DR. KATERYNA KISELOVA (NPI# 1639580509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639580509 |
| Entity Type | Individual |
| Full Name | DR. KATERYNA KISELOVA |
| Credential | D.O. |
| Practice Address |
680 Middletown Blvd Ste 201 Langhorne PA 19047-1817 |
| Mailing Address |
1445 Whitehorse Mercerville Road Suite 103 Hamilton NJ 08619-3834 |
| Practice Telephone | 2157369362 |
| Mailing Telephone | 6095876661 |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2019-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 25MB10696300 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | OS018475 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 York Rd, Suite 108, Jenkintown, PA 19046 | 2154812725 | 2154813013 |
| Street Address |
680 MIDDLETOWN BLVD STE 201 |
| City | LANGHORNE |
| State | PA |
| Zip Code | 19047-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013398114 | Michael Krevolin | Family Medicine | 680 Middletown Blvd Ste 201, Langhorne, PA 19047 | 2015-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799733 | Traci Anne Lordan | Counselor | 1717 Newtown-langhorne Rd Suite 304, Langhorne, PA 19047 | 2020-10-29 |
| 1407475973 | Midiia Shuman | Student in an Organized Health Care Education/Training Program | 1201 Langhorne Newtown Rd., St. Mary Medical Center, Langhorne, PA 19047 | 2020-04-14 |
| 1750923579 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Road Suite 215, Langhorne, PA 19047 | 2019-10-14 |
| 1487211173 | Avantika Gul Israni | Student in an Organized Health Care Education/Training Program | 1201 Langhorne-newtown Road, St. Mary Medical Center, Langhorne, PA 19047 | 2019-05-29 |
| 1861955155 | Jordesha Mariska Hodge | Student in an Organized Health Care Education/Training Program | 1201 Langhorne - Newton Rd., Langhorne, PA 19047 | 2019-04-12 |
| 1932673456 | Kenneth Nagy | Physical Therapy Assistant | 310 E Winchester Ave, Langhorne, PA 19047 | 2019-01-17 |
| 1104398635 | Woods Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Allgair Cottage, 96 Oakwood Doive, Langhorne, PA 19047 | 2018-12-21 |
| 1356819411 | Mitchell Perry | Physician Assistant | 1203 Newtown-langhorne Rd, #220, Langhorne, PA 19047 | 2018-11-07 |
| 1609353291 | Eye and Facial Plastic Surgery Consultants LLC | Ophthalmology | 1203 Newtown-langhorne Road, Suite 120, Langhorne, PA 19047 | 2018-07-26 |
| 1760969992 | Your Orthodontist | Dentist | 586 Middletown Blvd Ste C10, Langhorne, PA 19047 | 2018-07-20 |
| Find all providers in zip 19047 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487160933 | Hardeep Kaur | Family Medicine | 1205 Langhorne Newtown Rd Ste 309, Langhorne, PA 19047-1222 | 2017-12-20 |
| 1932515533 | Langhorne Physician Services | Family Medicine | 1205 Langhorne Newtown Rd Ste 102, Langhorne, PA 19047-1220 | 2014-07-03 |
| 1386843464 | Norman Castel | Family Medicine | 1616 Redwood Ave, Langhorne, PA 19047-2026 | 2007-07-17 |
| 1457487209 | Penndel Medical Practice LLC | Family Medicine | 447 Woodbourne Rd, Langhorne, PA 19047-4300 | 2007-02-26 |
| 1366513491 | Julius Barkow | Family Medicine | 159 Shady Brook Dr, Langhorne, PA 19047-8028 | 2006-11-12 |
| 1255424669 | Lisa M. Ducker Do | Family Medicine | 930 Town Center Dr Ste G10, Langhorne, PA 19047-3504 | 2006-09-30 |
| 1508967233 | Matthew Kulka, D.o., P.C. | Family Medicine | 1703 Langhorne Newtown Rd Ste 1, Langhorne, PA 19047-1082 | 2006-09-26 |
| 1922019363 | Brad S. Friedmann | Family Medicine | 380 Middletown Blvd Ste 700, Langhorne, PA 19047 | 2006-08-11 |
| 1902847262 | Steven Michael Lipschutz | Family Medicine | Routes 413 and 213, Langhorne, PA 19047 | 2006-06-09 |
| 1093771420 | Oxford Valley Medical Practice PC | Family Medicine | 300 Middletown Blvd Ste 100, Langhorne, PA 19047-3202 | 2006-04-25 |
| Find all providers in LANGHORNE | ||||
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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.