TOWER HEALTH MEDICAL GROUP (NPI# 1255636205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255636205 |
Entity Type | Organization |
Organization Name | TOWER HEALTH MEDICAL GROUP |
Other Organization Name | REGISTERED DIETICIANS WYOMISSING BROADCASTING RD THMG |
Practice Address |
1991 State Hill Rd Wyomissing PA 19610-1648 |
Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
Practice Telephone | 4846284270 |
Practice Fax Number | 4846284261 |
Enumeration Date | 2011-01-24 |
Last Update Date | 2020-08-11 |
Authorized Official Name | GARY CONNER (SENIOR VP & CFO) |
Authorized Official Telephone | 4846288181 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 136A00000X | Dietetic Technician, Registered | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | MEDICARE ID | 072790 | 01 |
Other Name | Type Code |
---|---|
Registered Dieticians - Tower Health Medical Group | Doing Business As Name - Organization |
Registered Dieticians Wyomissing Broadcasting Rd THMG | Doing Business As Name - Organization |
Registered Dieticians Wyomissing State Hill Rd THMG | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1220 Broadcasting Rd Ste 101, Wyomissing, PA 196103221 | 4846285673 | 6103718623 |
2603 Keiser Blvd, Ste 104, Wyomissing, PA 196103341 | 4846285673 | |
321 North Furnace St, Ste 100, Birdsboro, PA 195082057 | 4846284270 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992327746 | Tower Health Medical Group | Nurse Anesthetist, Certified Registered | 1 Granite Point Dr Ste 200, Wyomissing, PA 19610-1992 | 2020-05-15 |
1922653914 | Tower Health Medical Group | Surgery | 301 S 7th Ave Ste 3070, West Reading, PA 19611-1495 | 2019-08-06 |
1700369535 | Tower Health Medical Group | Radiology | 301 S 7th Ave Ste 135, West Reading, PA 19611-1442 | 2018-09-07 |
1497293443 | Tower Health Medical Group | Pain Medicine | 420 S 5th Ave # D1, West Reading, PA 19611-2143 | 2017-02-09 |
1487079141 | Tower Health Medical Group | Emergency Medicine | 2101 State Hill Rd Ste 5, Wyomissing, PA 19610-1993 | 2014-03-04 |
1851632236 | Tower Health Medical Group | Obstetrics & Gynecology | 1040 Reed Ave Ste 4, Wyomissing, PA 19610-2029 | 2013-03-08 |
1033450424 | Tower Health Medical Group | Pediatrics | 2101 State Hill Rd Ste 6, Wyomissing, PA 19610-1993 | 2013-03-08 |
1194892471 | Tower Health Medical Group | Psychologist | 1220 Broadcasting Rd Ste 100, Wyomissing, PA 19610-3221 | 2006-11-29 |
1336230242 | Tower Health Medical Group | Obstetrics & Gynecology | 420 S 5th Ave Bldg N, West Reading, PA 19611-2143 | 2006-09-27 |
1063503977 | Tower Health Medical Group | Internal Medicine | 301 S 7th Ave Ste 130, West Reading, PA 19611-1442 | 2006-09-27 |
Street Address |
1991 STATE HILL RD |
City | WYOMISSING |
State | PA |
Zip Code | 19610-1648 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851394167 | Lisa M. Motz | Internal Medicine | 1991 State Hill Rd, Wyomissing, PA 19610-1605 | 2005-05-31 |
1447815766 | Christynee Tran Valentine | Nurse Practitioner | 1991 State Hill Rd, Wyomissing, PA 19610-1648 | 2019-05-02 |
1285141390 | Megan R Gallagher | Dietitian, Registered | 1991 State Hill Rd, Wyomissing, PA 19610-1648 | 2018-01-10 |
1134634355 | Brittany Stoltzfus | Dietitian, Registered | 1991 State Hill Rd, Wyomissing, PA 19610-1648 | 2017-12-11 |
1356854988 | Sharin P Kelley | Nurse Practitioner | 1991 State Hill Rd, Wyomissing, PA 19610-1648 | 2017-11-06 |
