MAIN LINE HEALTH INTEGRATIVE AND FUNCTIONAL MEDICINE SERVICES (NPI# 1437649985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437649985 |
| Entity Type | Organization |
| Organization Name | MAIN LINE HEALTH INTEGRATIVE AND FUNCTIONAL MEDICINE SERVICES |
| Practice Address |
3803 W Chester Pike Ste 160 Newtown Square PA 19073 |
| Mailing Address |
3803 W Chester Pike Ste 160 Newtown Square PA 19073-2336 |
| Practice Telephone | 4843371585 |
| Practice Fax Number | 4843371410 |
| Mailing Telephone | 4843371585 |
| Mailing Fax Number | 4843371410 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-08-31 |
| Authorized Official Name | ANDREA GILBERT (PRESIDENT) |
| Authorized Official Telephone | 4843373570 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
3803 W CHESTER PIKE STE 160 |
| City | NEWTOWN SQUARE |
| State | PA |
| Zip Code | 19073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434711 | Design Meets Mind, LLC | Clinic/Center | 18 Campus Blvd. Suite 100, Newtown Square, PA 19073 | 2020-07-20 |
| 1013345727 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 4891 West Chester Pike, Newtown Square, PA 19073 | 2013-10-16 |
| 1275879967 | Preethi Alexander | Nurse Practitioner | 3930 West Chester, Pike Minute Clinic, Newtown Square, PA 19073 | 2012-12-27 |
| 1467745810 | Brittany Marie Brooks | Student in an Organized Health Care Education/Training Program | 3500 West Chester Pike, Newtowne Square, PA 19073 | 2011-05-18 |
| 1598066284 | Samuel Disston Allen Jr. | Urology | 523 Guinevere Dr, New Town Square, PA 19073 | 2010-11-11 |
| 1700102688 | Robert Francis Rogers | Pathology | 3805 W Chester Pike Ste 120, Newtown Square, PA 19073 | 2010-04-16 |
| 1184850521 | Mary M Powell | General Practice | 3508 Tyson Rd., Newtown Sq, PA 19073 | 2009-05-29 |
| 1386888121 | Sean Christopher Flynn | Internal Medicine | 4651 W Chester Pike Ste 200, Newtown Square, PA 19073 | 2009-04-23 |
| 1801031331 | Linda Jane Bonsall | Psychologist | 2 Bishop Hollow Road, Newtown Square, PA 19073 | 2008-12-12 |
| 1811162118 | Garabet Michael Zakeosian | Anesthesiology | 3909 Gradyville Road, Newtown Square, PA 19073 | 2008-04-28 |
| Find all providers in zip 19073 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918104 | Flagship Functional Medicine | Clinic/Center | 2501 Palermo Dr Ste A, Erie, PA 16506-7210 | 2020-09-30 |
| 1205461845 | Dynamic Injury Solutions, LLC | Clinic/Center | 1000 Easton Rd Ste 290, Wyncote, PA 19095-2926 | 2020-03-04 |
| 1164077970 | Jc Blair Medical Services Inc. | Clinic/Center | 1225 Warm Springs Ave Fl 3, Huntingdon, PA 16652-2350 | 2019-08-08 |
| 1902451016 | Jc Blair Medical Services Inc. | Clinic/Center | 820 Bryan St Ste 3, Huntingdon, PA 16652-2409 | 2019-08-06 |
| 1629638481 | Crossover Health Medical Group | Clinic/Center | 1701 John F Kennedy Blvd Fl 25, Philadelphia, PA 19103-2851 | 2019-06-14 |
| 1720641491 | Mtc Wellness, LLC | Clinic/Center | 280 Ripka St, Philadelphia, PA 19127-1125 | 2019-04-18 |
| 1548727621 | Drayer Physical Therapy Institute LLC | Clinic/Center | 165 Glen Dr, Manchester, PA 17345-1336 | 2019-02-26 |
| 1962970830 | Drayer Physical Therapy Institute LLC | Clinic/Center | 6560 Carlisle Pike Ste 425, Mechanicsburg, PA 17050-8246 | 2018-11-08 |
| 1598233520 | Drayer Physical Therapy Institute LLC | Clinic/Center | 1606 N Center Ave Ste 170, Somerset, PA 15501-7052 | 2018-11-07 |
| 1477021921 | Tower Health Urgent Care, LLC | Clinic/Center | 1139 Ben Franklin Pkwy, Douglassville, PA 19518 | 2018-11-02 |
| Find all providers with the same taxonomy | ||||
| City | NEWTOWN SQUARE |
| Zip Code | 19073 |
Please comment or provide details below to improve the information on MAIN LINE HEALTH INTEGRATIVE AND FUNCTIONAL MEDICINE SERVICES.
| 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.