PMSI DIVISION OF NEPHROLOGY (NPI# 1679698401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679698401 |
| Entity Type | Organization |
| Organization Name | PMSI DIVISION OF NEPHROLOGY |
| Other Organization Name | POTTSTOWN MEDICAL SPECIALISTS NEPHROLOGY |
| Practice Address |
1591 Medical Drive Pottstown PA 19464 |
| Mailing Address |
1610 Medical Drive Suite 310 Pottstown PA 19464 |
| Practice Telephone | 6103268005 |
| Practice Fax Number | 4849450509 |
| Mailing Telephone | 6103274200 |
| Mailing Fax Number | 6103278160 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2016-07-14 |
| Authorized Official Name | SHANA M ENOCHS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 6103274200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD438936 | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE HMO | 0860002000 | 01 |
| PA | 0007964850006 | 05 | |
| PA | PA BLUE SHIELD | 919349 | 01 |
| Other Name | Type Code |
|---|---|
| POTTSTOWN MEDICAL SPECIALISTS NEPHROLOGY | Other Name - Individual/Organization |
| Street Address |
1591 MEDICAL DRIVE |
| City | POTTSTOWN |
| State | PA |
| Zip Code | 19464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023098894 | Joseph D Krantzler | Internal Medicine | 1591 Medical Drive, Pottstown, PA 19464 | 2006-01-18 |
| 1124396254 | Amber H. Iqbal | Internal Medicine | 1591 Medical Drive, Pmsi Division of Hematology/oncology, Pottstown, PA 19464-1946 | 2011-12-03 |
| 1740462043 | Kim Churach | Nurse Practitioner | 1591 Medical Drive, Pottstown, PA 19464 | 2007-11-29 |
| 1245451426 | Pottstown Medical Specialists, Inc. | Internal Medicine | 1591 Medical Drive, Pottstown, PA 19464 | 2007-05-02 |
| 1114042595 | Pmsi Division of Pulmonary | Internal Medicine | 1591 Medical Drive, Pottstown, PA 19464 | 2007-03-21 |
| 1851416176 | Pmsi Division of Hematology | Internal Medicine | 1591 Medical Drive, Pottstown, PA 19464 | 2007-03-20 |
| 1982728309 | Pmsi Division of Gastroenterology | Internal Medicine | 1591 Medical Drive, Pottstown, PA 19464 | 2007-03-19 |
| 1710001136 | Pmsi Division of Cardiology | Internal Medicine | 1591 Medical Drive, Pottstown, PA 19464 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770051971 | Jennifer Vernon | Counselor | 111 Robinson Street, Pottstown, PA 19464 | 2018-11-06 |
| 1609356732 | Wisna Serenity Homes Corp | Home Health | 444 North Mount Vernon Ave, Pottstown, PA 19464 | 2018-08-17 |
| 1164919007 | Katie A Lewis | Counselor | Creative Health Services Inc., 11 Robinson Street, Pottstown, PA 19464 | 2018-04-17 |
| 1326564998 | Dana Marie Skilton | Counselor | 11 Robinson Ave, Pottstown, PA 19464 | 2017-08-16 |
| 1629425954 | Edith Mary French | Registered Nurse | 1630 East High Street, Bldg #4, Pottstown, PA 19464 | 2016-05-17 |
| 1215314547 | Amy Lynne Campos | Counselor | 1200 E. High St. Suite 202, Pottstown, PA 19464 | 2015-05-06 |
| 1417346560 | Erica L Avello | Psychologist | 404 E High Street, Pottstown, PA 19464 | 2015-01-13 |
| 1336559145 | Beth Sue Desch | Dental Hygienist | 11 Robinson St. Suite 100, Pottstown, PA 19464 | 2014-05-01 |
| 1043638414 | Claudia Baumert | Dietitian, Registered | 555 E High Sreet, Pottstown, PA 19464 | 2014-04-02 |
| 1770922692 | Marie Elizabeth Bisconti | Optometrist | 264 Upland Square Dr, Pottstown, PA 19464 | 2013-06-25 |
| Find all providers in zip 19464 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588681365 | Zia Mohamed Umruddin | Internal Medicine | 2223 E High St, Pottstown, PA 19464-3215 | 2006-07-16 |
| 1295093466 | Krishna Komanduri | Internal Medicine | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2012-04-25 |
| 1609164326 | Saifullah Nizamuddin Kazi | Internal Medicine | 2223 E High St, Pottstown, PA 19464-3215 | 2011-07-15 |
| 1184913865 | Mandeep Singh Samra | Internal Medicine | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2011-04-01 |
| 1093784258 | Gerald Herskovits | Internal Medicine | 1591 Medical Dr, Pottstown, PA 19464-3224 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1437790482 | Pinnacle Health Medical Services | Internal Medicine | 205 S Front St Fl 8, Harrisburg, PA 17104-1619 | 2019-10-01 |
| 1255983615 | Mujahed Maher Dauleh | Internal Medicine | 500 University Dr # H040, Hershey, PA 17033-2360 | 2019-07-15 |
| 1578124038 | Ali Arif | Internal Medicine | 245 N 15th St Ste 6144, Philadelphia, PA 19102-1101 | 2019-06-25 |
| 1245893270 | Nikita Igorevich Neverov | Internal Medicine | 501 Howard Ave Ste D204, Altoona, PA 16601-4814 | 2019-04-16 |
| 1831682707 | Aravind Cherukuri | Internal Medicine | 3550 Terrace Street A919 Scafie Hall, Pittsburgh, PA 15261-0001 | 2018-06-14 |
| 1144731100 | Muhammad Owais Hanif | Internal Medicine | 245 N. 15th St, Ms 437, 6th Floor Ncb, Philadelpha, PA 19102 | 2017-10-18 |
| 1285157917 | Mhd Said Al Zein | Internal Medicine | 1001 E 2nd St Ste E, Coudersport, PA 16915-8161 | 2017-07-25 |
| 1073068284 | Awais Ammar | Internal Medicine | 415 Limekiln Dr Unit A, Chambersburg, PA 17201-4510 | 2016-08-17 |
| 1710344171 | Nina Stuccio | Internal Medicine | 410 S Front St Unit 215, Philadelphia, PA 19147-1708 | 2016-01-15 |
| 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.