DR. GEORGE JOSEPH PECKHAM (NPI# 1831436088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831436088 |
Entity Type | Individual |
Full Name | DR. GEORGE JOSEPH PECKHAM |
Credential | MD |
Practice Address |
667 Conestoga Rd Villanova PA 19085-1426 |
Practice Telephone | 6105257133 |
Mailing Telephone | 6105257133 |
Enumeration Date | 2013-01-08 |
Last Update Date | 2013-01-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
MD009981E | PA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679684997 | George Peckham | Marriage & Family Therapist | 8261 Greenback Ln # 100, Fair Oaks, CA 95628-2504 | 2006-08-31 |
Street Address |
667 CONESTOGA RD |
City | VILLANOVA |
State | PA |
Zip Code | 19085-1426 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245668128 | Jacob Kolff | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1125 Bryn Llawn Road, Villanova, PA 19085 | 2013-10-31 |
1467721555 | Bruce Freundlich | Internal Medicine | 1252 Lakemont Rd, Villanova, PA 19085 | 2011-12-20 |
1710276217 | Eileen Cohler Helzner | Family Medicine | 729 Canterbury Lane, Villanova, PA 19085 | 2011-04-05 |
1811213929 | Lauren Ann Kostelnik | Pediatrics | 789 E Lancaster Ave Ste 10, Villanova, PA 19085 | 2010-04-14 |
1306004338 | Richard Allen Davis | General Acute Care Hospital | 1238 Meadowbank Rd, Villanova, PA 19085 | 2008-05-27 |
1891870788 | Leeann M. Webb | Nurse Practitioner | Nemours Dupont Pediatrics, Villanova, 789 E. Lancaster Ave., Suite 10, Villanova, PA 19085 | 2006-10-26 |
1508865304 | Christine S Stanko | Dermatology | 775 E Lancaster Ave Ste 200, Villanova, PA 19085 | 2005-07-14 |
1184621930 | Lee A. Bowers | Psychologist | 210 Tower Rd, Villanova, PA 19085 | 2005-07-07 |
1457734238 | Amanda Cubbage | Physical Therapist | 734 E Lancaster Ave, Villanova, PA 19085 | 2015-06-30 |
1346298601 | Lynn T Williams | Physician Assistant | 775 E Lancaster Ave Ste 200, Villanova, PA 19085 | 2006-05-05 |
Find all providers in zip 19085 |
Taxonomy Code | 2080P0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Critical Care Medicine |
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518599174 | Allan Curtis Kahler | Pediatrics | 7703 W Chester Pike, Upper Darby, PA 19082-1418 | 2020-02-11 |
1003352089 | Maureen Mccormack O'rourke | Pediatrics | 24 Greenhill Ln, Wynnewood, PA 19096-3422 | 2017-01-13 |
1093039893 | Charlotte Zahara Woods-hill | Pediatrics | 3401 Civic Center Bvd, Suite 9329, Philadelphia, PA 19104-4319 | 2010-03-23 |
1790910339 | Amir Bar | Pediatrics | 160 E. Erie Ave, Philadelphia, PA 19134 | 2009-05-27 |
1902948441 | Victor N Blankson | Pediatrics | 303 Carlisle Dr, Avondale, PA 19311-1440 | 2007-02-13 |
1700931417 | Alberto Marante | Pediatrics | 501 S Washington Ave Ste 1000, Scranton, PA 18505-3814 | 2007-01-24 |
1528149150 | Arun Chopra | Pediatrics | Front and Erie St, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2006-10-18 |
1750331278 | Sharon Calaman | Pediatrics | St.christophers Hospital for Children, Erie Ave At Front Street, Philadelphia, PA 19134-1095 | 2006-05-12 |
1699739599 | Paul Michael Shore | Pediatrics | 3601 A Street, Philadelphia, PA 19134 | 2006-04-17 |
1639142086 | Robert A Berg | Pediatrics | 324 S. 34th Street, Suite 9329, Philadelphia, PA 19104-4399 | 2006-02-08 |
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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.