1992236012 | Alanna Festa | Nurse Practitioner | 1991 State Hill Rd, Wyomissing, PA 19610-1648 | 2017-03-21 |
1285081265 | Connie Wyatt | Dietitian, Registered | 1991 State Hill Rd, Wyomissing, PA 19610-1648 | 2016-05-19 |
1205294246 | Shawn Leask | Dietitian, Registered | 1991 State Hill Rd, Wyomissing, PA 19610-1648 | 2016-02-05 |
1427457969 | Brooke Voda | Dietitian, Registered | 1991 State Hill Rd, Wyomissing, PA 19610-1648 | 2014-08-21 |
1215271333 | Nischinta Thapa | Internal Medicine | 1991 State Hill Rd, Wyomissing, PA 19610 | 2012-11-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
1932742772 | Kristin Marie Lapp | Social Worker | 1120-c Hobart Ave, Wyomissing, PA 19610 | 2019-10-24 |
1396302410 | Susan Cohick | Occupational Therapy Assistant | The Center for Pediatric Therapy Inc, 9 Bristol Ct, Wyomissing, PA 19610 | 2019-05-23 |
1518475953 | Safe Care Express Pllc | Clinic/Center | 1802 State Hill Rd, Wyomissing, PA 19610 | 2018-01-19 |
1346779733 | Eric Angstadt | Dentist | 85 Commerce Drive, Wyomissing, PW 19610 | 2017-06-08 |
1497209761 | Keystone Orthopaedic Specialists,llc | Durable Medical Equipment & Medical Supplies | 2607 Keiser Blvd # 200, Wyomissing, PA 19610 | 2016-08-04 |
1104270875 | Heather Claudette Meyer | Hearing Instrument Specialist | 50 Berkshire Ct Ste 250, Wyomissing, PA 19610 | 2016-04-19 |
1396125050 | Courtney B. Pursell | Counselor | 716 N. Park Rd., Wyomissing, PA 19610 | 2015-06-08 |
1760892012 | Nicole M Robb | Counselor | 17 Evans Ave, Wyomissing, PA 19610 | 2014-05-07 |
Find all providers in zip 19610 |
Taxonomy Code | 136A00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietetic Technician, Registered |
A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
Notes: Source: The American Dietetic Association. Becoming a Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366072191 | Sydney Nicole Mitcheltree | Dietetic Technician, Registered | 111 Idleworth Dr, Moon Twp, PA 15108-1008 | 2020-01-21 |
1669011201 | Ho Rim Lee | Dietetic Technician, Registered | 1447 Summit St, Linwood, PA 19061-4338 | 2019-12-30 |
1659913622 | Julie Fontaine Appolonia | Dietetic Technician, Registered | University Drive C, Mail Stop 120 Nf-u, Pittsburgh, PA 15240 | 2019-10-11 |
1366907438 | Susann Penska | Dietetic Technician, Registered | 4201 Walnut St, Mckeesport, PA 15132-7300 | 2019-02-04 |
1881904498 | Sped Consulting & Therapy | Dietetic Technician, Registered | 1002 Fawn Ct, Effort, PA 18330-8604 | 2010-10-15 |
1518592732 | Coby A Bamford | Dietetic Technician, Registered | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-03-09 |
1750911038 | Michele Ott-ocheltree | Dietetic Technician, Registered | 900 3rd Ave, Beaver Falls, PA 15010-4613 | 2020-01-25 |
1609237379 | Shannon Mazzei | Dietetic Technician, Registered | 475 Spring Ln, Philadelphia, PA 19128-3918 | 2016-03-09 |
1154793115 | Kurt William Berg | Dietetic Technician, Registered | 1010 Delafield Rd, Pittsburgh, PA 15215-1802 | 2015-10-29 |
1013329366 | Sara' Fleming-donley | Dietetic Technician, Registered | 5000 Woodland Ave, Philadelphia, PA 19143-5137 | 2014-05-21 |
Find all providers with the same taxonomy |
City | WYOMISSING |
Zip Code | 19610 |
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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.