PROSPECT HEALTH ACCESS NETWORK, INC. (NPI# 1528413002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528413002 |
| Entity Type | Organization |
| Organization Name | PROSPECT HEALTH ACCESS NETWORK, INC. |
| Other Organization Name | HEALTHPLEX SPORTS MEDICINE |
| Practice Address |
196 W Sproul Rd Suite 110 Springfield PA 19064-2045 |
| Practice Telephone | 6103288830 |
| Practice Fax Number | 6103288981 |
| Mailing Telephone | 6103288830 |
| Mailing Fax Number | 6103288981 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |
| Authorized Official Name | ELLEN SHIN (SECRETARY) |
| Authorized Official Telephone | 3109434520 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Healthplex Sports Medicine | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619322112 | Prospect Health Access Network, Inc. | Psychologist | 176 S Middletown Rd, Media, PA 19063-5255 | 2016-05-03 |
| 1982152294 | Prospect Health Access Network, Inc. | Urology | 2100 Keystone Ave, Drexel Hill, PA 19026-1129 | 2016-09-15 |
| 1083061006 | Prospect Health Access Network, Inc. | Physical Therapist | 485 Baltimore Pike, Suite 202, Glen Mills, PA 19342-1161 | 2016-05-19 |
| 1780031005 | Prospect Health Access Network, Inc. | Pediatrics | 30 Medical Center Blvd, 3 East, Chester, PA 19013-3955 | 2016-05-17 |
| 1912354432 | Prospect Health Access Network, Inc. | Internal Medicine | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2016-05-16 |
| 1013364520 | Prospect Health Access Network, Inc. | Psychiatry & Neurology | 1 Medical Center Blvd, Acp Ste 533, Chester, PA 19013-3902 | 2016-05-16 |
| 1740637255 | Prospect Health Access Network, Inc. | Internal Medicine | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078-2214 | 2016-05-16 |
| 1922455443 | Prospect Health Access Network, Inc. | Surgery | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2016-05-16 |
| 1013364538 | Prospect Health Access Network, Inc. | Transplant Surgery | 1 Medical Center Blvd, Pob II Suite 220, Chester, PA 19013-3902 | 2016-05-16 |
| 1659728178 | Prospect Health Access Network, Inc. | Internal Medicine | 2100 Keystone Ave, Suite 406, Drexel Hill, PA 19026-1129 | 2016-05-16 |
| Street Address |
196 W SPROUL RD SUITE 110 |
| City | SPRINGFIELD |
| State | PA |
| Zip Code | 19064-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669446159 | Domenic Pisano | Internal Medicine | 196 W Sproul Rd, Suite 106, Springfield, PA 19064-2045 | 2006-02-14 |
| 1629575204 | Kennneth Joseph Santello | Family Medicine | 196 W Sproul Rd, Springfield, PA 19064-2045 | 2018-04-10 |
| 1336645860 | Rocky Marsero | Physical Medicine & Rehabilitation | 196 W Sproul Rd, Springfield, PA 19064-2045 | 2018-04-03 |
| 1891182283 | Jeff Ellis | Specialist/Technologist | 196 W Sproul Rd, Springfield, PA 19064-2045 | 2015-04-23 |
| 1760772198 | Kathleen Destefano Glenn | Pediatrics | 196 W Sproul Rd, Healthplex Suite 205, Springfield, PA 19064-2045 | 2011-04-19 |
| 1417278789 | Kevin Duprey | Family Medicine | 196 W Sproul Rd, Suite 110, Springfield, PA 19064-2045 | 2010-06-21 |
| 1558689745 | Kenneth Kim Wynne | Physician Assistant | 196 W Sproul Rd, Suite 110, Springfield, PA 19064-2045 | 2010-05-12 |
| 1669682324 | Health Access Network | Obstetrics & Gynecology | 196 W Sproul Rd, Suite 209, Springfield, PA 19064-2045 | 2007-05-23 |
| 1538287644 | Health Access Network | Family Medicine | 196 W Sproul Rd, Suite 110, Springfield, PA 19064-2045 | 2007-03-27 |
| 1629109616 | Kathleen Milliken | Nurse Practitioner | 196 W Sproul Rd, Springfield, PA 19064-2045 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023513058 | Prospect Crozer Home Health and Hospice, LLC | Hospice Care, Community Based | 200 W. Sroul Road, Springfield, PA 19064 | 2018-03-30 |
| 1912369539 | Olga Burt | Physical Therapy Assistant | 146 Rose Lane, Springfield, PA 19064 | 2016-03-23 |
| 1124407309 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1745 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1477932655 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1755 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1003295288 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1765 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1427483742 | Casseys Optical Inc | Durable Medical Equipment & Medical Supplies | 139 S State Road, Springfield, PA 19064 | 2013-09-05 |
| 1184982225 | Ultimate Hearing Solutions II, LLC | Audiologist-Hearing Aid Fitter | 471 Baltimore Pike, Springfield, PA 19064 | 2012-04-26 |
| 1295091684 | Theresa Nolan | Registered Nurse | 194 West Sprould Road, Suite 105, Springfield, PA 19064 | 2012-04-10 |
| 1649551367 | Pa Center for Hearing and Balance, LLC | Hearing Aid Equipment | 760 W Sproul Road, Suite 103, Springfield, PA 19064 | 2011-09-08 |
| 1376864694 | Cynthia Lacapra | Family Medicine | 965 Baltimore Pike Ste B2, Springfield, PA 19064 | 2010-06-22 |
| Find all providers in zip 19064 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105312 | 417 Sports Medicine and Orthopedics LLC | Family Medicine | 330 W Plainview Rd Ste F, Springfield, MO 65810-2672 | 2020-08-17 |
| 1922377274 | Duocorp Enterprises, LLC | Family Medicine | 1525 E Republic Rd, Suite A115, Springfield, MO 65804-6527 | 2011-12-15 |
| 1639137326 | Brian J Shiple | Family Medicine | 905 W Sproul Rd, Suite 106, Springfield, PA 19064-1254 | 2006-05-02 |
| 1629575204 | Kennneth Joseph Santello | Family Medicine | 196 W Sproul Rd, Springfield, PA 19064-2045 | 2018-04-10 |
| 1477932762 | David Baxter | Family Medicine | 1260 E Woodland Ave, Suite 200, Springfield, PA 19064-3969 | 2015-05-20 |
| 1417278789 | Kevin Duprey | Family Medicine | 196 W Sproul Rd, Suite 110, Springfield, PA 19064-2045 | 2010-06-21 |
| 1467608950 | The Center for Sports Medicine, Brian J. Shiple D.o., LLC | Family Medicine | 905 W Sproul Rd, Suite 106, Springfield, PA 19064-1254 | 2008-08-15 |
| 1740448745 | Thomas John Duhig | Family Medicine | 800 N 1st St, Springfield, IL 62702 | 2008-05-27 |
| 1801084736 | Rishi Sharma | Family Medicine | 800 N 1st St, Springfield, IL 62702-3719 | 2007-10-04 |
| 1184814576 | Shannon Lee Woods | Family Medicine | 3555 S National Ave, Springfield, MO 65807-7310 | 2007-07-31 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 19064 |
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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.