SUBURBAN GASTROENTEROLOGY ASSOCIATES INC


Address: 1010 West Chester Pike, Ste 202, Havertown, PA 19083-3442
Phone: 6107893510

SUBURBAN GASTROENTEROLOGY ASSOCIATES INC (NPI# 1548285141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548285141
Entity Type Organization
Organization Name SUBURBAN GASTROENTEROLOGY ASSOCIATES INC
Practice Address 1010 West Chester Pike
Ste 202
Havertown
PA 19083-3442
Practice Telephone 6107893510
Practice Fax Number 6107893591
Mailing Telephone 6107893510
Mailing Fax Number 6107893591
Enumeration Date 2006-07-13
Last Update Date 2008-05-15
Authorized Official Name MARK JACOBS (PRESIDENT)
Authorized Official Telephone 6107893510
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA RAILROAD MEDICARE CF6518 01
PA 078329002 05

Office Location

Street Address 1010 WEST CHESTER PIKE
STE 202
City HAVERTOWN
State PA
Zip Code 19083-3442

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457397945 Manoa Diagnostic Center Clinic/Center 1010 West Chester Pike, Suite 101, Havertown, PA 19083-3442 2006-06-21
1467646406 Kristie Margevich Ressler Colon & Rectal Surgery 1010 West Chester Pike, Suite 201, Havertown, PA 19083-3442 2007-09-04
1740325513 Stephen C Silver Colon & Rectal Surgery 1010 West Chester Pike, Suite 201, Havertown, PA 19083-3442 2007-02-20
1518002393 Taro Arai Colon & Rectal Surgery 1010 West Chester Pike, Suite 201, Havertown, PA 19083-3442 2007-02-20
1417092297 Tristate Colon and Rectal Associates PC Colon & Rectal Surgery 1010 West Chester Pike, Suite 201, Havertown, PA 19083-3442 2007-02-20
1982621629 Rita Lorraine Ritsema Internal Medicine 1010 West Chester Pike, Ste #202, Havertown, PA 19083-3442 2006-07-17
1013943885 Mark Jacobs Internal Medicine 1010 West Chester Pike, Suite #202, Havertown, PA 19083-3442 2006-06-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043835457 Kelly Anne Clarke Counselor American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 2020-06-11
1588216238 Angela Wrolstad Registered Nurse 614 Darby Road, Havertown, PA 19083 2019-07-12
1639696214 Osaru Anyumba Case Manager/Care Coordinator 311 Lansdowne Road, Havertown, PA 19083 2017-08-24
1346762739 Luke Francis Mattson Pharmacist 60 West Hillcrest Avenue, Havertown, PA 19083 2017-07-07
1124558150 Clare M Chakey Counselor 1631 Ridgeway Road, Haventown, PA 19083 2017-06-13
1205382553 Silverware Home Care Service LLC Residential Treatment Facility, Physical Disabilities 2010 Wester Chester Pike, Suite 448, Havertown, PA 19083 2016-08-28
1275903486 Megan Keeley Ramaika Dietitian, Registered 404 Fairmont Road, Havertown, PA 19083 2015-09-30
1972987246 Katie Paugh Occupational Therapist One North Belfield Avenue, Havertown, PA 19083 2015-07-16
1497140180 Total Health Home Care Corporation Nurse's Aide 2710 West Township Line Rd, Havertown, PA 19083 2015-03-31
1851704084 Ul Sik Jason Chong Pharmacist 700 East Townshipline Road Ste Ll, Havertown, PA 19083 2014-06-05
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962429803 Yih-fu Shiau Internal Medicine 21 N Eagle Rd, Havertown, PA 19083-3434 2006-07-16
1952593949 Yih-fu Shiau, Md Internal Medicine 21 N Eagle Rd, Havertown, PA 19083-3434 2007-08-14
1982621629 Rita Lorraine Ritsema Internal Medicine 1010 West Chester Pike, Ste #202, Havertown, PA 19083-3442 2006-07-17
1013943885 Mark Jacobs Internal Medicine 1010 West Chester Pike, Suite #202, Havertown, PA 19083-3442 2006-06-24
1114963345 Steven Joel Nussbaum Internal Medicine 1010 W Chester Pike, Suite 202, Havertown, PA 19083-3442 2006-06-22
1164487468 Philip Brian Gilman Internal Medicine 1010 W Chester Pike, Suite 202, Havertown, PA 19083-3442 2006-04-19
1427025360 Jacques Khoury Internal Medicine 2050 W Chester Pike, Suite 200, Havertown, PA 19083-2742 2006-02-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871060707 Gastrointestinal Wellness Clinic LLC Internal Medicine 301 Oxford Valley Rd # Units804, Yardley, PA 19067-7706 2018-10-29
1003394545 Lyanne Marie Caraballo Internal Medicine 1000 Integrity Dr Ste 110, Pittsburgh, PA 15235-3332 2018-08-06
1073047205 Margaret Spinosa Internal Medicine 1627 Chew St Ste 101, Allentown, PA 18102-3648 2017-04-14
1881131472 Paul Frey Spears Internal Medicine 490 Shady Dell Rd, York, PA 17403-4483 2017-01-20
1801258686 Wai Kan Chiu Internal Medicine 200 Lothrop Street, Mezzanine Level, C-wing, Puh, Pittsburgh, PA 15213 2016-03-22
1598189631 Richard B. Lynn Internal Medicine 204 Rhyle Ln, Bala Cynwyd, PA 19004-2324 2014-02-10
1427390822 Meeta Desai Internal Medicine Gastroenterology & Hepatology, M.c. Hu33, 500 University Drive, Hershey, PA 17033-0850 2013-03-23
1225372519 Scott Howell Wright Internal Medicine 1118 Riverview Ln, Conshohocken, PA 19428-2964 2012-11-27
1952665481 Excela Health Physician Practices, Inc. Internal Medicine 530 South St Ste G, Greensburg, PA 15601-2775 2012-06-29
1033479704 William Blake Huntington Internal Medicine 1088 W Baltimore Pike Ste 2407, Media, PA 19063 2012-05-29
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Competitor

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City HAVERTOWN
Zip Code 19083

Improve Information

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Dataset Information

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.

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