EDWARD A THEURKAUF JR. (NPI# 1477580702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477580702 |
| Entity Type | Individual |
| Full Name | EDWARD A THEURKAUF JR. |
| Credential | MD |
| Practice Address |
825 Old Lancaster Rd Suite 320 Bryn Mawr PA 19010-3231 |
| Practice Telephone | 6105273800 |
| Practice Fax Number | 6105270334 |
| Mailing Telephone | 6105273800 |
| Mailing Fax Number | 6105270334 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2014-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD024843 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
825 OLD LANCASTER RD SUITE 320 |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010-3231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578629 | Glenn Harper | Internal Medicine | 825 Old Lancaster Rd, Suite 320, Bryn Mawr, PA 19010-3231 | 2005-06-16 |
| 1508339763 | Kayla Siobhan Mcdaid | Physician Assistant | 825 Old Lancaster Rd, Bryn Mawr, PA 19010-3231 | 2019-01-09 |
| 1699267443 | Renee Marie Michels | Registered Nurse | 825 Old Lancaster Rd, Bryn Mawr, PA 19010-3231 | 2018-06-06 |
| 1841749769 | Kelly Quaile | Physical Therapist | 825 Old Lancaster Rd, Suite 250, Bryn Mawr, PA 19010-3231 | 2016-10-04 |
| 1356899868 | Jaime Victoria Wagner | Speech-Language Pathologist | 825 Old Lancaster Rd, Suite 250, Bryn Mawr, PA 19010-3231 | 2016-09-13 |
| 1366999732 | Mark Malczynski | Physical Therapist | 825 Old Lancaster Rd, Suite 250, Bryn Mawr, PA 19010-3231 | 2016-09-02 |
| 1467813154 | Nicole Costa | Nurse Practitioner | 825 Old Lancaster Rd, Suite 340, Bryn Mawr, PA 19010-3231 | 2016-03-09 |
| 1972969426 | Kristina Keegan Bonesteel | Nurse Practitioner | 825 Old Lancaster Rd, Suite 440, Bryn Mawr, PA 19010-3231 | 2016-01-13 |
| 1154794543 | Angela Helene Lenzo | Physical Therapist | 825 Old Lancaster Rd, Bryn Mawr, PA 19010-3231 | 2015-11-06 |
| 1821461435 | Nicole Bartoshesky | Physician Assistant | 825 Old Lancaster Rd, Suite 420, Bryn Mawr, PA 19010-3231 | 2015-11-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
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| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295757649 | Joseph M. Abboud | Internal Medicine | 825 Old Lancaster Rd Ste 420, Bryn Mawr, PA 19010-3236 | 2006-07-24 |
| 1679599948 | Andrew P. Pitman | Internal Medicine | 933 E Haverford Rd Ste 150, Bryn Mawr, PA 19010-3819 | 2006-07-13 |
| 1841493285 | Catherine Ann Riley | Internal Medicine | 825 Old Lancaster Rd, Suite 320, Bryn Mawr, PA 19010-3231 | 2007-06-05 |
| 1013933217 | Clarke U. Piatt | Internal Medicine | 825 Old Lancaster Rd, Suite 320, Bryn Mawr, PA 19010-3231 | 2006-07-14 |
| 1447275698 | David S. Prince | Internal Medicine | 825 Old Lancaster Rd, Suite 320, Bryn Mawr, PA 19010-3231 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376171264 | Jamie Shawn Shatzman | Internal Medicine | 25 Harrison Dr, Newtown Square, PA 19073-1420 | 2020-03-28 |
| 1033746813 | Advanced Pulmonary Specialists | Internal Medicine | 846 Bank St, Beaver, PA 15009-2602 | 2020-03-24 |
| 1881229417 | Mark Arthur Stypula | Internal Medicine | 848 Arbordale Ln, Wexford, PA 15090-7439 | 2020-03-04 |
| 1063076289 | Lung Health Services PC | Internal Medicine | 1240 South Broad Street, Suite 230, Lansdale, PA 19446 | 2019-04-23 |
| 1023595667 | Pulmonary Consultants Inc. | Internal Medicine | 1 Medical Center Blvd Ste 422, Chester, PA 19013-3902 | 2018-07-26 |
| 1013437250 | Pinnacle Health Regional Physicians | Internal Medicine | 1533 Commerce Ave Ste 3, Carlisle, PA 17015-9128 | 2017-06-20 |
| 1346610805 | Saint Vincent Medical Education and Research Institute Inc. | Internal Medicine | 145 West 24th Street, 302a, Erie, PA 16544-0002 | 2015-09-28 |
| 1831573146 | Meadville Physician Services | Internal Medicine | 751 Liberty St Ste G-19, Meadville, PA 16335-2559 | 2015-07-16 |
| 1700260163 | Richard Kenneth Murray | Internal Medicine | 809 N Mount Pleasant Rd, Philadelphia, PA 19119-3303 | 2015-07-16 |
| 1518362359 | Grand View Hospital | Internal Medicine | 817 Lawn Ave Ste 4, Sellersville, PA 18960 | 2014-10-22 |
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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.