MS. KERRY RIES (NPI# 1366822280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366822280 |
| Entity Type | Individual |
| Full Name | MS. KERRY RIES |
| Credential | PA-C |
| Practice Address |
1305 W Chester Pike Havertown PA 19083-2929 |
| Mailing Address |
220 Powell Rd Springfield PA 19064-2308 |
| Practice Telephone | 6104824949 |
| Practice Fax Number | 6102378701 |
| Mailing Telephone | 6107177570 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA057490 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1305 W CHESTER PIKE |
| City | HAVERTOWN |
| State | PA |
| Zip Code | 19083-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891792255 | Jonathan Gusdorff | Specialist | 1305 W Chester Pike, Havertown, PA 19083-2929 | 2005-06-30 |
| 1255836789 | On Demand Urgent Care Group, PC | Clinic/Center | 1305 W Chester Pike, Havertown, PA 19083-2929 | 2018-03-27 |
| 1366856916 | Kelly Gilmer | Pharmacist | 1305 W Chester Pike, Suite 8, Havertown, PA 19083-2929 | 2014-06-11 |
| 1477848422 | Main Line Urgent Care Medical Group, P.C. | Clinic/Center | 1305 W Chester Pike, Havertown, PA 19083-2929 | 2011-06-16 |
| 1194038299 | Joseph G Castellano | Pharmacist | 1305 W Chester Pike, Havertown, PA 19083-2929 | 2010-07-16 |
| 1285805820 | Jeanne-marie Pennington | Physician Assistant | 1305 W Chester Pike, Havertown, PA 19083-2929 | 2008-03-21 |
| 1952330276 | Frederic C Stieg | Family Medicine | 1305 W Chester Pike, Havertown, PA 19083-2929 | 2006-06-30 |
| 1689644791 | Walter J Adamek | Emergency Medicine | 1305 W Chester Pike, Havertown, PA 19083-2929 | 2006-01-23 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881944007 | Lauren Marie Ziegler | Physician Assistant | 700 E Township Line Rd, 1st Floor, Havertown, PA 19083-5733 | 2012-09-14 |
| 1689978355 | Renee L Diguiseppe | Physician Assistant | 525 W Chester Pike, Suite 203, Havertown, PA 19083-4500 | 2011-01-10 |
| 1942532098 | Andrea Young | Physician Assistant | 525 W Chester Pike, Ste 203, Havertown, PA 19083-4500 | 2010-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
| 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.