PREMIER URGENT CARE AT KENNETT SQUARE, LLC (NPI# 1679084354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679084354 |
| Entity Type | Organization |
| Organization Name | PREMIER URGENT CARE AT KENNETT SQUARE, LLC |
| Practice Address |
2231 Bryn Mawr Avenue Philadelphia PA 19131-2399 |
| Mailing Address |
278 Eagleview Blvd Exton PA 19341-1157 |
| Practice Telephone | 2158830800 |
| Practice Fax Number | 2153646488 |
| Mailing Telephone | 6105616400 |
| Mailing Fax Number | 6105616401 |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-20 |
| Authorized Official Name | EDWARD SILVERMAN (OWNER) |
| Authorized Official Telephone | 6105616400 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1027657850001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538667704 | Premier Urgent Care At Kennett Square, LLC | Clinic/Center | 10050 Roosevelt Blvd Ste 2, Philadelphia, PA 19116-3965 | 2018-01-23 |
| 1326470675 | Premier Urgent Care At Kennett Square, LLC | Clinic/Center | 635 Conestoga Rd, Villanova, PA 19085-1302 | 2013-08-08 |
| 1013312750 | Premier Urgent Care At Kennett Square, LLC | Clinic/Center | 1745 S Easton Rd, Doylestown, PA 18901-2812 | 2014-10-23 |
| 1255655429 | Premier Urgent Care At Kennett Square, LLC | Family Medicine | 300 Old Forge Lane, Ste 302, Kennett Square, PA 19348 | 2010-03-17 |
| Street Address |
2231 BRYN MAWR AVENUE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131-2399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| Find all providers in zip 19131 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154968709 | On Demand Urgent Care Group PC | Clinic/Center | 5828 Market St, Philadelphia, PA 19139-3152 | 2019-12-03 |
| 1205486891 | Mydoc Urgent Care Chinatown | Clinic/Center | 1008 Arch St Ste 102, Philadelphia, PA 19107-3002 | 2019-09-16 |
| 1114491594 | On Demand Urgent Care Group PC | Clinic/Center | 1500 Spring Garden St Ste R105, Philadelphia, PA 19130-4067 | 2019-01-18 |
| 1538667704 | Premier Urgent Care At Kennett Square, LLC | Clinic/Center | 10050 Roosevelt Blvd Ste 2, Philadelphia, PA 19116-3965 | 2018-01-23 |
| 1811432776 | On Demand Urgent Care Group, PC | Clinic/Center | 1217 S Broad St, Philadelphia, PA 19147-4401 | 2017-01-03 |
| 1902341860 | On Demand Urgent Care Group, PC | Clinic/Center | 1420 Chestnut St, Philadelphia, PA 19102-2505 | 2017-01-03 |
| 1629525282 | Mydoc Urgent Care | Clinic/Center | 3717 Chestnut St, Suite 202, Philadelphia, PA 19104-3164 | 2016-09-01 |
| 1013361575 | Jefferson Acute Care Physicians, PC | Clinic/Center | 2021 Chestnut St, Philadelphia, PA 19103-3373 | 2016-04-20 |
| 1881083723 | On Demand Urgent Care Group PC | Clinic/Center | 3356 Aramingo Ave, Philadelphia, PA 19134-4506 | 2015-01-15 |
| 1316379779 | Epic Physicians L.L.C. | Clinic/Center | 8021 Frankford Ave, Philadelphia, PA 19136 | 2013-08-07 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19131 |
Please comment or provide details below to improve the information on PREMIER URGENT CARE AT KENNETT SQUARE, LLC.
| 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.