GOOD SHEPHERD PENN PARTNERS PENN SPECIALTY HOSPITAL (NPI# 1538610431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538610431 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD PENN PARTNERS PENN SPECIALTY HOSPITAL |
| Practice Address |
20 E 11th Ave Conshohocken PA 19428-1555 |
| Mailing Address |
1800 Lombard St Philadelphia PA 19146-1414 |
| Practice Telephone | 6108287505 |
| Mailing Telephone | 8779697342 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Authorized Official Name | MR. RONALD PETULA (SVP FINANCE AND CFO) |
| Authorized Official Telephone | 6107763228 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 22460101 | PA | Ambulatory Health Care Facilities |
| Street Address |
20 E 11TH AVE |
| City | CONSHOHOCKEN |
| State | PA |
| Zip Code | 19428-1555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912091190 | Conshohocken Physical Therapy Inc | Clinic/Center | 20 E 11th Ave, Conshohocken, PA 19428-1555 | 2006-10-03 |
| 1215336060 | Jory Davis | Physical Therapist | 20 E 11th Ave, Conshohocken, PA 19428-1555 | 2014-08-18 |
| 1467869842 | Renee Bailey | Physical Therapy Assistant | 20 E 11th Ave, Conshohocken, PA 19428-1555 | 2014-07-17 |
| 1235575267 | Meghan Lass | Physical Therapist | 20 E 11th Ave, Conshohocken, PA 19428-1555 | 2013-05-16 |
| 1457658510 | Christopher T Wickel | Physical Therapist | 20 E 11th Ave, Conshohocken, PA 19428-1555 | 2011-02-24 |
| 1669700878 | Steven M Azar | Physical Therapist | 20 E 11th Ave, Conshohocken, PA 19428-1555 | 2009-11-28 |
| 1225259005 | Ann Mclaughlin | Physical Therapist | 20 E 11th Ave, Conshohocken, PA 19428-1555 | 2007-05-01 |
| 1932226651 | Nicole Marie Dobrin | Physical Therapist | 20 E 11th Ave, Conshohocken, PA 19428-1555 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395149 | Kellan Katra | Physician Assistant | 400 Fayette Street, Suite 180, Conshohocken, PA 19428 | 2020-01-10 |
| 1275170151 | Barbara G. Hedges-hoffman | Counselor | 20 E 9th Ave Ste 100, Conshohocken, PA 19428 | 2019-12-10 |
| 1184102105 | Experience Chiropractic East, LLC | Chiropractor | 3038 Butler Pike, Conshohocken, PA 19428 | 2018-08-01 |
| 1861986713 | Bridget Mary Parkes | Speech-Language Pathologist | 301 Harry St, Conshohocken, PA 19428 | 2018-06-14 |
| 1588155857 | Intouch Med Supply | Mastectomy Fitter | 529 Fayette St, Conshohocken, PA 19428 | 2018-05-22 |
| 1841796711 | Davita Medical Group Philadelphia, LLC | Internal Medicine | 300 Four Falls Corporate Center, 300 Conshohocken State Rd., West Conshohocken, PA 19428 | 2018-04-01 |
| 1538600853 | Dermone Dermatology Associates of The Keystone State, P.c | Dermatology | 200 Barr Harbor Drive, Four Tower Bridge, Suite 200, West Conshohocken, PA 19428 | 2017-03-20 |
| 1891156766 | Kaitlyn Oliver | Speech-Language Pathologist | 1200 River Road, Aim Academy-, Conshohocken, PA 19428 | 2016-03-18 |
| 1992122782 | Titleman Orthopedics LLC | Prosthetic/Orthotic Supplier | 1100 E Hector St Ste 390, Conshohocken, PA 19428 | 2014-03-18 |
| 1447543004 | Barbara P. Mastriano | Speech-Language Pathologist | One West Elm St. Suite 100, Mercylife Program, Conshohocken, PA 19428 | 2011-05-16 |
| Find all providers in zip 19428 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820754 | The Nava Center, Inc. | Clinic/Center | 1334 S 18th St, Philadelphia, PA 19146-4647 | 2020-11-01 |
| 1629680319 | Innovative Pediatric Therapy Services LLC | Clinic/Center | 713 Bridge St Ste 23, Selinsgrove, PA 17870-1250 | 2020-08-24 |
| 1376161828 | Cerner Health Connections, Inc | Clinic/Center | 1234 West Chester Pike, West Chester, PA 19382-5688 | 2020-07-10 |
| 1811514417 | Care Counseling & Children's Services LLC | Clinic/Center | 872 Pennsylvania St, Whitehall, PA 18052-7968 | 2020-06-30 |
| 1629694880 | Lancaster General Medical Group | Clinic/Center | 2112 Harrisburg Pike Ste 323, Lancaster, PA 17601-2644 | 2020-06-23 |
| 1225653496 | Aeo Pitt | Clinic/Center | 77 Hot Metal St, Pittsburgh, PA 15203-2382 | 2020-06-12 |
| 1174147656 | Paul Witt Do Pllc | Clinic/Center | 59 East Carey Street, Plains, PA 18705-1870 | 2020-06-01 |
| 1306469309 | Everest Pace Center Inc | Clinic/Center | 2602 W 9th St Ste 100, Chester, PA 19013-2089 | 2020-05-26 |
| 1225650930 | The Modern Country Doctor, LLC | Clinic/Center | 23 Industrial Blvd Ste D, Paoli, PA 19301-1601 | 2020-05-15 |
| 1013543099 | Rediclinic of Pa, LLC | Clinic/Center | 5707 Easton Rd, Pipersville, PA 18947-1823 | 2020-03-21 |
| Find all providers with the same taxonomy | ||||
| City | CONSHOHOCKEN |
| Zip Code | 19428 |
Please comment or provide details below to improve the information on GOOD SHEPHERD PENN PARTNERS PENN SPECIALTY HOSPITAL.
| 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.