DR. TINA HEDAYAT (NPI# 1477841492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477841492 |
| Entity Type | Individual |
| Full Name | DR. TINA HEDAYAT |
| Credential | M.D |
| Practice Address |
1501 Lansdowne Ave Suite 308 Darby PA 19023-1333 |
| Mailing Address |
1 W Elm St Suite 100 Conshohocken PA 19428-4108 |
| Practice Telephone | 6105346142 |
| Practice Fax Number | 6105346136 |
| Mailing Telephone | 6105675392 |
| Mailing Fax Number | 6105675420 |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2015-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 125.060485 | IL | Allopathic & Osteopathic Physicians |
| Y | 207T00000X | Neurological Surgery | MD454652 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1501 LANSDOWNE AVE SUITE 308 |
| City | DARBY |
| State | PA |
| Zip Code | 19023-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401752 | Joseph D Rondeau | Podiatrist | 1501 Lansdowne Ave, Suite 103, Darby, PA 19023-1333 | 2005-07-14 |
| 1275059651 | Mercy Management of Sepa | Pain Medicine | 1501 Lansdowne Ave, Darby, PA 19023-1333 | 2017-08-17 |
| 1851814685 | Mercy Management of Southeastern Pennsylvania | Internal Medicine | 1501 Lansdowne Ave, Darby, PA 19023-1333 | 2017-07-24 |
| 1427570019 | Mercy Management of Southeastern Pennsylvania | Pain Medicine | 1501 Lansdowne Ave, Darby, PA 19023-1333 | 2017-07-14 |
| 1871031666 | Pa Rehab Associates | Non-Pharmacy Dispensing Site | 1501 Lansdowne Ave, Suite 303, Darby, PA 19023-1333 | 2017-02-01 |
| 1770033979 | Emily Lacek | Physician Assistant | 1501 Lansdowne Ave, Suite 205, Darby, PA 19023-1333 | 2016-10-11 |
| 1437548047 | Southeast Pennsylvania Surgical Associates | Surgery | 1501 Lansdowne Ave, Suite 207, Darby, PA 19023-1333 | 2015-01-20 |
| 1205130689 | Richard A Seifert Md PC | Internal Medicine | 1501 Lansdowne Ave, Suite 303, Darby, PA 19023-1333 | 2010-12-29 |
| 1023241809 | Hanh Pham | Physician Assistant | 1501 Lansdowne Ave, Suite 308, Darby, PA 19023-1333 | 2009-08-27 |
| 1962634238 | Mercy Management of Southeastern Pennsylvania | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1501 Lansdowne Ave, Suite 305, Darby, PA 19023-1333 | 2009-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113348 | Ibrahim Abdulkadir Ahmed | Student in an Organized Health Care Education/Training Program | Mercy Catholic Medical Center, 1500 Lansdowne Avenue, Darby, PA 19023 | 2020-07-31 |
| 1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
| 1003476813 | Nicole Tomkowich | Student in an Organized Health Care Education/Training Program | 500 Lansdowne Avenue, Darby, PA 19023 | 2019-06-14 |
| 1497220131 | Margaret Kathleen Halloran | Nurse Practitioner | 1501 Lansdowne Ave Mob, 1st Floor, Darby, PA 19023 | 2018-10-09 |
| 1427428705 | Peter Goanue | Counselor | 207 North 2nd Street, Darby, PA 19023 | 2015-09-30 |
| 1518363696 | Trucompanion Transportation Service | Non-emergency Medical Transport (VAN) | 100 N 6th Street Apt 2, Darby, PA 19023 | 2014-11-17 |
| 1366872269 | Chirman Beatty | Licensed Practical Nurse | 400 S. 5th St Apt A9, Darby, PA 19023 | 2013-11-14 |
| 1639514151 | Advanced Nursing Care Inc | Nursing Care | 217 Clifton Avenue, Suite # 8, Collingdale, PA 19023 | 2013-05-10 |
| 1114277191 | Ayesha Farooq | Dentist | 14 Macdave Blvd, Gentle Dental, Collingdale, PA 19023 | 2012-09-17 |
| 1366736787 | Gi Medical Associates | Internal Medicine | 320 Macdade Blvd., Collingdale, PA 19023 | 2011-06-02 |
| Find all providers in zip 19023 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477814648 | Robert M Lynagh | Neurological Surgery | 1500 Lansdowne Ave, Darby, PA 19023 | 2012-06-05 |
| 1336120922 | Richard Kanoff | Neurological Surgery | 1500 Lansdowne Ave, Suite 308 Mob, Darby, PA 19023-1200 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033754510 | Isabela Marlene Tetino | Neurological Surgery | 1029 Maplewood Dr, Canonsburg, PA 15317-6058 | 2019-11-08 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1003475120 | Michael Bradley Avery | Neurological Surgery | 909 Walnut Street, 2nd Floor, Philadelphia, PA 19107-5211 | 2019-06-12 |
| 1427573492 | Mercy Management of Sepa | Neurological Surgery | 2701 Holme Ave Ste 305, Phila, PA 19152-2029 | 2017-08-10 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1083002661 | Excela Health Physician Practices, Inc. | Neurological Surgery | 100 Excela Health Dr Ste 203b, Latrobe, PA 15650-9001 | 2015-01-05 |
| 1780006874 | Donald Reigel | Neurological Surgery | 1139 Links Way, Gibsonia, PA 15044-7725 | 2014-01-09 |
| 1962832782 | Ronald Larry Paul | Neurological Surgery | 5550 Nursery Road, Dover, PA 17315 | 2013-11-14 |
| 1457787434 | Allegheny Clinic | Neurological Surgery | 575 Coal Valley Rd Ste 260, Clairton, PA 15025-3716 | 2013-09-23 |
| 1144666348 | Sean Patrick Polster | Neurological Surgery | 203 Lothrop St Ste 521, Pittsburgh, PA 15213-2548 | 2013-05-14 |
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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.