HEATLY DULLES SEBRING


Address: 255 West Lancaster Avenue, Suite 209, Paoli, PA 19301-1765
Phone: 6102967055

HEATLY DULLES SEBRING (NPI# 1780787903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780787903
Entity Type Individual
Full Name HEATLY DULLES SEBRING
Credential MD
Practice Address 255 West Lancaster Avenue
Suite 209
Paoli
PA 19301-1765
Practice Telephone 6102967055
Practice Fax Number 6102968135
Mailing Telephone 6102967055
Mailing Fax Number 6102968135
Enumeration Date 2006-09-06
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology MD014820E PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA HIGHMARK BLUE SHIELD 000153816 01
RAILROAD MEDICARE 030000552 01
PA INDEPENDENT BLUE CROSS 0026772000 01
AETNA 4088999 01

Office Location

Street Address 255 WEST LANCASTER AVENUE
SUITE 209
City PAOLI
State PA
Zip Code 19301-1765

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578535522 Mitchell S Drake Emergency Medicine 255 West Lancaster Avenue, Paoli, PA 19301 2006-02-03
1528597986 Jennifer Foster Nurse Practitioner 255 West Lancaster Avenue, Paoli, PA 19301-1763 2017-06-08
1154510568 Sean M Burket Nurse Practitioner 255 West Lancaster Avenue, Bldg 2 - Suite 328, Paoli, PA 19301-1766 2007-10-22
1063485407 Steven J Gamburg Emergency Medicine 255 West Lancaster Avenue, Paoli, PA 19301 2006-02-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588280333 Mary Callery Physical Therapy Assistant 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 2020-06-17
1871097519 Daniel Malloy-good Social Worker 45 Darby Rd Ste E4, Paoli, PA 19301 2018-03-19
1306354774 Patricia Obilo-azandegbe Counselor 30 S Valley Rd Ste 101, Paoli, PA 19301 2018-01-18
1275992877 Jessica Bernard Physical Therapist 40 Darby Rd Ste 1, Paoli, PA 19301 2016-02-11
1730576364 Ushma Sheth Podiatrist 250 W Lancaster Ave Ste 225, Paoli, PA 19301 2015-04-21
1619371432 Miriam Leslie Brewer Physical Therapist 195 W Lancaster Ave #3, Paoli, PA 19301 2014-10-22
1447665393 Matthew Rementer Podiatrist 254 West Lancaster Ave, Paoli, PA 19301 2014-06-29
1720490915 Edward Anthony Romero Surgery 255 W Lancaster Ave Ste 332, Paoli, PA 19301 2014-05-22
1285053421 Jose Ethan Pulido Urology 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 2014-04-15
1093065849 Kathleen M Canfield Physician Assistant 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 2012-09-19
Find all providers in zip 19301

Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205039112 Allergy & Asthma of Southern Indiana, P.C. Allergy & Immunology 642 W Hospital Rd, Paoli, IN 47454-9672 2007-06-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760003065 Allergy and Asthma Wellness Centers Inc Allergy & Immunology 282 Saint Clair Ave, Clairton, PA 15025-1738 2020-04-28
1497109219 Paul Faybusovich Allergy & Immunology 500 University Dr # C5860, Hershey, PA 17033-2360 2016-04-18
1447640438 Gregory Harriman Allergy & Immunology 231 Iron Works Way, Wayne, PA 19087-4213 2015-01-28
1407254691 Allergy, Asthma, and Sinus Wellness Center, LLC Allergy & Immunology 562 Shearer St Ste 101, Greensburg, PA 15601-2746 2014-12-20
1225435670 Allergy Comprehensive Express Professional Corporation Allergy & Immunology 264 Trappe Ln, Langhorne, PA 19047-1434 2014-12-01
1295155885 Taha Al-shaikhly Allergy & Immunology 500 University Drive Mc A410, Hershey, PA 17033-0858 2014-04-22
1821423815 Sheryl Talbot Allergy & Immunology 303 West Lancaster Ave, #141, Wayne, PA 19087 2013-09-09
1851630891 Suburban Allergy Consultants LLC Allergy & Immunology 822 Montgomery Ave Ste 318, Narberth, PA 19072-1948 2013-02-12
1124364294 Margaret Mary Libonati Allergy & Immunology 7277 Bausch Road, New Tripoli, PA 18066-0224 2012-12-18
1407108608 Shivani Rasalingam Allergy & Immunology 4401 Pennave, Pittsburgh, PA 15224 2012-10-11
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City PAOLI
Zip Code 19301

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Dataset Information

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.

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