WENDY BLACK DORN (NPI# 1568597839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568597839 |
Entity Type | Individual |
Full Name | WENDY BLACK DORN |
Other Name | WENDY SUSANNE BLACK |
Credential | CRNP |
Practice Address |
1200 Old York Rd Ground Floor Toll Bldg Abington PA 19001-3720 |
Mailing Address |
100 E Lancaster Ave Mob East, Suite 561 Wynnewood PA 19096-3450 |
Practice Telephone | 2154816784 |
Practice Fax Number | 2154813611 |
Mailing Telephone | 6106427714 |
Mailing Fax Number | 6106490761 |
Enumeration Date | 2007-02-23 |
Last Update Date | 2019-07-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
SP009006 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
SP009006 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1245 Highland Ave Ste 109, Abington, PA 190013722 | 2154814212 | 2154812048 |
Street Address |
1200 OLD YORK RD GROUND FLOOR TOLL BLDG |
City | ABINGTON |
State | PA |
Zip Code | 19001-3720 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942204276 | Peter J Vacca | Specialist | 1200 Old York Rd, Abington, PA 19001-3720 | 2005-06-01 |
1669070983 | India Tollini | Registered Nurse | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-10-09 |
1831700376 | Alison Ann Hollingsworth | Nurse Practitioner | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-08-10 |
1942820725 | Karie Kula | Radiology | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-04-21 |
1497374110 | Dean Yehoshua Granot | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3788 | 2020-04-13 |
1073132130 | Emma Lilia Galarza Beltran | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3788 | 2020-04-09 |
1598384638 | Alan Bui | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-04-09 |
1336778620 | Brett Arsenio Johnson | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3788 | 2020-04-07 |
1336778786 | Jacqueline Dipietro | Physical Therapist | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-04-07 |
1639708787 | Mariya Khan | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-04-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831671254 | Mohammed D Assali | Surgery | 1200 Old York Road Department of Surgery/suite 604, Abington, PA 19001 | 2018-09-01 |
1851886303 | Child and Family Focus, Inc. | Community/Behavioral Health | 2001 Old Welsh Road, Abington, PA 19001 | 2018-06-27 |
1376064394 | Rachel Cockerham | Registered Nurse | 1355 Old York Road, Suite 101, Abington, PA 19001 | 2017-06-29 |
1598141715 | Thomas Roarty | Nurse Practitioner | 1369 Old York Road, Abington, PA 19001 | 2015-08-11 |
1205249448 | Wendy Lorisme | Social Worker | 2223 Florey Ln Apt E3, Abington, PA 19001 | 2014-06-05 |
1417376682 | Nabil Zeineddine | Internal Medicine | 1235 Old York Rd Ste 220, Abington, PA 19001 | 2014-04-15 |
1578868782 | Phyllis O. Paul | Family Medicine | 1710 Woodland Rd., Abington, PA 19001 | 2011-01-19 |
1659674497 | Gerson S Paul | Obstetrics & Gynecology | 1710 Woodland Road, Abington, PA 19001 | 2010-12-17 |
1205145596 | Syreeta Tisha Mctavous | Dentist | 1200 Old York Rd., Arches Building, Abington, PA 19001 | 2010-10-04 |
1538481635 | Equipsource | Durable Medical Equipment & Medical Supplies | 1302 Easton Road, Suite 1005, Abington, PA 19001 | 2010-02-17 |
Find all providers in zip 19001 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437218930 | Frances Maria Coulter | Nurse Practitioner | 1200 Old York Rd, Abington, PA 19001-3720 | 2006-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508360538 | Melissa Mosczczynski | Nurse Practitioner | 9815 Roosevelt Blvd Ste C, Philadelphia, PA 19114-1035 | 2018-03-23 |
1689197873 | Rebecca Silver | Nurse Practitioner | 4807 Freemansburg Ave Ste 250, Easton, PA 18045-5522 | 2017-07-20 |
1376817569 | Lolita Maria Vaughan | Nurse Practitioner | 9501 Roosevelt Ave., Suite 404, Philadelphia, PA 19114 | 2012-03-06 |
1942596879 | Rose Wassel | Nurse Practitioner | 105 Firethorn Rd, Baden, PA 15005-2619 | 2011-06-20 |
1134424476 | Barrie Sydelle Essner | Nurse Practitioner | 1 Azalea Cir, Lafayette Hill, PA 19444-2102 | 2011-01-18 |
1215246780 | Casandra B. Gaffney | Nurse Practitioner | 600 E Marshall St Ste 205, West Chester, PA 19380-4453 | 2010-10-01 |
1174763601 | Lucinda A Reichley | Nurse Practitioner | 644 E High St Rear, Planned Parenthood, Pottstown, PA 19464-5762 | 2009-02-24 |
1912165960 | Doylestown Gynecology | Nurse Practitioner | 14 Memorial Dr, Ste A, Doylestown, PA 18901-3529 | 2008-05-27 |
1457536286 | Ruth Agers Rice | Nurse Practitioner | Cwm Seventeenth and Chew, Suite 100, Allentown, PA 18105 | 2007-12-28 |
1285768192 | Margaret Brown | Nurse Practitioner | 728 W Lincoln Hwy Fl 2, Exton, PA 19341 | 2007-03-15 |
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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.