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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207K00000X | Allergy & Immunology | MD014820E | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | HIGHMARK BLUE SHIELD | 000153816 | 01 |
RAILROAD MEDICARE | 030000552 | 01 | |
PA | INDEPENDENT BLUE CROSS | 0026772000 | 01 |
AETNA | 4088999 | 01 |
Street Address |
255 WEST LANCASTER AVENUE SUITE 209 |
City | PAOLI |
State | PA |
Zip Code | 19301-1765 |
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 |
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 Code | 207K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
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. |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
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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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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.