CHESTNUT HILL CLINIC COMPANY, LLC (NPI# 1285274969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285274969 |
| Entity Type | Organization |
| Organization Name | CHESTNUT HILL CLINIC COMPANY, LLC |
| Other Organization Name | TELEMEDICINE CHESTNUT HILL TOWER HEALTH MEDICAL GROUP |
| Practice Address |
8835 Germantown Ave Philadelphia PA 19118-2718 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 2152488400 |
| 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 Chestnut Hill Tower Health Medical Group | Doing Business As Name - Organization |
| Telemedicine Tower Health Medical Group Chestnut Hill | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508936071 | Chestnut Hill Clinic Company, LLC | Social Worker | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2006-11-09 |
| Street Address |
8835 GERMANTOWN AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19118-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657656 | Mulki Giridhar Bhat | Anesthesiology | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2005-05-23 |
| 1225645484 | Christina Rizzardi | Nurse Practitioner | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-09-30 |
| 1518575257 | Jin Oh Cho | Podiatrist | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-07-20 |
| 1881212074 | Ryan Jeffrey Hippler | Podiatrist | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-07-14 |
| 1356960686 | Abdul Abel Walters | Student in an Organized Health Care Education/Training Program | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-04-16 |
| 1821624990 | Amanda Stearns | Physician Assistant | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-03-20 |
| 1306476924 | Tower Health Medical Group | Internal Medicine | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-01-23 |
| 1679131619 | Reid Ashton Singer | Physician Assistant | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2019-06-04 |
| 1730659707 | Alexander Mitchell | Nurse Practitioner | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2018-12-03 |
| 1013402205 | Shaun M Latshaw | Podiatrist | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2018-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801380126 | Bridget Hirsch | Psychologist | 18 E Abington Avenue, Philadelphia, PA 19118 | 2018-06-20 |
| 1740719194 | Alyssa H Bloch | Speech-Language Pathologist | 8431 Germantown Avenue, Philadelphia, PA 19118 | 2017-06-08 |
| 1710344056 | Zachary Roberts | Physical Therapist | 19 West Highland Avenue, Philadelphia, PA 19118 | 2016-01-18 |
| 1164847810 | Judith Maxwell | Family Medicine | 415 West Mermaid Ln, Philadelphia, PA 19118 | 2014-03-04 |
| 1174963151 | Deborah Hope Cooper | Counselor | 22 E. Chestnut Hill Avenue, Samaritan Counseling Service, Philadelphia, PA 19118 | 2013-07-05 |
| 1730524349 | Breast-pump-rental.com | Durable Medical Equipment & Medical Supplies | 112 W Gravers Lane, Philadelphia, PA 19118 | 2013-05-09 |
| 1083964902 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 7700 Crittenden Ave., Philadelphia, PA 19118 | 2012-09-18 |
| 1215286679 | Jessica M Steedle | Speech-Language Pathologist | 102 East Mermaid Lane, Philadelphia, PA 19118 | 2012-08-31 |
| 1083960124 | Fahad Malik Akhtar | Family Medicine | 8815 Germantown Avenue, 5th Floor, Philadelphia, PA 19118 | 2012-07-26 |
| 1992026793 | Valerie Mikula Hughes | Dentist | 9 E. Highland Ave, Philadelphia, PA 19118 | 2010-06-15 |
| Find all providers in zip 19118 | ||||
| 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 |
|---|---|---|---|---|
| 1972060176 | Ncv Diagnostics LLC | Psychiatry & Neurology | 1 Brown St Ste C, Philadelphia, PA 19123-3361 | 2019-02-23 |
| 1982102133 | Sonia Anand-nichols Md PC | Psychiatry & Neurology | 5735 Ridge Ave Ste 101, Philadelphia, PA 19128-1746 | 2018-01-23 |
| 1205357886 | Kenneth Gross | Psychiatry & Neurology | 777 S Broad St Apt 412, Philadelphia, PA 19147-2509 | 2017-07-04 |
| 1417339409 | Leonel Jorge Favio Estofan | Psychiatry & Neurology | 245 N 15th St, 7th Floor, Philadelphia, PA 19102-1200 | 2015-06-25 |
| 1073900700 | Pavan Anil Vaswani | Psychiatry & Neurology | 330 S 9th St Fl 3, Philadelphia, PA 19107-6103 | 2015-04-21 |
| 1942613369 | Mia Chwan Ko | Psychiatry & Neurology | 5401 Old York Rd Ste 404, Philadelphia, PA 19141-3046 | 2014-06-03 |
| 1912340415 | Simy Kabaria Parikh | Psychiatry & Neurology | 900 Walnut St Ste 200, Philadelphia, PA 19107-5191 | 2013-04-15 |
| 1215295118 | Curtis Brandon Allumbaugh | Psychiatry & Neurology | 833 Chestnut St Ste 220, Philadelphia, PA 19107 | 2012-04-27 |
| 1013201870 | Enrique Aradillas Lopez | Psychiatry & Neurology | 1200 Constitution Ave Ste 110, Philadelphia, PA 19112-1323 | 2011-06-08 |
| 1598076358 | Hristelina S. Ilieva | Psychiatry & Neurology | 909 Walnut Street 2nd Floor, Philadelphia, PA 19107-3342 | 2010-06-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19118 |
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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.