THERESA RENEE METANCHUK (NPI# 1255627204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255627204 |
| Entity Type | Individual |
| Full Name | THERESA RENEE METANCHUK |
| Other Name | THERESA RENEE HIPP |
| Credential | D.O. |
| Practice Address |
455 Woodview Rd Suite 100 West Grove PA 19390-9303 |
| Practice Telephone | 6103451900 |
| Practice Fax Number | 6103451901 |
| Mailing Telephone | 6103451900 |
| Mailing Fax Number | 6103451901 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2017-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS016309 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
455 WOODVIEW RD SUITE 100 |
| City | WEST GROVE |
| State | PA |
| Zip Code | 19390-9303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790727147 | Jeanne Marie Kelly | Family Medicine | 455 Woodview Rd, Suite 100, West Grove, PA 19390-9303 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922660323 | Patrick Michael Kiger | Physical Therapy Assistant | 200 Greenbriar Lane, West Grove, PA 19390 | 2019-07-05 |
| 1003190620 | Michael N Mount | Physical Therapist | One Commerce Blvd, Suite 103, West Grove, PA 19390 | 2011-09-30 |
| 1558511899 | Frank Farrell | Occupational Therapist | 8 West Meadow Court, West Grove, PA 19390 | 2008-09-23 |
| 1265691026 | Alexandra Cortese | Audiologist | 1 Commerce Boulevard, Suite 201, West Grove, PA 19390 | 2008-06-06 |
| 1548441488 | Arthur B Belson Md | Ophthalmology | 1011 W Balt Pk 203, West Grove, PA 19390 | 2007-11-20 |
| 1669541553 | Avon Grove Charter School | Local Education Agency (LEA) | 110 E State Road, West Grove, PA 19390 | 2006-11-07 |
| 1205850831 | Linda Barkasy | Pediatrics | 455 Woodview Road, Suite 220, West Grove, PA 19390 | 2006-07-27 |
| 1427094531 | John Aaron | Internal Medicine | 900 West Baltimore Pike, Ste 101, West Grove, PA 19390 | 2006-06-20 |
| 1447238423 | Tim Mudgett-mcgeoch | Physical Therapist | 100 Sycamore Dr, Jenner's Pond Retirement Community, West Grove, PA 19390 | 2006-01-09 |
| 1134789597 | Josie Tate | Nurse Practitioner | 2000 Greenbriar Ln, West Grove, PA 19390 | 2019-06-18 |
| Find all providers in zip 19390 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750535910 | West Grove Family Practice LLC | Family Medicine | 900 W Baltimore Pike Ste 200, West Grove, PA 19390-9313 | 2008-11-13 |
| 1215107693 | Steven J Breslow | Family Medicine | 390 Vineyard Way Bldg 500, #501, West Grove, PA 19390-8835 | 2008-03-03 |
| 1043365844 | David G Rooney | Family Medicine | 105 Vineyard Way, Suite 200, West Grove, PA 19390-8849 | 2007-01-24 |
| 1790727147 | Jeanne Marie Kelly | Family Medicine | 455 Woodview Rd, Suite 100, West Grove, PA 19390-9303 | 2006-06-11 |
| 1073553251 | Michael D Kirk | Family Medicine | 455 Woodview Rd Ste 100, West Grove, PA 19390-9314 | 2006-06-07 |
| 1467412700 | Daniel N Duran | Family Medicine | 900 W Baltimore Pike, Suite 200, West Grove, PA 19390-9313 | 2006-03-23 |
| 1801031562 | Jennersville Family Medicine LLC | Family Medicine | 390 Vineyard Way, Bldg 501, West Grove, PA 19390 | 2008-12-10 |
| 1710138755 | Lisa Breslow | Family Medicine | 390 Vineyard Way Bldg 500, Suite 501, West Grove, PA 19390-8835 | 2008-10-08 |
| 1205981099 | John N Daghir | Family Medicine | 105 Vineyard Way, Suite 200, West Grove, PA 19390 | 2007-01-24 |
| 1851332472 | Stephen Naylor | Family Medicine | 455 Woodview Rd Ste 100, West Grove, PA 19390-9314 | 2006-06-08 |
| Find all providers in WEST GROVE | ||||
| City | WEST GROVE |
| Zip Code | 19390 |
Please comment or provide details below to improve the information on THERESA RENEE METANCHUK.
| 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.