MARYMORBARIATRICSLLC (NPI# 1790914331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790914331 |
| Entity Type | Organization |
| Organization Name | MARYMORBARIATRICSLLC |
| Practice Address |
100 W Sproul Rd Suite 224 Springfield PA 19064-2033 |
| Mailing Address |
24 Old Covered Bridge Rd Newtown Square PA 19073-1202 |
| Practice Telephone | 6107152316 |
| Practice Fax Number | 6103530878 |
| Mailing Telephone | 6107152316 |
| Mailing Fax Number | 6103530878 |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2009-07-03 |
| Authorized Official Name | NEIL S MARYMOR (SOLE MEMBER) |
| Authorized Official Telephone | 6107152316 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD026704E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
100 W SPROUL RD SUITE 224 |
| City | SPRINGFIELD |
| State | PA |
| Zip Code | 19064-2033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902893027 | Sean Patrick Conroy | Family Medicine | 100 W Sproul Rd, Suite 120, Springfield, PA 19064-2033 | 2005-10-04 |
| 1407308356 | Stephanie Michael | Social Worker | 100 W Sproul Rd, Healthplex Pavilion II, Suite 221, Springfield, PA 19064-2033 | 2016-10-26 |
| 1467909176 | Meghan Pepper | Nurse Practitioner | 100 W Sproul Rd, Suite 120, Springfield, PA 19064-2033 | 2016-09-10 |
| 1902252596 | Margo Neagoe | Nurse Practitioner | 100 W Sproul Rd, Healthplex Pavilion II, Suite 221, Springfield, PA 19064-2033 | 2016-05-12 |
| 1922329796 | Eric David Dobkin | Surgery | 100 W Sproul Rd, Springfield, PA 19064-2033 | 2010-06-16 |
| 1942534805 | Annemarie Petty | Occupational Therapist | 100 W Sproul Rd, # 125, Springfield, PA 19064-2033 | 2009-09-25 |
| 1306004510 | Keala Rae Tekolste | Family Medicine | 100 W Sproul Rd, Suite 120, Springfield, PA 19064-2033 | 2008-05-26 |
| 1730397795 | Health Access Network | Family Medicine | 100 W Sproul Rd, Suite 223, Springfield, PA 19064-2033 | 2007-05-21 |
| 1013135821 | Moore Eye Foundation | Optometrist | 100 W Sproul Rd, Suite 125, Springfield, PA 19064-2033 | 2007-04-24 |
| 1043366503 | Decaro Family Practice PC | Family Medicine | 100 W Sproul Rd, Suite 220, Springfield, PA 19064-2033 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023513058 | Prospect Crozer Home Health and Hospice, LLC | Hospice Care, Community Based | 200 W. Sroul Road, Springfield, PA 19064 | 2018-03-30 |
| 1912369539 | Olga Burt | Physical Therapy Assistant | 146 Rose Lane, Springfield, PA 19064 | 2016-03-23 |
| 1124407309 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1745 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1477932655 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1755 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1003295288 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1765 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1427483742 | Casseys Optical Inc | Durable Medical Equipment & Medical Supplies | 139 S State Road, Springfield, PA 19064 | 2013-09-05 |
| 1184982225 | Ultimate Hearing Solutions II, LLC | Audiologist-Hearing Aid Fitter | 471 Baltimore Pike, Springfield, PA 19064 | 2012-04-26 |
| 1295091684 | Theresa Nolan | Registered Nurse | 194 West Sprould Road, Suite 105, Springfield, PA 19064 | 2012-04-10 |
| 1649551367 | Pa Center for Hearing and Balance, LLC | Hearing Aid Equipment | 760 W Sproul Road, Suite 103, Springfield, PA 19064 | 2011-09-08 |
| 1376864694 | Cynthia Lacapra | Family Medicine | 965 Baltimore Pike Ste B2, Springfield, PA 19064 | 2010-06-22 |
| Find all providers in zip 19064 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184114480 | New Jersey Bariatric Group, PC | Surgery | 193 Morris Ave Fl 2, Springfield, NJ 07081-1211 | 2018-05-14 |
| 1174903488 | Samuel J Rheinhardt | Surgery | 701 N 1st St Ste D327, Springfield, IL 62702-3757 | 2015-06-02 |
| 1588099725 | Francis Milton Corry | Surgery | 2859 E. Utica, Springfield, MO 65804 | 2013-09-06 |
| 1881033926 | Frank A. Cornella Dds, Md PC | Surgery | 3237 E Sunshine St Ste B, Springfield, MO 65804-6919 | 2013-06-21 |
| 1881943678 | Roland Folse | Surgery | 2 Virginia Lane, Springfield, IL 62712 | 2012-09-07 |
| 1780939462 | Daniel Caleb Persinger | Surgery | 100 W Mccreight Ave Ste 110, Springfield, OH 45504-1890 | 2012-07-18 |
| 1154618775 | Alexandria Dailey Mcdow | Surgery | 701 N 1st St Ste D308, Springfield, IL 62702-3757 | 2011-07-04 |
| 1356655054 | Allison Melissa Key | Surgery | 1965 S Fremont Ave Ste 230, Springfield, MO 65804-2258 | 2010-08-05 |
| 1679704761 | James P Buwen | Surgery | 193 Morris Ave, 2nd Floor, New Jersey Bariatric Center, Springfield, NJ 07081 | 2009-08-06 |
| 1386871069 | Lindsey Leigh Saint | Surgery | 315 W Carpenter St Fl 2, Springfield, IL 62702 | 2009-06-19 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 19064 |
Please comment or provide details below to improve the information on MARYMORBARIATRICSLLC.
| 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.