MR. JOHN A. DALLER (NPI# 1831294578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831294578 |
| Entity Type | Individual |
| Full Name | MR. JOHN A. DALLER |
| Credential | MD, PHD |
| Practice Address |
30 Medical Center Blvd Suite 200 Upland PA 19013 |
| Practice Telephone | 6106198420 |
| Practice Fax Number | 6106198421 |
| Mailing Telephone | 6106198420 |
| Mailing Fax Number | 6106198421 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2013-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD058852L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1017210240001 | 05 |
| Street Address |
30 MEDICAL CENTER BLVD SUITE 200 |
| City | UPLAND |
| State | PA |
| Zip Code | 19013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004985 | S Jay Hirsh | Urology | 30 Medical Center Blvd, Ste 102, Upland, PA 19013-3955 | 2005-06-24 |
| 1174981278 | Jennifer Howarth | Registered Nurse | 30 Medical Center Blvd, Pob 1 Suite 305, Upland, PA 19013 | 2016-02-03 |
| 1699101428 | Caitlin Sarah Morgan | Dietitian, Registered | 30 Medical Center Blvd, Suite 205, Upland, PA 19013 | 2013-09-25 |
| 1568726669 | Michelle R Marcantuno | Nurse Practitioner | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2012-07-03 |
| 1265720502 | Yelena Kostyukov | Physician Assistant | 30 Medical Center Blvd, Prof Office Bldg 1, Suite 305, Upland, PA 19013 | 2011-07-20 |
| 1760790380 | Rita P Nunag | Pediatrics | 30 Medical Center Blvd, Suite 205, Upland, PA 19013 | 2010-09-16 |
| 1841503232 | Venkata Sandeep Yadavalli | Internal Medicine | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2010-07-14 |
| 1487965364 | Sonia Brar | Internal Medicine | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2010-06-25 |
| 1043521255 | Rambabu Thallapaneni | Family Medicine | 30 Medical Center Blvd, Suite 404, Upland, PA 19013 | 2010-06-23 |
| 1215250758 | Erin Marie Mannella | Nurse Practitioner | 30 Medical Center Blvd, Suite 404, Upland, PA 19013-3955 | 2010-03-11 |
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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 | 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 |
|---|---|---|---|---|
| 1316172836 | Adam Quasar Sugihara | Surgery | 811 E 11th St Ste 207, Upland, CA 91786-4872 | 2009-05-28 |
| 1881851574 | Nabil Koudsi Md Inc | Surgery | 811 East 11th St #207, Upland, CA 91786 | 2008-05-20 |
| 1750411070 | Nabil Koudsi | Surgery | 811 East 11th St, #207, Upland, CA 91786-4872 | 2007-03-06 |
| 1376569657 | Wallace G Gosney Md & Gilbert R Turner Md Ptrs | Surgery | 510 N 13th Ave Ste 204, Upland, CA 91786-4965 | 2006-07-13 |
| 1811929243 | Bryce D Beseth | Surgery | 510 N 13th Ave, Ste 204, Upland, CA 91786-4965 | 2006-07-07 |
| 1063938553 | Sugihara Surgical Services Inc | Surgery | 811 E 11th St Ste 207, Upland, CA 91786-4872 | 2017-08-17 |
| 1831459015 | Henry J Gonzalez M D Inc | Surgery | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2012-05-22 |
| 1851588024 | Sunny Leah Fink | Surgery | One Medical Center Blvd, Pob II, Suite 220, Upland, PA 19013 | 2007-10-01 |
| 1891913984 | Aley El-din Tohamy | Surgery | One Medical Center Blvd, Pob II, Suite 326, Upland, PA 19013-3902 | 2007-04-23 |
| 1730280827 | Louis H Watson | Surgery | 99 N San Antonio Ave, #140, Upland, CA 91786-4575 | 2006-09-25 |
| Find all providers in UPLAND | ||||
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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.