MEDIA PEDIATRICS (NPI# 1720051444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720051444 |
Entity Type | Organization |
Organization Name | MEDIA PEDIATRICS |
Practice Address |
401 Moore Rd Wallingford PA 19086-7049 |
Practice Telephone | 6105653336 |
Practice Fax Number | 4843675938 |
Mailing Telephone | 6105653336 |
Mailing Fax Number | 4843615938 |
Enumeration Date | 2006-02-12 |
Last Update Date | 2016-01-11 |
Authorized Official Name | DR. JUNE E. ELCOCK-MESSAM (PEDIATRICIAN) |
Authorized Official Telephone | 6105653336 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD-071892-L | PA | Ambulatory Health Care Facilities |
Street Address |
401 MOORE RD |
City | WALLINGFORD |
State | PA |
Zip Code | 19086-7049 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649205055 | Woodrow Bertram Kessler | Internal Medicine | 401 Moore Rd, Wallingford, PA 19086-7049 | 2006-07-12 |
1679506950 | June E. Elcock-messam | Clinic/Center | 401 Moore Rd, Wallingford, PA 19086-7049 | 2006-07-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780168997 | Cara Grace Termini | Speech-Language Pathologist | 315 Prichard Ln, Wallingford, PA 19086 | 2018-09-24 |
1235633637 | Katharina Stephanie Shaw | Student in an Organized Health Care Education/Training Program | 100 Blackthorn Rd, Wallingford, PA 19086 | 2018-03-20 |
1750790382 | Debra Thompson | Psychologist | 715 Scott Lane, Wallingford, PA 19086 | 2014-08-07 |
1265853709 | Tamar V Jefferis | Internal Medicine | 19 N. Providence Road, Box 267, Wallingford, PA 19086 | 2013-12-31 |
1396052460 | Sabina Sharmeen | Internal Medicine | 1161, Putnam Boulovard, Wallingford, PA 19086 | 2010-09-09 |
1790922789 | Carol Lecleire | Dentist | 9 Dale Lane, Wallingford, PA 19086 | 2009-01-13 |
1104885995 | Wallingford-swarthmore Sd | Speech-Language Pathologist | 200 South Providence Rd, Wallingford, PA 19086-3817 | 2006-03-21 |
1700841780 | Wallingford Swarthmore Sd | Clinic/Center | 200 South Providence Rd, Wallingford, PA 19086-3817 | 2006-04-20 |
1477890317 | Alison S. Neuhaus | Lactation Consultant, Non-RN | 305 Dogwood Ln, Wallingford, PA 19086-6007 | 2013-01-11 |
1881648095 | Amir Katz | Physical Medicine & Rehabilitation | 303 Plush Mill Rd, Wallingford, PA 19086-6022 | 2006-05-20 |
Find all providers in zip 19086 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831412899 | Pei Sun Md.llc | Clinic/Center | 850 N Main Street Ext, Building1,a3, Wallingford, CT 06492-2400 | 2010-03-04 |
1679506950 | June E. Elcock-messam | Clinic/Center | 401 Moore Rd, Wallingford, PA 19086-7049 | 2006-07-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700484961 | New Beginnings Healthcare, Pllc | Clinic/Center | 24 N 7th St, Stroudsburg, PA 18360-2266 | 2020-10-11 |
1164035267 | Vision On The Move | Clinic/Center | 1015 Toll St, Eddystone, PA 19022-1451 | 2020-08-28 |
1245859388 | Accommodating Healthcare Solutions, PC | Clinic/Center | 1744 Bridgetown Pike, Feasterville Trevose, PA 19053-2362 | 2020-04-09 |
1427684059 | Health Care Center LLC | Clinic/Center | 16e Hanover Street, Hanover St, Gettysburg, PA 17325 | 2020-03-16 |
1518591163 | True Rejuvenation Peptide and Hormone Replacement Therapy Pllc | Clinic/Center | 4523 W Ridge Rd, Erie, PA 16506-1435 | 2020-02-22 |
1881238988 | Slrmed LLC | Clinic/Center | 781 Easton Rd, Warrington, PA 18976-2019 | 2019-10-31 |
1487205167 | Careatc | Clinic/Center | 6340 Flank Dr, Harrisburg, PA 17112-2764 | 2019-09-24 |
1770134454 | Careatc | Clinic/Center | 1126 Walnut St Ste B, Lebanon, PA 17042-5939 | 2019-09-24 |
1023670189 | Avalon Primary Care, PC | Clinic/Center | 2160 Lincoln Hwy E Ste 1-a4, Lancaster, PA 17602-1150 | 2019-06-28 |
1639734213 | Ideal Wellness Family Practice, PC | Clinic/Center | 701 Leon Ave, Palmyra, PA 17078-3554 | 2019-05-08 |
Find all providers with the same taxonomy |
City | WALLINGFORD |
Zip Code | 19086 |
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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.