JOSE ETHAN PULIDO (NPI# 1285053421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285053421 |
Entity Type | Individual |
Full Name | JOSE ETHAN PULIDO |
Credential | MD |
Practice Address |
2 Industrial Blvd Bldg C Ste 120 Paoli PA 19301 |
Mailing Address |
211 S Gulph Rd Ste 200 King of Prussia PA 19406-3101 |
Practice Telephone | 6106473660 |
Practice Fax Number | 6106442165 |
Mailing Telephone | 6103825916 |
Enumeration Date | 2014-04-15 |
Last Update Date | 2019-08-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | MD466849 | PA | Allopathic & Osteopathic Physicians |
N | 208800000X | Urology | MT205718 | PA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
211 S Gulph Rd Ste 200, King of Prussia, PA 194063101 | 6103825900 | 6103825919 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730622135 | Jose Pulido | Licensed Practical Nurse | 2740 College Ave, Conway, AR 72034-6141 | 2016-12-02 |
1588003669 | Jose Alfonso Pulido | Pharmacist | H100 Santa Margarita Rd, Attention: Code 00qm, Camp Pendleton, CA 92055-5191 | 2013-06-21 |
1154476117 | Jose R Pulido | Dentist | 310 S Broadway, Escondido, CA 92025-4207 | 2007-01-23 |
Street Address |
2 INDUSTRIAL BLVD BLDG C STE 120 |
City | PAOLI |
State | PA |
Zip Code | 19301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
1780955518 | Gulia Muca Omene | Dentist | 22 Paoli Pike, Paoli, PA 19301 | 2012-01-25 |
Find all providers in zip 19301 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396935912 | Joseph A Graversen | Urology | 209 W Lancaster Ave, Suite 200, Paoli, PA 19301-1749 | 2007-07-30 |
1396869012 | Western Main Line Urology PC | Urology | 255 W Lancaster Ave, Suite 333, Paoli, PA 19301-1763 | 2007-03-19 |
1922112119 | James R Bollinger, Md PC | Urology | 209 W Lancaster Ave, Suite 200, Paoli, PA 19301-1749 | 2006-08-18 |
1336156785 | James Richard Bollinger | Urology | 209 W Lancaster Ave, Suite 200, Paoli, PA 19301-1749 | 2006-08-01 |
1063410702 | Gregory M. Thompson | Urology | 255 W Lancaster Ave, Pmob IIi, Suite 333, Paoli, PA 19301-1763 | 2005-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
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1184230468 | St Clair Medical Services, Inc. | Urology | 2000 Oxford Dr Ste 410, Bethel Park, PA 15102-1841 | 2020-09-22 |
1326673690 | Glade Run Medical Associates, Inc. | Urology | 500 Medical Arts Bldg Ste 520, Kittanning, PA 16201-7137 | 2020-03-07 |
1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
1558859645 | East Freedom Surgical Associates, LLC | Urology | 15721 Dunnings Hwy, Duncansville, PA 16635 | 2018-04-25 |
1528560943 | Lancaster Urology PC | Urology | 175 Martin Ave Ste 300, Ephrata, PA 17522-1761 | 2018-03-01 |
1841706561 | Urology of Central Pennsylvania, Inc | Urology | 815 Sir Thomas Ct Ste 100, Harrisburg, PA 17109-4839 | 2017-12-18 |
1003326869 | St Luke's Physician Group Inc | Urology | 5325 Northgate Dr Ste 203, Bethlehem, PA 18017-9413 | 2017-10-06 |
1952829350 | Centers for Advanced Urology, LLC | Urology | 140 W Germantown Pike Ste 250, Plymouth Meeting, PA 19462-1421 | 2017-09-06 |
1346767944 | Nazareth Physician Services | Urology | 2701 Holme Ave Ste 101, Phila, PA 19152-2029 | 2017-08-24 |
1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
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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.