THOMAS KRAKOWER, D.M.D., LLC (NPI# 1417185893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417185893 |
| Entity Type | Organization |
| Organization Name | THOMAS KRAKOWER, D.M.D., LLC |
| Practice Address |
1068 W Baltimore Pike Suite 2304 Riddle Health Care Center II Media PA 19063-5104 |
| Practice Telephone | 6107442888 |
| Practice Fax Number | 6107442832 |
| Mailing Telephone | 6107442888 |
| Mailing Fax Number | 6107442832 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2014-08-25 |
| Authorized Official Name | THOMAS KRAKOWER (PRESIDENT/ OWNER) |
| Authorized Official Telephone | 6107442888 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS018722L | PA | Dental Providers |
| Street Address |
1068 W BALTIMORE PIKE SUITE 2304 RIDDLE HEALTH CARE CENTER II |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856099 | Riddle Memorial Hospital | General Acute Care Hospital | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2005-07-26 |
| 1841899630 | Meghan Angelos Tokarski | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2020-10-22 |
| 1851914303 | Casey Leigh Ryan | Genetic Counselor, MS | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2020-05-19 |
| 1073155479 | Rebecca Lynn Mckenna | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2019-10-17 |
| 1194372730 | Margaryta Tolchynska | Physician Assistant | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2019-08-19 |
| 1750866471 | Christina Cotellese | Physician Assistant | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2018-09-27 |
| 1063905370 | Kaela Mclaughlin | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063 | 2018-06-11 |
| 1134659550 | Wesley Gordon | Physician Assistant | 1068 W Baltimore Pike, Media, PA 19063 | 2017-06-18 |
| 1235671892 | Viyaleta Vaitulevich | Nurse Practitioner | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2016-11-14 |
| 1225581234 | Syed Ali | Internal Medicine | 1068 W Baltimore Pike, Media, PA 19063 | 2016-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023514403 | Bzg Oral and Maxillofacial Surgery Center LLC | Dentist | 1223 N Providence Rd, Media, PA 19063-1235 | 2018-04-03 |
| 1750433520 | James L Robbins Dmd, Oral & Maxillofacial Surgery, LLC | Dentist | 200 E State St, Suite 103, Media, PA 19063-3434 | 2007-01-18 |
| 1487735064 | Thomas Krakower | Dentist | 1068 W Baltimore Pike, Suite 2304 Riddle Health Care Center II, Media, PA 19063-5104 | 2006-10-18 |
| 1609822949 | James L Robbins | Dentist | 200 E State St, Suite 103, Media, PA 19063-3434 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074037 | Kingsbury Oral and Maxillofacial Surgery, PC | Dentist | 1 Presidential Blvd Ste 207, Bala Cynwyd, PA 19004-1007 | 2020-08-17 |
| 1679183990 | Always Precision Dental PC | Dentist | 1023 King Way, Breinigsville, PA 18031-1482 | 2020-08-02 |
| 1447874490 | Peace Dental Associates | Dentist | 35 S 2nd Ave, Clarion, PA 16214-1934 | 2020-06-05 |
| 1528689270 | New Hope Oral Surgery and Implant Center | Dentist | 6660 Old York Rd, New Hope, PA 18938 | 2020-05-05 |
| 1942831904 | Eagles Oral Surgery | Dentist | 525 W Main St Ste 11, Trappe, PA 19426-1923 | 2020-01-29 |
| 1104466028 | Keystone Oral and Maxillofacial Surgery, P.C. | Dentist | 560 Rugh St Ste 100, Greensburg, PA 15601-5601 | 2020-01-08 |
| 1245889740 | Oral & Facial Surgery of Pittsburgh, P.C. | Dentist | 180 Swinderman Rd Ste 260, Wexford, PA 15090-5620 | 2019-09-06 |
| 1528626124 | Christopher Yi | Dentist | 900 Walnut St Rm 300, Philadelphia, PA 19107-5191 | 2019-05-30 |
| 1275091886 | Gary M Carmassi Dmd | Dentist | 8650 Babcock Blvd Ste 3, Pittsburgh, PA 15237-5009 | 2019-03-04 |
| 1073093233 | Ban Oral and Facial Surgical Associates LLC | Dentist | 4725 Mcknight Rd Ste 209, Pittsburgh, PA 15237-3414 | 2018-08-17 |
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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.