STC PEDIATRICS LLC (NPI# 1235773458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235773458 |
| Entity Type | Organization |
| Organization Name | STC PEDIATRICS LLC |
| Other Organization Name | ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES GENERAL SURGERY - ABINGTON |
| Practice Address |
1200 Old York Rd Abington PA 19001-3720 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 2154812000 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | GARY CONNER (VP & CFO) |
| Authorized Official Telephone | 4846280797 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Christopher's Pediatric Associates General Surgery - Abington | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516279 | Stc Pediatrics LLC | Pediatrics | 3601 A St Fl Family, Philadelphia, PA 19134-1043 | 2020-07-23 |
| 1932722881 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 | 2020-05-27 |
| 1649806217 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave Fl 3, Philadelphia, PA 19134-1011 | 2020-03-16 |
| 1033753439 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-30 |
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1639713944 | Stc Pediatrics LLC | Pediatrics | 1201 Langhorne Newtown Rd Ste 401, Langhorne, PA 19047-1201 | 2019-10-30 |
| 1548804909 | Stc Pediatrics LLC | Psychiatry & Neurology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
| 1962046474 | Stc Pediatrics LLC | Pediatrics | 301 Oxford Valley Rd Ste 1201, Yardley, PA 19067-7706 | 2019-10-29 |
| 1508466913 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-27 |
| 1548867476 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-05 |
| Street Address |
1200 OLD YORK RD |
| City | ABINGTON |
| State | PA |
| Zip Code | 19001-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942204276 | Peter J Vacca | Specialist | 1200 Old York Rd, Abington, PA 19001-3720 | 2005-06-01 |
| 1669070983 | India Tollini | Registered Nurse | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-10-09 |
| 1831700376 | Alison Ann Hollingsworth | Nurse Practitioner | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-08-10 |
| 1942820725 | Karie Kula | Radiology | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-04-21 |
| 1497374110 | Dean Yehoshua Granot | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3788 | 2020-04-13 |
| 1073132130 | Emma Lilia Galarza Beltran | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3788 | 2020-04-09 |
| 1598384638 | Alan Bui | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-04-09 |
| 1336778620 | Brett Arsenio Johnson | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3788 | 2020-04-07 |
| 1336778786 | Jacqueline Dipietro | Physical Therapist | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-04-07 |
| 1639708787 | Mariya Khan | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-04-01 |
| 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 | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023271863 | Abington Memorial Hospital | Surgery | 1245 Highland Ave, Suite 105, Abington, PA 19001-3714 | 2008-07-02 |
| 1336245851 | William H Weintraub | Surgery | 1245 Highland Ave, Ste 305, Abington, PA 19001-3714 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972147239 | Children's Surgery Center of Philadelphia LLC | Surgery | 2301 E Allegheny Ave Ste 301m, Philadelphia, PA 19134-4427 | 2019-10-30 |
| 1013358084 | Kamthorn Sukarochana | Surgery | 9100 Babcock Blvd., Passavant Hosptial, Pittsburgh, PA 15237 | 2013-07-08 |
| 1336390434 | Laurence Alan Somers | Surgery | 10 Andorra Hill Rd, Lafayette Hill, PA 19444-1705 | 2008-10-07 |
| 1760661292 | John C Adkins | Surgery | 10 Holland Rd, Pittsburgh, PA 15235-5043 | 2007-11-01 |
| 1548332968 | Lehigh Valley Physician Group | Surgery | 1210 S Cedar Crest Blvd Ste 1100, Allentown, PA 18103-6241 | 2006-11-14 |
| 1770535551 | Pinnacle Health Medical Services | Surgery | 3 Walnut St Ste 205, Lemoyne, PA 17043-1168 | 2006-05-17 |
| 1457309080 | Marshall Z Schwartz | Surgery | Erie Ave At Front Street, Philadelphia, PA 19134-1095 | 2006-05-05 |
| 1952389082 | Christopher Coppola | Surgery | Geisinger Medical Ctr, 100 N. Academy Av. Mc 21-70, Danville, PA 17822-2170 | 2006-01-09 |
| 1912999848 | Kelly Miller Austin | Surgery | One Children's Hospital Drive, 4401 Penn Avenue, Children's Hospital of Pittsburgh of Upmc, Pittsburgh, PA 15224 | 2005-08-17 |
| 1174528533 | Domingo T Alvear | Surgery | 3 Walnut St, Lemoyne, PA 17043-1168 | 2005-06-14 |
| Find all providers with the same taxonomy | ||||
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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.