DR. MARY LOU JAZWINSKI (NPI# 1821169137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821169137 |
| Entity Type | Individual |
| Full Name | DR. MARY LOU JAZWINSKI |
| Credential | DO |
| Practice Address |
1 Medical Center Blvd Chester PA 19013-3902 |
| Practice Telephone | 6108745257 |
| Practice Fax Number | 6108747241 |
| Mailing Telephone | 6108745257 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2016-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
OS004739L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 009069800 | 05 |
| Street Address |
1 MEDICAL CENTER BLVD |
| City | CHESTER |
| State | PA |
| Zip Code | 19013-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626064 | Rachelle Lynn Dambman | Nurse Practitioner | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-10-13 |
| 1588274930 | Hui Chong Lau | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-07-31 |
| 1679194856 | Pooja Manjunatha | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-29 |
| 1609497981 | Jessica Hyman | Physician Assistant | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-28 |
| 1740800242 | Jared Blum | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-24 |
| 1487274312 | Patrick Sean Sullivan | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-21 |
| 1629698550 | Brett Houston Palmer | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-21 |
| 1922627231 | Oluwadara Nnoli | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-16 |
| 1730708181 | Sachi Singhal | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-15 |
| 1770102014 | Mary Howland Williamson | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-15 |
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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 |
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| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265631105 | Jean Young Bai | Psychiatry & Neurology | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2007-07-12 |
| 1780706812 | Shane Darren Danielson | Psychiatry & Neurology | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2007-04-06 |
| 1013048321 | Edward L Urban | Psychiatry & Neurology | 2600 W 9th St, Chester, PA 19013-2040 | 2007-03-08 |
| 1033249446 | Khin Khin | Psychiatry & Neurology | 2600 W 9th St, Chester, PA 19013-2040 | 2007-03-06 |
| 1205995552 | Darren F Piechota | Psychiatry & Neurology | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2006-12-06 |
| 1558437731 | Shardha K Sabesan | Psychiatry & Neurology | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2006-11-28 |
| 1184721979 | Stuart L Kaplan | Psychiatry & Neurology | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932174 | Northeast Counseling Service | Psychiatry & Neurology | 85 S Old Turnpike Rd, Drums, PA 18222-1731 | 2020-11-06 |
| 1639770647 | Northeast Counseling Service | Psychiatry & Neurology | 275 Mill St, Hazleton, PA 18201-6701 | 2020-11-05 |
| 1225645518 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 723 Coal St, Easton, PA 18042-6556 | 2020-09-30 |
| 1093322380 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 990 Echo Trl, Easton, PA 18040-1014 | 2020-09-30 |
| 1720695141 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 429 Reeder St, Easton, PA 18042-1731 | 2020-09-29 |
| 1710594130 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1709 Richmond Rd, Easton, PA 18040-8435 | 2020-09-29 |
| 1528675345 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1315 Echo Trl, Easton, PA 18040-1019 | 2020-09-25 |
| 1164039996 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1243 Tatamy Rd, Easton, PA 18045-7405 | 2020-09-25 |
| 1578170304 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1221 Northampton St, Easton, PA 18042-4138 | 2020-09-25 |
| 1336754951 | Evergreen Psychiatry LLC | Psychiatry & Neurology | 539 S Bolmar St, West Chester, PA 19382-4934 | 2020-09-10 |
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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.