PREMIER ORTHOPAEDIC AND SPORTS MEDICINE, LTD (NPI# 1700248671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700248671 |
| Entity Type | Organization |
| Organization Name | PREMIER ORTHOPAEDIC AND SPORTS MEDICINE, LTD |
| Practice Address |
201 Reeceville Rd Coatesville PA 19320-1542 |
| Practice Telephone | 6106446900 |
| Mailing Telephone | 6106446900 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | DR. JEFFREY MALUMED (PRESIDENT) |
| Authorized Official Telephone | 6103595640 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
201 REECEVILLE RD |
| City | COATESVILLE |
| State | PA |
| Zip Code | 19320-1542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509792 | Liberty Anesthesia Associates, P. C. | Specialist | 201 Reeceville Rd, Coatesville, PA 19320-1542 | 2005-06-27 |
| 1669099719 | Martina Majella Sobolesky | Nurse Practitioner | 201 Reeceville Rd, Coatesville, PA 19320-1542 | 2020-07-05 |
| 1821611138 | Navneet Kaur Khroud | Psychiatry & Neurology | 201 Reeceville Rd, Coatesville, PA 19320-1542 | 2020-05-20 |
| 1801418579 | Evgenia Royter | Psychiatry & Neurology | 201 Reeceville Rd, Coatesville, PA 19320-1536 | 2020-05-15 |
| 1104447333 | Maryssa Lyons | Psychiatry & Neurology | 201 Reeceville Rd, Coatesville, PA 19320-1536 | 2020-04-28 |
| 1629699012 | Katherine Jean Hubert | Psychiatry & Neurology | 201 Reeceville Rd, Coatesville, PA 19320-1542 | 2020-04-27 |
| 1386265759 | Daniel Joseph Buhalo | Psychiatry & Neurology | 201 Reeceville Rd, Coatesville, PA 19320-1536 | 2020-04-27 |
| 1720628407 | Coatesville Clinic Company LLC | Internal Medicine | 201 Reeceville Rd, Coatesville, PA 19320-1542 | 2020-01-10 |
| 1740759604 | Michael Kevin Magee | Nurse Anesthetist, Certified Registered | 201 Reeceville Rd, Coatesville, PA 19320-1542 | 2018-11-20 |
| 1629547039 | Vladimir Vetkin | Registered Nurse | 201 Reeceville Rd, Coatesville, PA 19320-1542 | 2018-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029306 | Ara Dadivanyan | Psychiatry & Neurology | 201 Reeceville Rd., Brandywine Hospital, Coatesville, PA 19320 | 2020-07-01 |
| 1669098919 | Sara Mostafa | Psychiatry & Neurology | Brandy Wine Hospital, 201 Reeceville Rd, Coatesville, PA 19320 | 2020-06-23 |
| 1225654072 | Laurie Bond | Counselor | 774 East Lincoln Highway, Coatesville, PA 19320 | 2020-06-17 |
| 1356964506 | Timothy Robert Derosa | Psychiatry & Neurology | Brandywine Hospital 201 Reeceville Rd., Coatesville, Pa, PA 19320 | 2020-05-22 |
| 1184264632 | Evolve Individual Services, LLC | Counselor | 135 E Chestnut St, 204, Coatesville, PA 19320 | 2020-01-13 |
| 1649824111 | Angela Lynne Sylvina | Social Worker | 1825 E Lincoln Highway, Coatesville, PA 19320 | 2019-08-01 |
| 1629540257 | Rhonda Jean Sanford | Social Worker | Coatesville Vamc, Attn: Rhonda Sanford, Lcsw, 1400 Blackhorse Hill Rd, Bldg 57, Rm 227, Coatesvillle, PA 19320 | 2018-12-20 |
| 1528540499 | Jetquatta Parker | Licensed Practical Nurse | 786 Coates St, Coatesville, PA 19320 | 2018-09-06 |
| 1639608052 | Shafkat Hussain | Pharmacist | 800 East Lincoln Highway, Coatesville, PA 19320 | 2017-06-08 |
| 1790222032 | Elizabeth Barnett | Counselor | 2034crest Dr, Coatesville, PA 19320 | 2017-01-25 |
| Find all providers in zip 19320 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509792 | Liberty Anesthesia Associates, P. C. | Specialist | 201 Reeceville Rd, Coatesville, PA 19320-1542 | 2005-06-27 |
| 1669615381 | Krista Louise Lewis | Specialist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2009-04-10 |
| 1639143829 | Mohammed A Khanzada | Specialist | 201 Reeceville Rd, Coatesville, PA 19320-1542 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863909 | Courtney Romain-lopez | Specialist | 301 Lenape Trl, Allentown, PA 18104-8531 | 2020-05-18 |
| 1235751116 | Steven Charles Snyder | Specialist | 119 Boyd Hollow Ln, Spring Mills, PA 16875-7812 | 2020-05-13 |
| 1083236582 | Chelsea Meadows | Specialist | 693 Topaz Dr, Lancaster, PA 17603-5864 | 2020-05-07 |
| 1982224655 | Eric Rickin Md LLC | Specialist | 102 Lexington Ave Ste 2, Aspinwall, PA 15215-3257 | 2020-04-22 |
| 1134748510 | Beaver County Regenerative Wellness Centers PC | Specialist | 3582 Brodhead Rd Ste 108, Monaca, PA 15061-3142 | 2020-04-15 |
| 1780203414 | Essence Allen-presley | Specialist | 252 Melrose Ave, Lansdowne, PA 19050-2532 | 2020-04-13 |
| 1174156012 | Sade Yolanda Davis | Specialist | 2414 N Garnet St, Philadelphia, PA 19132-3725 | 2020-02-19 |
| 1487285094 | Kim O'toole | Specialist | 105 Hay Rd, Milford, PA 18337-9020 | 2020-02-01 |
| 1437789740 | Kate Beer | Specialist | 3357 W 43rd St, Erie, PA 16506-4233 | 2020-01-26 |
| 1346888690 | Colleen Ruddy | Specialist | 205 Glenburn Rd, Clarks Green, PA 18411-2534 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
| City | COATESVILLE |
| Zip Code | 19320 |
Please comment or provide details below to improve the information on PREMIER ORTHOPAEDIC AND SPORTS MEDICINE, LTD.
| 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.