MAIN LINE HOSPITALS, INC. (NPI# 1841327699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841327699 |
| Entity Type | Organization |
| Organization Name | MAIN LINE HOSPITALS, INC. |
| Other Organization Name | LANKENAU HOSPITAL - ASC |
| Practice Address |
100 E Lancaster Ave Wynnewood PA 19096-3450 |
| Mailing Address |
950 E Haverford Rd Suite 110 Bryn Mawr PA 19010-3850 |
| Practice Telephone | 6106452000 |
| Mailing Telephone | 6105268480 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL J BUONGIORNO (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6105268480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
120401 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007766900011 | 05 |
| Other Name | Type Code |
|---|---|
| Lankenau Hospital - ASC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710216791 | Main Line Hospitals, Inc. | Family Medicine | 1991 Sproul Rd Ste 300, Broomall, PA 19008-3518 | 2009-12-21 |
| 1275660656 | Main Line Hospitals, Inc. | Clinic/Center | 401 Pilgrim Ln, Suite 100, Drexel Hill, PA 19026-5000 | 2007-02-27 |
| 1881990547 | Main Line Hospitals, Inc. | Clinic/Center | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2011-01-28 |
| 1558674911 | Main Line Hospitals, Inc. | General Acute Care Hospital | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2010-07-14 |
| 1154458909 | Main Line Hospitals, Inc. | Clinic/Center | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2007-02-28 |
| 1467589218 | Main Line Hospitals, Inc. | Clinic/Center | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2007-02-28 |
| 1043346141 | Main Line Hospitals, Inc. | Clinic/Center | 479 Thomas Jones Way, Suite 800, Exton, PA 19341-2580 | 2007-02-26 |
| 1245335629 | Main Line Hospitals, Inc. | General Acute Care Hospital | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2006-09-13 |
| 1851401756 | Main Line Hospitals, Inc. | Psychiatric Unit | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2006-08-30 |
| 1508971441 | Main Line Hospitals, Inc. | General Acute Care Hospital | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2006-08-20 |
| Street Address |
100 E LANCASTER AVE |
| City | WYNNEWOOD |
| State | PA |
| Zip Code | 19096-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819079 | Robert D. Smink Jr. | Surgery | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2005-05-24 |
| 1164021713 | Clay Johnson | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-23 |
| 1447858725 | Anthony Montello | Nurse Anesthetist, Certified Registered | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-09 |
| 1982216107 | Delaware Valley I.d. Associates, P.C. | Clinic/Center | 100 E Lancaster Ave, Mob East 556, Wynnewood, PA 19096 | 2020-08-19 |
| 1831708551 | Farouk Al Chami | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1225647944 | Farah Olleik | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1134738859 | Talar Telvizian | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1962011833 | Fares Sukhon | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-27 |
| 1700494028 | Aviad Lavian | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-22 |
| 1700404472 | Dalia Amrom | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727866 | Jeffrey Glenn Johnston | Hospitalist | Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 | 2020-03-27 |
| 1326500331 | Maitri Pancholy | Student in an Organized Health Care Education/Training Program | Annenberg Center, G-10, 100 Lancaster Avenue, Wynnewood, PA 19096 | 2019-04-01 |
| 1306355987 | Karie Elizabeth Melton | Social Worker | 250 E Wynnewood Rd E12, Wynnewood, PA 19096 | 2017-09-26 |
| 1518320662 | Kaitlyn Kennard | Surgery | 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 | 2016-04-05 |
| 1366814675 | Linda Elkins | Counselor | 543 Haverford Rd, Wynnewood, PA 19096 | 2015-10-26 |
| 1619347655 | Tessa Kovick | Registered Nurse | 100 E Lancaster Ave Ste 114, Wynnewood, PA 19096 | 2015-10-02 |
| 1922476415 | Amy Lenrow | Skilled Nursing Facility | 1510 Powder Mill Lane, Wynnewood, PA 19096 | 2015-09-14 |
| 1144602855 | Casey Dajao | Internal Medicine | 100 E Lancaster Ave Ste 140, Wynnewood, PA 19096 | 2015-06-18 |
| 1649666223 | Benjamin Larson | Internal Medicine | 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 | 2015-04-10 |
| 1760873285 | Kathleen Gilmartin | Nurse Practitioner | 100 East Lancaster Ave, Wynnewood, PA 19096 | 2015-02-06 |
| Find all providers in zip 19096 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1518575778 | Eye Surgery of The Main Line, LLC | Clinic/Center | 333 E City Avenue, Two Bala Plaza, Bala Cynwyd, PA 19004-1501 | 2020-07-14 |
| 1053934919 | Doylestown Surgery Center, LLC | Clinic/Center | 593 West State Street, Doylestown, PA 18901 | 2020-05-26 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1508400920 | Nazareth Endoscopy Center, LLC | Clinic/Center | 2401 Northampton St Ste 220, Easton, PA 18045-2764 | 2019-10-29 |
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1841759040 | Beaver Valley Ambulatory Surgery Center, LLC | Clinic/Center | 79 Wagner Road, Suite 101, Monaca, PA 15061-2489 | 2019-03-18 |
| 1669931861 | Urology Health Surgery Center, LLC | Clinic/Center | 1974 Sproul Rd Ste 104, Broomall, PA 19008-3402 | 2019-03-18 |
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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.