DR. JACK ELIAS KAZANJIAN (NPI# 1407880032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407880032 |
| Entity Type | Individual |
| Full Name | DR. JACK ELIAS KAZANJIAN |
| Credential | D.O. |
| Practice Address |
510 Darby Rd Havertown PA 19083-4630 |
| Practice Telephone | 6104496499 |
| Practice Fax Number | 6104499814 |
| Mailing Telephone | 6104496499 |
| Mailing Fax Number | 6104499814 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
OS010372L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1018681980001 | 05 |
| Street Address |
510 DARBY RD |
| City | HAVERTOWN |
| State | PA |
| Zip Code | 19083-4630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992709968 | Gerard A. Miller | Internal Medicine | 510 Darby Rd, Suite 203, Havertown, PA 19083-4639 | 2005-06-08 |
| 1962686535 | Jin Jun | Nurse Practitioner | 510 Darby Rd, Havertown, PA 19083-4630 | 2007-12-19 |
| 1861685745 | Paul A. Lotke M.d., P.C. | Specialist | 510 Darby Rd, Havertown, PA 19083-4630 | 2007-08-23 |
| 1649208117 | Paul A Lotke | Orthopaedic Surgery | 510 Darby Rd, Havertown, PA 19083-4630 | 2006-06-30 |
| 1700851318 | Salvatore A Lofaro | Internal Medicine | 510 Darby Rd, 2nd Floor, Havertown, PA 19083-4630 | 2006-02-18 |
| 1467434480 | Neil L Moscow | Dentist | 510 Darby Rd, Ste 201, Havertown, PA 19083-4630 | 2005-11-16 |
| 1134129786 | Nicholas A Dinubile | Orthopaedic Surgery | 510 Darby Rd, Havertown, PA 19083-4630 | 2005-07-26 |
| 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 | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376895342 | Aria Health Orthopaedics | Orthopaedic Surgery | 380 North Oxford Valley Road, Langhorne, PA 19047 | 2012-10-15 |
| 1083971030 | N Leroy Hammond IIi | Orthopaedic Surgery | 370 Righters Mill Rd, Gladwyne, PA 19035-1543 | 2012-04-16 |
| 1063718641 | Richard Arthur Rahner | Orthopaedic Surgery | 1234 Saint Ann Dr, Erie, PA 16509-2947 | 2011-01-31 |
| 1902055734 | Adrian Wayne Clayton | Orthopaedic Surgery | 601 Hawthorne Dr, Suite 100, Hollidaysburg, PA 16648-2212 | 2008-09-17 |
| 1780667154 | Norman A Johanson | Orthopaedic Surgery | 216 N Broad St, 2nd Floor, Philadelphia, PA 19102-1121 | 2005-11-21 |
| 1477544583 | John Cornelius Lyons | Orthopaedic Surgery | 2566 W 12th St, Erie, PA 16505-4508 | 2005-10-31 |
| 1861482424 | Kevin A Gingrich | Orthopaedic Surgery | 216-220 N. Broad Street, 2nd Floor Feinstein Building, Philadelphia, PA 19102-1121 | 2005-10-25 |
| 1093718017 | Christopher Joseph Lyons | Orthopaedic Surgery | 479 Thomas Jones Way, Ste 300, Exton, PA 19341-2580 | 2005-05-23 |
| 1417590910 | Spirit Physician Services, Inc. | Orthopaedic Surgery | 429 N 21st St, Camp Hill, PA 17011-2202 | 2019-10-28 |
| 1952883910 | John Stammers | Orthopaedic Surgery | 925 Chestnut St Fl 5, Philadelphia, PA 19107-4290 | 2018-09-05 |
| 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.