THERESE A. DONNELLY (NPI# 1740787423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740787423 |
| Entity Type | Individual |
| Full Name | THERESE A. DONNELLY |
| Credential | PA-C |
| Practice Address |
325 Central Ave Ste 200 Malvern PA 19355-3265 |
| Mailing Address |
201 N Morgan Ave Havertown PA 19083-5009 |
| Practice Telephone | 6106446755 |
| Mailing Telephone | 6109555338 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA059740 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821166943 | Therese Marie Donnelly | Nurse Anesthetist, Certified Registered | 76 Genesee Lane, Madison, CT 06443 | 2006-11-30 |
| Street Address |
325 CENTRAL AVE STE 200 |
| City | MALVERN |
| State | PA |
| Zip Code | 19355-3265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902196801 | Robert Frankel | Internal Medicine | 325 Central Ave Ste 200, Malvern, PA 19355 | 2011-04-12 |
| 1508377250 | Nicholas William Longo | Physician Assistant | 325 Central Ave Ste 200, Malvern, PA 19355-3265 | 2017-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218044 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 30 Liberty Boulevard, Suite 140, Malvern, PA 19355 | 2019-08-01 |
| 1871011122 | Mary Margaret Bischoff | Psychologist | 922 St. Andrews Dr., Malvern, PA 19355 | 2017-09-07 |
| 1114449527 | Reconstructive Orthopaedic Associates II, P.C. | Prosthetic/Orthotic Supplier | 650 Carnegie Boulevard, 2nd Floor, Malvern, PA 19355 | 2017-07-07 |
| 1285169243 | Smile Exchange of Malvern, LLC | Clinic/Center | 5 S. Morehall Rd, Suite 700b, Malvern, PA 19355 | 2017-04-27 |
| 1669849162 | Sahar Akhtar | Counselor | 288 Lancaster Ave Ste 1, Frazer, PA 19355 | 2015-08-31 |
| 1386020030 | Laura Ann Treston | Physical Therapy Assistant | 60 Malvern Ave., Malvern, PA 19355 | 2015-08-05 |
| 1003217191 | Hillary Schmid | Behavioral Analyst | 28 Clover Lane, Malvern, PA 19355 | 2014-09-09 |
| 1033528799 | James Greco | Pharmacist | 50 Three Tun Rd Ste 2, Malvern, PA 19355 | 2014-08-07 |
| 1952712085 | Rachael Joseph | Community/Behavioral Health | 45 Kelmar Avenue, Malvern, PA 19355 | 2014-05-12 |
| 1487081808 | Ronia Arabatlian | Social Worker | 1 North Bacton Rd, 107, Malvern, PA 19355 | 2013-09-30 |
| Find all providers in zip 19355 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508377250 | Nicholas William Longo | Physician Assistant | 325 Central Ave Ste 200, Malvern, PA 19355-3265 | 2017-10-21 |
| 1770949901 | Nicole L Luongo | Physician Assistant | 325 Central Ave, Suite 200, Malvern, PA 19355-3265 | 2016-01-04 |
| 1932356896 | Jamie I Hill | Physician Assistant | 266 Lancaster Ave, Suite 200, Malvern, PA 19355-3256 | 2008-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
| 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.