DR. JOSE G MORENO (NPI# 1699768184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699768184 |
| Entity Type | Individual |
| Full Name | DR. JOSE G MORENO |
| Credential | MD |
| Practice Address |
20 Sunnybrook Rd Pottstown PA 19464-3213 |
| Mailing Address |
20 Sunnybrook Road Pottstown PA 19464-3213 |
| Practice Telephone | 6103235550 |
| Practice Fax Number | 6103274651 |
| Mailing Telephone | 6103235550 |
| Mailing Fax Number | 6103274651 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2017-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD045118L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0015309050002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295354603 | Jose Javier Moreno | Clinic/Center | 655 Roberto H Todd Ave, Pmb 109, San Juan, PR 00907 | 2020-04-15 |
| 1598248429 | Jose Moreno | Technician | 4301 Beth Ave, Las Vegas, NV 89108-2801 | 2018-09-06 |
| 1669885794 | Jose Alex Moreno | Massage Therapist | 4021 Ivy Rd, Pasco, WA 99301-9925 | 2014-06-05 |
| 1427517242 | Jose Moreno | Behavioral Analyst | 12395 Lewis St Ste 202, Garden Grove, CA 92840-4694 | 2019-03-19 |
| 1497203897 | Jose Luis Moreno | Psychologist | 1670 Upham Dr, Columbus, OH 43210-1250 | 2016-09-14 |
| 1164877296 | Jose Antonio Moreno | Internal Medicine | 265 W Highway 50, Clermont, FL 34711-3027 | 2016-04-26 |
| 1386015899 | Jose Venegas Moreno | Marriage & Family Therapist | 160 E Virginia St, San Jose, CA 95112-5857 | 2015-10-09 |
| 1255594198 | Jose Antonio Moreno | Surgery | 1400 N Ritter Ave, Suite 120, Indianapolis, IN 46219-3052 | 2008-07-09 |
| 1487726386 | Jose G. Moreno | Psychiatry & Neurology | 205 Ridgedale Ave, Florham Park, NJ 07932-1349 | 2006-11-15 |
| 1801820212 | Jose N Moreno | Allergy & Immunology | 1611 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1005 | 2006-07-10 |
| Street Address |
20 SUNNYBROOK RD |
| City | POTTSTOWN |
| State | PA |
| Zip Code | 19464-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487647970 | Ronald L Kabler | Urology | 20 Sunnybrook Rd, Pottstown, PA 19464-3213 | 2005-08-30 |
| 1073574570 | Lisa A Robbins | Nurse Practitioner | 20 Sunnybrook Rd, Pottstown, PA 19464-2946 | 2006-04-01 |
| 1558354043 | Pankaj Kalra | Urology | 20 Sunnybrook Rd, Pottstown, PA 19464-3213 | 2005-08-30 |
| 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 | 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 |
|---|---|---|---|---|
| 1487764486 | Peter O Oskanian | Urology | 20 N Sunnybrook Rd, Pottstown, PA 19464-2946 | 2006-08-30 |
| 1366459968 | Tri County Urologic Associates, P.C. | Urology | 2103 E High St, Pottstown, PA 19464-3213 | 2006-08-03 |
| 1487647970 | Ronald L Kabler | Urology | 20 Sunnybrook Rd, Pottstown, PA 19464-3213 | 2005-08-30 |
| 1356334833 | John E Leech Jr. | Urology | 20 Sunnybrook Road, Pottstown, PA 19464-3213 | 2005-08-30 |
| 1760740062 | Lawrence M Lee | Urology | 20 N Sunnybrook Rd, Pottstown, PA 19464 | 2012-04-25 |
| 1558354043 | Pankaj Kalra | Urology | 20 Sunnybrook Rd, Pottstown, PA 19464-3213 | 2005-08-30 |
| 1588657092 | Robert M Rose | Urology | 20 Sunnybrook Road, Pottstown, PA 19464-3213 | 2005-08-30 |
| 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.