DR. NINO OQROSHIDZE (NPI# 1255628897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255628897 |
| Entity Type | Individual |
| Full Name | DR. NINO OQROSHIDZE |
| Credential | M.D. |
| Practice Address |
1820 Bethlehem Pike Flourtown PA 19031-1504 |
| Practice Telephone | 2158361354 |
| Mailing Telephone | 2158361354 |
| Mailing Fax Number | 2158362605 |
| Enumeration Date | 2011-07-04 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD452940 | PA | Allopathic & Osteopathic Physicians |
| N | 282N00000X | General Acute Care Hospital | HS000163L | PA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LICENSE | HS000163L | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2603 Easton Rd, Willow Grove, PA 190901009 | 2675373300 | 2675372939 |
| Street Address |
1820 BETHLEHEM PIKE |
| City | FLOURTOWN |
| State | PA |
| Zip Code | 19031-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811993363 | Kenneth L Jacobson | Family Medicine | 1820 Bethlehem Pike, Flourtown, PA 19031-1504 | 2005-06-21 |
| 1245892314 | Jefferson Acute Care Physicians, PC | Clinic/Center | 1820 Bethlehem Pike, Flourtown, PA 19031-1504 | 2019-06-28 |
| 1467863324 | Yan Kiriakov | Family Medicine | 1820 Bethlehem Pike, Flourtown, PA 19031-1504 | 2014-05-14 |
| 1215357843 | Alexandra B. Doroshow | Family Medicine | 1820 Bethlehem Pike, Flourtown, PA 19031-1504 | 2014-04-22 |
| 1033536859 | Abington Memorial Hospital | Clinic/Center | 1820 Bethlehem Pike, Flourtown, PA 19031-1504 | 2014-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043721616 | Audrey Diane Scanlon | Nurse Practitioner | 1811 Bethlehem Pike Ste A108, Flourtown, PA 19031 | 2017-10-23 |
| 1104342161 | David Azizyan | Dentist | 1605 Mulberry Rd, Flourtown, PA 19031 | 2017-08-21 |
| 1922535764 | Public Health Management Corporation | Clinic/Center | 71 West Wissachickon Ave., Flourtown, PA 19031 | 2017-05-11 |
| 1184077570 | Susan M Nagy | Social Worker | 18 Springfield Avenue, Flourtown, PA 19031 | 2016-07-20 |
| 1114292828 | Andrea Ingerson | Specialist/Technologist | 1206 Larchwood Road, Flourtown, PA 19031 | 2012-03-13 |
| 1942421235 | Flourtown Pediatric Dentistry Ltd | Dentist | 10 East Mill Road, Flourtown, PA 19031 | 2007-05-02 |
| 1487775110 | Jacqueline Kugler | Audiologist-Hearing Aid Fitter | 1107 Bethlehem Pike Ste 211, Flourtown, PA 19031 | 2007-04-02 |
| 1114973112 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 1640 Bethlehem Pike, Flourtown, PA 19031 | 2006-05-25 |
| 1558330738 | Robert M Epting | Physical Therapist | 5 W Wissehickon Ave, Flourtown, PA 19031 | 2006-03-17 |
| 1285609362 | Kathryn E Seelaus | Physical Therapist | 5 W Wissahickon Ave, Flourtown, PA 19031 | 2006-02-22 |
| Find all providers in zip 19031 | ||||
| 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 |
|---|---|---|---|---|
| 1922082874 | Herbert Marvin Schiller | Family Medicine | 311 Haws Ln, Flourtown, PA 19031-2139 | 2005-12-05 |
| 1073594107 | Timothy G Reekie | Family Medicine | 1107 Bethlehem Pike, Suite 210, Flourtown, PA 19031-1919 | 2005-11-07 |
| 1235136904 | House Call Group, PC | Family Medicine | 1110 Bethlehem Pike, Flourtown, PA 19031-2001 | 2005-07-07 |
| 1811993363 | Kenneth L Jacobson | Family Medicine | 1820 Bethlehem Pike, Flourtown, PA 19031-1504 | 2005-06-21 |
| 1851393128 | Matthew Odonnell | Family Medicine | 1811 Bethlehem Pike, B 232, Flourtown, PA 19031-1111 | 2005-06-01 |
| 1720533854 | House Call Medical Services, P.C. | Family Medicine | 1110 Bethlehem Pike, Flourtown, PA 19031-2001 | 2016-08-18 |
| 1467863324 | Yan Kiriakov | Family Medicine | 1820 Bethlehem Pike, Flourtown, PA 19031-1504 | 2014-05-14 |
| 1215357843 | Alexandra B. Doroshow | Family Medicine | 1820 Bethlehem Pike, Flourtown, PA 19031-1504 | 2014-04-22 |
| 1952642936 | Temple Physicians Inc | Family Medicine | 1107 Bethlehem Pike, Suite 210, Flourtown, PA 19031-1919 | 2013-03-15 |
| 1255582201 | Eliza Ervin Fulton Thornton | Family Medicine | 1110 Bethlehem Pike, Flourtown, PA 19031-2001 | 2008-10-08 |
| Find all providers in FLOURTOWN | ||||
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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.