EAGLEVILLE HOSPITAL (NPI# 1386875292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386875292 |
| Entity Type | Organization |
| Organization Name | EAGLEVILLE HOSPITAL |
| Other Organization Name | EAGLEVILLE PSYCHIATRIC ASSOCIATES |
| Practice Address |
100 Eagleville Rd Eagleville PA 19403-1829 |
| Practice Telephone | 6105396000 |
| Mailing Telephone | 6105396000 |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-09-30 |
| Authorized Official Name | MS. ALICE M. STARR (DIRECTOR, PATIENT ACCOUNTS) |
| Authorized Official Telephone | 6106357429 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAGLEVILLE HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Eagleville Psychiatric Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467887331 | Eagleville Hospital | Pharmacy | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2013-09-10 |
| 1194956011 | Eagleville Hospital | Family Medicine | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2009-07-28 |
| 1568524742 | Eagleville Hospital | Psychiatric Unit | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2006-12-14 |
| 1477615656 | Eagleville Hospital | Substance Abuse Rehabilitation Facility | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2006-12-14 |
| 1467510560 | Eagleville Hospital | Rehabilitation, Substance Use Disorder Unit | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2006-12-04 |
| Street Address |
100 EAGLEVILLE RD |
| City | EAGLEVILLE |
| State | PA |
| Zip Code | 19403-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245216068 | Robert S Wilson | Family Medicine | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2005-12-22 |
| 1760099105 | Roman Krutikov | Physician Assistant | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2020-09-29 |
| 1467887331 | Eagleville Hospital | Pharmacy | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2013-09-10 |
| 1609176601 | Lara Louise Macumber | Pharmacist | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2010-10-25 |
| 1194956011 | Eagleville Hospital | Family Medicine | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2009-07-28 |
| 1235276320 | Richard Harvey Spiegel | General Practice | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2007-01-30 |
| 1295871119 | Anthony Repici | General Practice | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2007-01-29 |
| 1710023650 | Thurman Davis Booker | Family Medicine | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2007-01-29 |
| 1568524742 | Eagleville Hospital | Psychiatric Unit | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2006-12-14 |
| 1477615656 | Eagleville Hospital | Substance Abuse Rehabilitation Facility | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2006-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696099 | Sai Charan Vedula | Internal Medicine | Einstein Medical Center Montgomery, 559 West Germantown Pike, East Norriton, PA 19403 | 2020-07-22 |
| 1255951869 | Jillian Nicole Zerbe | Student in an Organized Health Care Education/Training Program | 3005 Concord Cir, Eagleville, PA 19403 | 2020-04-23 |
| 1649745951 | Gigi Y Frasse | Nurse Practitioner | 10000 Shannondell Drive Main Line Healthcare, Audobon, PA 19403 | 2018-10-12 |
| 1831616002 | Sharlee Dischert | Occupational Therapist | The Arc Alliance Children's Services, 3075 Ridge Pike, Eagleville, PA 19403 | 2017-08-28 |
| 1033633029 | Lauren Aaronson | Social Worker | 2418 Single Tree Lane, Trooper, PA 19403 | 2017-08-01 |
| 1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
| 1720526080 | Dayna Greiner | Speech-Language Pathologist | 70 Bristol Court, Eagleville, PA 19403 | 2017-02-07 |
| 1669928636 | Samantha L Hankey | Specialist/Technologist | 1208 Stonybrook Dr, Norristown, PA 19403 | 2016-08-30 |
| 1154788008 | Noel Patrick Hamilton | Nurse Practitioner | 508 Bassett Lane, Norristown, PA 19403 | 2016-01-23 |
| 1265866115 | Christiana Jo Silcox | Counselor | 128 Riversedge Drive, Jeffersonville, PA 19403 | 2013-08-28 |
| Find all providers in zip 19403 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477113637 | Blue Mountain Wellness, Pllc | Psychiatry & Neurology | 415 W Main St Ste 105, Lansdale, PA 19446-2062 | 2019-06-19 |
| 1497983563 | Alla Fine | Psychiatry & Neurology | 6404 Roosevelt Blvd Ste 1c, Philadelphia, PA 19149-2943 | 2009-06-29 |
| 1952546780 | Herbert J. Steinberg | Psychiatry & Neurology | 1000 Hemlock Farms, Lords Valley, PA 18428-9066 | 2008-12-08 |
| 1639329840 | Altaf Suleman Kasmani | Psychiatry & Neurology | 226 N 6th St, Reading, PA 19601-3308 | 2008-09-24 |
| 1386650463 | Alexandra B Mclean | Psychiatry & Neurology | 150 Stafford Avenue - Bldg. 1 - 2nd Floor, Suite 210, Wayne, PA 19087-3114 | 2006-07-31 |
| 1437198363 | John J Worthington Md | Psychiatry & Neurology | 1000 York Rd, Willow Grove, PA 19090-1318 | 2006-06-06 |
| 1205832201 | Henry R Kranzler | Psychiatry & Neurology | 3900 Chestnut St, Philadelphia, PA 19104-3120 | 2005-06-23 |
| 1124631767 | The Art of Wellness Md | Psychiatry & Neurology | 610 Walnut St, Philadelphia, PA 19106 | 2020-08-24 |
| 1427438571 | Rayek Nafiz | Psychiatry & Neurology | 3910 N Powelton Ave, Philadelphia, PA 19104-2640 | 2015-06-04 |
| 1518383587 | Jaakko Lappalainen | Psychiatry & Neurology | 3900 Woodland Ave, Va/mirecc, Philadelphia, PA 19104-4551 | 2014-03-13 |
| Find all providers with the same taxonomy | ||||
| City | EAGLEVILLE |
| Zip Code | 19403 |
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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.