PHOENIXVILLE CLINIC COMPANY LLC (NPI# 1275173957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275173957 |
| Entity Type | Organization |
| Organization Name | PHOENIXVILLE CLINIC COMPANY LLC |
| Other Organization Name | TELEMEDICINE PHOENIXVILLE TOWER HEALTH MEDICAL GROUP |
| Practice Address |
140 Nutt Rd Phoenixville PA 19460-3906 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 6109831100 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | GARY CONNER (VP & CFO) |
| Authorized Official Telephone | 4846288181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Telemedicine Phoenixville Tower Health Medical Group | Doing Business As Name - Organization |
| Telemedicine Tower Health Medical Group Phoenixville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720018898 | Phoenixville Clinic Company LLC | Obstetrics & Gynecology | 300 Schuylkill Rd, Phoenixville, PA 19460 | 2006-07-04 |
| 1891866182 | Phoenixville Clinic Company LLC | Emergency Medicine | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2006-11-10 |
| 1790746345 | Phoenixville Clinic Company LLC | Surgery | 420 W Linfield Trappe Rd, Ste 1100, Limerick, PA 19468-4278 | 2006-03-31 |
| Street Address |
140 NUTT RD |
| City | PHOENIXVILLE |
| State | PA |
| Zip Code | 19460-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053317768 | Lisa Anne Santoro | Nurse Anesthetist, Certified Registered | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2005-06-27 |
| 1407466444 | Lashay Tamaine Davis | Nurse Practitioner | 140 Nutt Rd, Phoenixville, PA 19460-3900 | 2020-08-04 |
| 1922625714 | Marcus James Duval | Podiatrist | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2020-06-29 |
| 1316564107 | Tymoteusz Jakub Siwy | Podiatrist | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2020-06-29 |
| 1881210813 | Stc Pediatrics LLC | Pediatrics | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2020-06-25 |
| 1578186276 | Annika Moline | Registered Nurse | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2020-05-28 |
| 1508487372 | Denise Petrino Kershner | Physical Therapist | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2020-05-02 |
| 1942844816 | Shannon Stenson | Physician Assistant | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2019-11-04 |
| 1770124539 | Michael Van Etten | Physician Assistant | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2019-10-03 |
| 1194386219 | Stephen Sinclair-hall | Podiatrist | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2019-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537030 | Dominique Butz | Counselor | 100 Yearsley Mill Road, Lima, PA 19460 | 2020-10-30 |
| 1801360573 | Pennsylvania Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 710 Wheatland St Ste 1, Phoenixville, PA 19460 | 2019-01-16 |
| 1518482702 | Megan Blair Webb | Massage Therapist | 215 Pine Drive, Phoenixville, PA 19460 | 2017-08-08 |
| 1053867697 | Steven Mehl | Psychologist | 865 Woodlawn Ave., Phoenixville, PA 19460 | 2016-09-01 |
| 1023564762 | Elizabeth Tarka | Internal Medicine | 111 Waverly Circle, Phoenixville, PA 19460 | 2016-09-01 |
| 1477901874 | Valley Forge Family Dentistry | Clinic/Center | 1288 Valley Forge Rd #70, Valley Forge, PA 19460 | 2016-05-26 |
| 1184088429 | Gisselle Vargas | Massage Therapist | 220 Third Ave, Phoenixville, PA 19460 | 2016-04-13 |
| 1992179022 | Monir Morgan | Counselor | 1041 West Bridge Street, Phoenixville, PA 19460 | 2015-12-01 |
| 1437531548 | Hiteshkumar K Nada | Dentist | 247 Schuylkill Road Phoenixville, Phoenixville, PA 19460 | 2015-06-25 |
| 1871995464 | Smart Serve Medical | Durable Medical Equipment & Medical Supplies | 69 Greenbriar Drive, Phoenixville, PA 19460 | 2014-09-25 |
| Find all providers in zip 19460 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624584 | Armstrong County Memorial Hospital | Psychiatry & Neurology | 500 Medical Arts Bldg Ste 510, Kittanning, PA 16201-7137 | 2020-06-19 |
| 1174149975 | Somerset Health Services, Inc. | Psychiatry & Neurology | 126 E Church St Ste 2300, Somerset, PA 15501-2272 | 2020-06-18 |
| 1730725771 | Jbj Investments LLC | Psychiatry & Neurology | 2170 Ferncroft Ln, Chester Springs, PA 19425-3846 | 2019-11-25 |
| 1619538865 | Unknown Azima Shaji | Psychiatry & Neurology | St. Luke's University and Health Network- Anderson, Medical Education Office- 1700, St. Luke's Blvd, Easton, PA 18045 | 2019-06-27 |
| 1629636790 | Catherine Rachel Craven | Psychiatry & Neurology | 1700 St Lukes Blvd Ofc, Easton, PA 18045-5670 | 2019-06-03 |
| 1073170569 | Charles P. Gennaula, M.d., P.C. | Psychiatry & Neurology | 100 Peasant Village Ln Ste 100, Rostraver Township, PA 15012-4333 | 2019-05-21 |
| 1902460876 | Pearlmed Pllc | Psychiatry & Neurology | 1510 Chester Pike Ste 160, Eddystone, PA 19022-1375 | 2019-04-26 |
| 1144787094 | Shobha Asthana Md PC | Psychiatry & Neurology | 100 Peasant Village Ln Ste 103, Rostraver Township, PA 15012-4333 | 2019-02-27 |
| 1972060176 | Ncv Diagnostics LLC | Psychiatry & Neurology | 1 Brown St Ste C, Philadelphia, PA 19123-3361 | 2019-02-23 |
| 1235609959 | Lower Merion Neurology, PC | Psychiatry & Neurology | 100 E Lancaster Ave Ste 161, Wynnewood, PA 19096-3427 | 2018-11-26 |
| Find all providers with the same taxonomy | ||||
| City | PHOENIXVILLE |
| Zip Code | 19460 |
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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.