PROSPECT HEALTH ACCESS NETWORK, INC. (NPI# 1780031005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780031005 |
| Entity Type | Organization |
| Organization Name | PROSPECT HEALTH ACCESS NETWORK, INC. |
| Other Organization Name | PEDIATRICS |
| Practice Address |
30 Medical Center Blvd 3 East Chester PA 19013-3955 |
| Practice Telephone | 6104472000 |
| Mailing Telephone | 6104472000 |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-06-13 |
| Authorized Official Name | ELLEN SHIN (SECRETARY) |
| Authorized Official Telephone | 3109434520 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pediatrics | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619322112 | Prospect Health Access Network, Inc. | Psychologist | 176 S Middletown Rd, Media, PA 19063-5255 | 2016-05-03 |
| 1982152294 | Prospect Health Access Network, Inc. | Urology | 2100 Keystone Ave, Drexel Hill, PA 19026-1129 | 2016-09-15 |
| 1083061006 | Prospect Health Access Network, Inc. | Physical Therapist | 485 Baltimore Pike, Suite 202, Glen Mills, PA 19342-1161 | 2016-05-19 |
| 1912354432 | Prospect Health Access Network, Inc. | Internal Medicine | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2016-05-16 |
| 1013364520 | Prospect Health Access Network, Inc. | Psychiatry & Neurology | 1 Medical Center Blvd, Acp Ste 533, Chester, PA 19013-3902 | 2016-05-16 |
| 1740637255 | Prospect Health Access Network, Inc. | Internal Medicine | 1 Bartol Ave, Suite 10, Ridley Park, PA 19078-2214 | 2016-05-16 |
| 1922455443 | Prospect Health Access Network, Inc. | Surgery | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2016-05-16 |
| 1013364538 | Prospect Health Access Network, Inc. | Transplant Surgery | 1 Medical Center Blvd, Pob II Suite 220, Chester, PA 19013-3902 | 2016-05-16 |
| 1659728178 | Prospect Health Access Network, Inc. | Internal Medicine | 2100 Keystone Ave, Suite 406, Drexel Hill, PA 19026-1129 | 2016-05-16 |
| 1477900991 | Prospect Health Access Network, Inc. | Pediatrics | 1 Medical Center Blvd, 3rd Floor, Chester, PA 19013-3902 | 2016-05-16 |
| Street Address |
30 MEDICAL CENTER BLVD 3 EAST |
| City | CHESTER |
| State | PA |
| Zip Code | 19013-3955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474291 | Sarah Ashby | Nurse Anesthetist, Certified Registered | 30 Medical Center Blvd, Chester, PA 19013-3955 | 2020-03-28 |
| 1871131375 | Yori Ellen Cozen | Nurse Anesthetist, Certified Registered | 30 Medical Center Blvd, Chester, PA 19013-3955 | 2019-12-16 |
| 1003324757 | Jessica Funari | Nurse Anesthetist, Certified Registered | 30 Medical Center Blvd, Chester, PA 19013-3955 | 2018-01-16 |
| 1144766627 | Casey Marie Brown | Physician Assistant | 30 Medical Center Blvd, Pob1 Suite 305, Chester, PA 19013-3955 | 2017-01-09 |
| 1275948499 | Hannah Kreiling | Anesthesiology | 30 Medical Center Blvd, Chester, PA 19013-3955 | 2014-06-26 |
| 1518371756 | Stephanie Tanner Walsh | Pediatrics | 30 Medical Center Blvd, Pob1, Suite 205, Crozer Pediatrics, Chester, PA 19013-3955 | 2014-06-16 |
| 1255754198 | Abiodun Laoye | Internal Medicine | 30 Medical Center Blvd, Suite 404, Chester, PA 19013-3955 | 2014-01-29 |
| 1285057182 | Jonathan Matey | Nurse Anesthetist, Certified Registered | 30 Medical Center Blvd, Suite 305, Chester, PA 19013-3955 | 2014-01-28 |
| 1538582515 | Angela Papili Walker | Nurse Anesthetist, Certified Registered | 30 Medical Center Blvd, Pob-1 Suite 305, Chester, PA 19013-3955 | 2014-01-28 |
| 1083035828 | Desiree Zanghi | Nurse Anesthetist, Certified Registered | 30 Medical Center Blvd, Chester, PA 19013-3955 | 2013-12-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
| Find all providers in zip 19013 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738644 | Medical University Hospital Authority | Pediatrics | 1 Medical Park Dr Ste A, Chester, SC 29706-9769 | 2020-07-30 |
| 1497248173 | Danielle Elaine Senn | Pediatrics | 1 Medical Center Blvd Bldg 1, Chester, PA 19013-3902 | 2018-06-07 |
| 1265828958 | Jennifer Trosko Higgins | Pediatrics | 30 Medical Center Blvd Ste 205, Chester, PA 19013-3957 | 2015-04-09 |
| 1609145663 | Gwen Marie Bogacki | Pediatrics | 2 Fieldcrest Rd, Chester, NJ 07930-2655 | 2011-12-21 |
| 1780974709 | Amrit Bhardwaj | Pediatrics | 1 Medical Center Blvd Ste 205, Chester, PA 19013-3902 | 2011-04-11 |
| 1457571754 | Pediatric Assoc of Petersburg | Pediatrics | 13213 Rivers Bend Blvd, Chester, VA 23836-8606 | 2007-04-27 |
| 1992849558 | Daniel O. Dada | Pediatrics | 230 E 24th St, Chester, PA 19013-4634 | 2007-02-16 |
| 1598834152 | Elizabeth Madeline Bird | Pediatrics | 20 Water St, Chester, CT 06412 | 2006-11-07 |
| 1598851230 | Laina Jo Bourassa | Pediatrics | 4707 Buckingham Ct, Chester, VA 23831-4261 | 2006-10-04 |
| 1003823931 | Marion Logan Gibbons | Pediatrics | 1 Medical Park Drive, Building 3, Suite A, Chester, SC 29706-9769 | 2006-08-02 |
| Find all providers in CHESTER | ||||
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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.