DR. KENNETH R DARGIS JR. (NPI# 1760823876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760823876 |
| Entity Type | Individual |
| Full Name | DR. KENNETH R DARGIS JR. |
| Credential | M.D. |
| Practice Address |
1400 Blackhorse Hill Rd Coatesville PA 19320-2040 |
| Mailing Address |
608 Kilburn Rd Wilmington DE 19803-1705 |
| Practice Telephone | 6103847711 |
| Mailing Telephone | 6469261741 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2018-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 216185 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1400 BLACKHORSE HILL RD |
| City | COATESVILLE |
| State | PA |
| Zip Code | 19320-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926177 | Julia Ann Stone | Psychologist | 1400 Blackhorse Hill Rd, Coatesville Va Medical Center, Coatesville, PA 19320-2040 | 2005-07-20 |
| 1700485356 | Abegale Lizabeth Nelson | Pharmacist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2020-10-23 |
| 1427657154 | Amy Andreaggi | Pharmacist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2020-10-23 |
| 1710592464 | Maura Marchese | Social Worker | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2020-09-10 |
| 1902441157 | Ashley Sutton | Psychologist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2019-11-12 |
| 1548823339 | Brent Jeffery Jenkins | Pharmacist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2019-04-17 |
| 1689237646 | Allison Webster | Pharmacist | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2019-04-16 |
| 1063984086 | Gina Lucchesi | Social Worker | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2096 | 2019-01-02 |
| 1700358033 | Brian Joseph Walters | Social Worker | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2018-12-27 |
| 1386115418 | Lori Ann Rathman | Social Worker | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2018-12-16 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669681110 | Jose R Monasterio | General Practice | 213 Reeceville Rd, Suite 10, Coatesville, PA 19320-1574 | 2007-05-22 |
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| 1861024390 | Daniel James Leonard IIi | General Practice | 397 Fifth Street, Nanty Glo, PA 15943 | 2020-02-12 |
| 1831755735 | Good Hope Health Center Corp | General Practice | 7712 Buist Ave, Philadelphia, PA 19153-1705 | 2019-05-15 |
| 1366008260 | Ltc Treatment Center Inc | General Practice | 7712 Buist Ave Apt B, Philadelphia, PA 19153-1705 | 2019-05-15 |
| 1003479825 | Marsha Frances Santangelo | General Practice | 107 Sawgrass Drive, Blue Bell, PA 19422 | 2019-04-17 |
| 1972072288 | Paula Alejandra Pino Pommer | General Practice | 3551 North Broad St., Philadelphia, PA 19140-4160 | 2018-11-15 |
| 1033686159 | Star Wellness Center, Inc | General Practice | 511 E 3rd St Ste 202, Bethlehem, PA 18015-2180 | 2018-10-26 |
| 1891277620 | Donald C. Cameron | General Practice | 718 Kennett Pike, Chadds Ford, PA 19317 | 2018-08-29 |
| 1124510888 | Healing Place Medical, P.C. | General Practice | 1600 Horizon Dr Ste 122123, Chalfont, PA 18914-4100 | 2018-05-30 |
| Find all providers with the same taxonomy | ||||
| City | COATESVILLE |
| Zip Code | 19320 |
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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.