KENNETH J FITZPATRICK (NPI# 1669407748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669407748 |
| Entity Type | Individual |
| Full Name | KENNETH J FITZPATRICK |
| Credential | M.D. |
| Practice Address |
640 Clovelly Ln Devon PA 19333-1847 |
| Mailing Address |
640 Clovelly Ln Devon PA 19333 |
| Practice Telephone | 4844315718 |
| Practice Fax Number | 4844802987 |
| Mailing Telephone | 4844315718 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2019-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD056906L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
640 CLOVELLY LN |
| City | DEVON |
| State | PA |
| Zip Code | 19333-1847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508401480 | Kjf Urology LLC | Urology | 640 Clovelly Ln, Devon, PA 19333-1847 | 2019-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629424601 | Hcr Manorcare | Clinic/Center | 235 E Lancaster Ave, Devon, PA 19333 | 2016-05-10 |
| 1528444353 | Erin Heemann | Counselor | 237 West Lancaster Ave., Devon, PA 19333 | 2015-08-04 |
| 1790184596 | Dine Monte Nido, LLC | Specialist | 237 East Lancaster Ave, Devon, PA 19333 | 2014-08-18 |
| 1902155088 | Theresa Grass | Occupational Therapist | 445 N. Valley Forge Road, Devon, PA 19333 | 2012-09-05 |
| 1033393707 | Goodsir Chiropractic Center Inc. | Chiropractor | 45 Berkley Rd., Devon, PA 19333 | 2007-12-18 |
| 1144417759 | Daniel T Rubino Md PC | Specialist | 176 East Conestoga Road, Devon, PA 19333 | 2007-09-27 |
| 1871783050 | Paul Leroy Anderson Jr. | Dentist | 882 Lancaster Ave, Devon, PA 19333 | 2007-07-25 |
| 1245369297 | Elyse S. Rubenstein | Psychologist | 185 Ladderback Ln., Devon, PA 19333 | 2007-03-05 |
| 1407998255 | D Katherine K Krentel | Registered Nurse | 237 Lancaster Ave, Kairos Counseling Services Suite 215, Devon, PA 19333 | 2007-02-12 |
| 1275606949 | Linda K Himmelberger | Dentist | 227 Lancaster Ave, Devon, PA 19333 | 2006-11-17 |
| Find all providers in zip 19333 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508401480 | Kjf Urology LLC | Urology | 640 Clovelly Ln, Devon, PA 19333-1847 | 2019-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230468 | St Clair Medical Services, Inc. | Urology | 2000 Oxford Dr Ste 410, Bethel Park, PA 15102-1841 | 2020-09-22 |
| 1326673690 | Glade Run Medical Associates, Inc. | Urology | 500 Medical Arts Bldg Ste 520, Kittanning, PA 16201-7137 | 2020-03-07 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1558859645 | East Freedom Surgical Associates, LLC | Urology | 15721 Dunnings Hwy, Duncansville, PA 16635 | 2018-04-25 |
| 1528560943 | Lancaster Urology PC | Urology | 175 Martin Ave Ste 300, Ephrata, PA 17522-1761 | 2018-03-01 |
| 1841706561 | Urology of Central Pennsylvania, Inc | Urology | 815 Sir Thomas Ct Ste 100, Harrisburg, PA 17109-4839 | 2017-12-18 |
| 1003326869 | St Luke's Physician Group Inc | Urology | 5325 Northgate Dr Ste 203, Bethlehem, PA 18017-9413 | 2017-10-06 |
| 1952829350 | Centers for Advanced Urology, LLC | Urology | 140 W Germantown Pike Ste 250, Plymouth Meeting, PA 19462-1421 | 2017-09-06 |
| 1346767944 | Nazareth Physician Services | Urology | 2701 Holme Ave Ste 101, Phila, PA 19152-2029 | 2017-08-24 |
| 1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
| Find all providers with the same taxonomy | ||||
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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.