HEIM STAFF PHYSICIANS, INC (NPI# 1831217314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831217314 |
| Entity Type | Organization |
| Organization Name | HEIM STAFF PHYSICIANS, INC |
| Practice Address |
1011 Berk Rd Leesport PA 19533-8705 |
| Mailing Address |
602 Wyomissing Blvd Wyomissing PA 19610-2268 |
| Practice Telephone | 6103764841 |
| Mailing Telephone | 6106781887 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2017-03-14 |
| Authorized Official Name | DR. ROBERT BRACKBILL (PRESIDENT) |
| Authorized Official Telephone | 6103789449 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0009927090006 | 05 | |
| PA | 0009927090009 | 05 |
| Street Address |
1011 BERK RD |
| City | LEESPORT |
| State | PA |
| Zip Code | 19533-8705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053318501 | County of Berks Office of The Controller | Skilled Nursing Facility | 1011 Berk Rd, Business Office, Leesport, PA 19533-8705 | 2005-06-30 |
| 1689272882 | Howard Misson Williams IIi | Occupational Therapist | 1011 Berk Rd, Leesport, PA 19533-8705 | 2020-10-12 |
| 1407466246 | Jasmere Schleicher | Physical Medicine & Rehabilitation | 1011 Berk Rd, Leesport, PA 19533-8705 | 2020-08-06 |
| 1003477753 | Carolyn Marie Goff | Occupational Therapist | 1011 Berk Rd, Leesport, PA 19533-8705 | 2019-06-24 |
| 1366929663 | Taylor Erin Mckeon | Speech-Language Pathologist | 1011 Berk Rd, Leesport, PA 19533-8705 | 2018-07-19 |
| 1306353545 | Steven Roughton | Physical Therapist | 1011 Berk Rd, Leesport, PA 19533-8705 | 2018-01-09 |
| 1215442983 | Katlyn Stremmel | Physical Therapy Assistant | 1011 Berk Rd, Leesport, PA 19533-8705 | 2017-12-04 |
| 1740794676 | Ricki Koch | Occupational Therapy Assistant | 1011 Berk Rd, Leesport, PA 19533-8705 | 2017-11-30 |
| 1831634245 | Jessica Lynn Heck | Occupational Therapist | 1011 Berk Rd, Leesport, PA 19533-8705 | 2016-12-21 |
| 1386188662 | Navraj Shergill | Physical Therapist | 1011 Berk Rd, Leesport, PA 19533-8705 | 2016-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1386825420 | Med Calls | Health Maintenance Organization | 5 South Center Ave., 204, Leesport, PA 19533 | 2007-11-16 |
| 1851416598 | Sarah K Snyder | Physical Therapy Assistant | 1011 Berks Rd, Leesport, PA 19533 | 2007-03-20 |
| 1114042801 | Jacqueline Rosello | Occupational Therapy Assistant | 1011 Berks Road, Leesport, PA 19533 | 2007-03-20 |
| 1952465460 | John Stephen Hottenstein | Dentist | First & Peach Sts, Leesports, PA 19533 | 2006-12-20 |
| 1336200153 | Darren T Koch | Chiropractor | Schoolside Plaza, Suite 102, Leesport, PA 19533 | 2006-12-13 |
| 1386741882 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 906 W Leesport Rd, Leesport, PA 19533 | 2006-09-20 |
| 1750346441 | Schuylkill Valley Family Practice PC | Family Medicine | 5 S Centre Avenue, Leesport, PA 19533 | 2006-04-18 |
| 1386646875 | Juliet Cook | Nurse Practitioner | 700 Admiral Nelson Dr., Malvern, PA 19533 | 2005-08-15 |
| 1952897738 | Penn State Health Community Medical Group, LLC | Family Medicine | 5 S Centre Ave, Leesport, PA 19533 | 2018-07-05 |
| Find all providers in zip 19533 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750949814 | Aria Health Physicain Services | Family Medicine | 240 Middletown Blvd Ste 101a, Langhorne, PA 19047-1832 | 2019-06-04 |
| 1801378740 | Temple Faculty Practice Plan Inc | Family Medicine | 3322 Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1275076051 | Alan Baseman | Family Medicine | 111 Harrison Forge Court, Chalfont, PA 18914 | 2016-11-28 |
| 1902148620 | Ingeborg Gerber | Family Medicine | 1 Horsetrail Ln, Blue Bell, PA 19422-2466 | 2013-03-20 |
| 1649517236 | Lancaster General Medical Group | Family Medicine | 99 Masonic Dr, Suite 101, Elizabethtown, PA 17022-2547 | 2013-01-16 |
| 1235475831 | Creating Partnership LLC | Family Medicine | 40 Fox Hollow Rd, Downingtown, PA 19335-1890 | 2012-12-31 |
| 1669600953 | St. Luke's Physician Group, Inc. | Family Medicine | 5445 Lanark Rd Ste 200, Center Valley, PA 18034-8694 | 2009-06-25 |
| 1457529729 | Frey Medical Associates PC | Family Medicine | 524 Beltzhoover Avenue, Pittsburgh, PA 15210 | 2008-02-20 |
| 1235314428 | Amy Jo Diplacido | Family Medicine | 111 Sheridan Street, Renaissance Family Practice, Pittsburgh, PA 15209-2639 | 2008-01-07 |
| 1407056732 | Joseph P. Chollak, Jr., M.d. | Family Medicine | 950 Wyoming Ave, Forty Fort, PA 18704-3966 | 2007-07-24 |
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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.