MARIANNE LYNN RAVERT PEACOCK (NPI# 1356579585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356579585 |
| Entity Type | Individual |
| Full Name | MARIANNE LYNN RAVERT PEACOCK |
| Credential | DPM |
| Practice Address |
2800 W Township Line Rd Havertown PA 19083-5215 |
| Practice Telephone | 6104493344 |
| Practice Fax Number | 6104491325 |
| Mailing Telephone | 6104493344 |
| Mailing Fax Number | 6104491325 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2014-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006134 | PA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386631455 | Marianne Peacock | Nurse Practitioner | 1115 S Union St, Traverse City, MI 49684-3258 | 2005-10-04 |
| Street Address |
2800 W TOWNSHIP LINE RD |
| City | HAVERTOWN |
| State | PA |
| Zip Code | 19083-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376589846 | Andrew T Teplica | Podiatrist | 2800 W Township Line Rd, Havertown, PA 19083-5215 | 2006-06-21 |
| 1053641431 | Dr. Bruce G Greenfield Dpm PC | Prosthetic/Orthotic Supplier | 2800 W Township Line Rd, Havertown, PA 19083-5215 | 2010-01-06 |
| 1689841678 | Rhonda Sue Cornell | Podiatrist | 2800 W Township Line Rd, Havertown, PA 19083-5215 | 2008-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1588216238 | Angela Wrolstad | Registered Nurse | 614 Darby Road, Havertown, PA 19083 | 2019-07-12 |
| 1639696214 | Osaru Anyumba | Case Manager/Care Coordinator | 311 Lansdowne Road, Havertown, PA 19083 | 2017-08-24 |
| 1346762739 | Luke Francis Mattson | Pharmacist | 60 West Hillcrest Avenue, Havertown, PA 19083 | 2017-07-07 |
| 1124558150 | Clare M Chakey | Counselor | 1631 Ridgeway Road, Haventown, PA 19083 | 2017-06-13 |
| 1205382553 | Silverware Home Care Service LLC | Residential Treatment Facility, Physical Disabilities | 2010 Wester Chester Pike, Suite 448, Havertown, PA 19083 | 2016-08-28 |
| 1275903486 | Megan Keeley Ramaika | Dietitian, Registered | 404 Fairmont Road, Havertown, PA 19083 | 2015-09-30 |
| 1972987246 | Katie Paugh | Occupational Therapist | One North Belfield Avenue, Havertown, PA 19083 | 2015-07-16 |
| 1497140180 | Total Health Home Care Corporation | Nurse's Aide | 2710 West Township Line Rd, Havertown, PA 19083 | 2015-03-31 |
| 1851704084 | Ul Sik Jason Chong | Pharmacist | 700 East Townshipline Road Ste Ll, Havertown, PA 19083 | 2014-06-05 |
| Find all providers in zip 19083 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083642219 | Bruce G Greenfield | Podiatrist | 2800 Township Line Road, Havertown, PA 19083-5215 | 2006-06-28 |
| 1376589846 | Andrew T Teplica | Podiatrist | 2800 W Township Line Rd, Havertown, PA 19083-5215 | 2006-06-21 |
| 1740243922 | A Foot Above Podiatry, Inc. | Podiatrist | 1120 Township Line Rd, Suite 300, Havertown, PA 19083-3431 | 2006-04-10 |
| 1275532079 | Robby J Wiemer | Podiatrist | 850 W Chester Pike, Suite 200, Havertown, PA 19083-4400 | 2005-07-14 |
| 1932108701 | Stephen A Monaco | Podiatrist | 1120 W Township Line Rd, Suite 300, Havertown, PA 19083-4929 | 2005-07-14 |
| 1689841678 | Rhonda Sue Cornell | Podiatrist | 2800 W Township Line Rd, Havertown, PA 19083-5215 | 2008-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656208 | Delaney Wickramage | Podiatrist | 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 | 2020-07-16 |
| 1841819463 | Michael A Savisky | Podiatrist | West Penn Hospital, 4800 Friendship Avenue/foot and Ankle Institute, Pittsburgh, PA 15224-1793 | 2020-04-14 |
| 1114551140 | Gretchen M Perschke | Podiatrist | 104 Technology Dr Ste 103, Butler, PA 16001-1801 | 2020-02-28 |
| 1912537960 | Brian J Morris | Podiatrist | 103 Tamara Dr, Old Forge, PA 18518-2342 | 2020-01-17 |
| 1205477973 | New Step Podiatry Associates, LLC | Podiatrist | 2076 Huber Dr, Quakertown, PA 18951-3888 | 2019-10-03 |
| 1336780345 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 4033 Linglestown Rd Ste 1, Harrisburg, PA 17112-1153 | 2019-10-01 |
| 1417598426 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2025 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9401 | 2019-10-01 |
| 1891345104 | Bay City Associates In Podiatry Inc | Podiatrist | 105 Mead Ave Ste A, Meadville, PA 16335-3531 | 2019-09-18 |
| 1093367203 | Gary A. Raymond Dpm PC | Podiatrist | 195 Memorial Dr Ste 6, Everett, PA 15537-7056 | 2019-07-09 |
| 1992357115 | Gary A. Raymond, Dpm, PC | Podiatrist | 1225 Warm Springs Avenue, 3rd Floor, Huntingdon, PA 16652-7146 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
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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.