DR. ROBERT ALAN PROMISLOFF (NPI# 1487635587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487635587 |
| Entity Type | Individual |
| Full Name | DR. ROBERT ALAN PROMISLOFF |
| Credential | D.O. |
| Practice Address |
1001 City Line Ave Wb 113 Wynnewood PA 19096-3902 |
| Practice Telephone | 6108960280 |
| Practice Fax Number | 6108960286 |
| Mailing Telephone | 6108960280 |
| Mailing Fax Number | 6108960286 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2016-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
OS003149L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 000707968 | 05 |
| Street Address |
1001 CITY LINE AVE WB 113 |
| City | WYNNEWOOD |
| State | PA |
| Zip Code | 19096-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417948951 | Gerard John Diefes | Internal Medicine | 1001 City Line Ave, Wb 113, Wynnewood, PA 19096-3902 | 2005-11-03 |
| 1154302040 | Gregory Steven Lenchner | Internal Medicine | 1001 City Line Ave, Wb113, Wynnewood, PA 19096-3902 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727866 | Jeffrey Glenn Johnston | Hospitalist | Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 | 2020-03-27 |
| 1326500331 | Maitri Pancholy | Student in an Organized Health Care Education/Training Program | Annenberg Center, G-10, 100 Lancaster Avenue, Wynnewood, PA 19096 | 2019-04-01 |
| 1306355987 | Karie Elizabeth Melton | Social Worker | 250 E Wynnewood Rd E12, Wynnewood, PA 19096 | 2017-09-26 |
| 1518320662 | Kaitlyn Kennard | Surgery | 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 | 2016-04-05 |
| 1366814675 | Linda Elkins | Counselor | 543 Haverford Rd, Wynnewood, PA 19096 | 2015-10-26 |
| 1619347655 | Tessa Kovick | Registered Nurse | 100 E Lancaster Ave Ste 114, Wynnewood, PA 19096 | 2015-10-02 |
| 1922476415 | Amy Lenrow | Skilled Nursing Facility | 1510 Powder Mill Lane, Wynnewood, PA 19096 | 2015-09-14 |
| 1144602855 | Casey Dajao | Internal Medicine | 100 E Lancaster Ave Ste 140, Wynnewood, PA 19096 | 2015-06-18 |
| 1649666223 | Benjamin Larson | Internal Medicine | 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 | 2015-04-10 |
| 1760873285 | Kathleen Gilmartin | Nurse Practitioner | 100 East Lancaster Ave, Wynnewood, PA 19096 | 2015-02-06 |
| Find all providers in zip 19096 | ||||
| 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 |
|---|---|---|---|---|
| 1962688564 | William Fineman | Internal Medicine | 259 Barwynne Rd, Wynnewood, PA 19096-3302 | 2008-01-14 |
| 1659434165 | Eliot B Friedman | Internal Medicine | 100 E Lancaster Ave Ste 230, Wynnewood, PA 19096-3451 | 2006-12-18 |
| 1417113325 | Jacqueline Burlett Sutter | Internal Medicine | 100 E Lancaster Ave Ste 230, Wynnewood, PA 19096 | 2008-07-30 |
| 1164457602 | Leah Lande | Internal Medicine | 100 E Lancaster Ave, Suite 230, Wynnewood, PA 19096-3450 | 2006-07-12 |
| 1649205386 | Rochelle Goldberg | Internal Medicine | 100 E Lancaster Ave, Pulmonology Associates Suite 230, Wynnewood, PA 19096-3450 | 2006-07-11 |
| 1437180742 | Pulmonology Associates Inc | Internal Medicine | 100 E Lancaster Ave, Suite 230, Wynnewood, PA 19096-3450 | 2006-07-05 |
| 1881625218 | Howard Todd Lustine | Internal Medicine | 100 E Lancaster Ave, Suite 230, Wynnewood, PA 19096-3450 | 2006-07-05 |
| 1700812641 | Thomas J Meyer | Internal Medicine | 100 E Lancaster Ave, Suite 230, Wynnewood, PA 19096-3450 | 2006-06-23 |
| 1619913308 | Susan A Gregory | Internal Medicine | 100 E Lancaster Ave, Suite 230, Wynnewood, PA 19096-3450 | 2006-06-21 |
| 1689610453 | Donald Duane Peterson | Internal Medicine | 100 E Lancaster Ave, Suite 230, Wynnewood, PA 19096-3450 | 2006-06-21 |
| Find all providers in WYNNEWOOD | ||||
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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.