10-29 |
| 1255982963 | Priyanka Kukkar | Ophthalmology | 203 Lothrop Street, 8th Floor, Upmc Eye Center, Pittsburgh, PA 15213 | 2019-09-24 |
| 1871149716 | Harrisburg Eye Associates PC | Ophthalmology | 4700 Union Deposit Rd Ste 220, Harrisburg, PA 17111-3774 | 2019-08-15 |
| 1821640459 | Stephanie Nicole Kletke | Ophthalmology | 3500 Civic Center Blvd Fl 11, Philadelphia, PA 19104-4395 | 2019-07-13 |
| 1528623477 | Jay Kumar Chhablani | Ophthalmology | 203 Lothrop St Ste 821.2, Pittsburgh, PA 15213-2548 | 2019-05-07 |
| 1295290179 | Erika Massicotte | Ophthalmology | 203 Lothrop Street, Suite 821.2 Upmc Eye Center, Pittsburgh, PA 15213 | 2019-02-05 |
| 1417441692 | Blue Bell Eye Care & Surgery, P.C. | Ophthalmology | 686 Dekalb Pike Ste 202, Blue Bell, PA 19422-1258 | 2018-06-20 |
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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.