DR. GEORGE JAMES KENIS (NPI# 1861454480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861454480 |
| Entity Type | Individual |
| Full Name | DR. GEORGE JAMES KENIS |
| Credential | DO |
| Practice Address |
2 N Belfield Ave Havertown PA 19083-4836 |
| Practice Telephone | 6107894564 |
| Practice Fax Number | 6107893159 |
| Mailing Telephone | 6107894564 |
| Mailing Fax Number | 6107893159 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2019-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OS004416L | PA | Other Service Providers |
| N | 208000000X | Pediatrics | OS004416L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0008995080001 | 05 |
| Street Address |
2 N BELFIELD AVE |
| City | HAVERTOWN |
| State | PA |
| Zip Code | 19083-4836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1588216238 | Angela Wrolstad | Registered Nurse | 614 Darby Road, Havertown, PA 19083 | 2019-07-12 |
| 1639696214 | Osaru Anyumba | Case Manager/Care Coordinator | 311 Lansdowne Road, Havertown, PA 19083 | 2017-08-24 |
| 1346762739 | Luke Francis Mattson | Pharmacist | 60 West Hillcrest Avenue, Havertown, PA 19083 | 2017-07-07 |
| 1124558150 | Clare M Chakey | Counselor | 1631 Ridgeway Road, Haventown, PA 19083 | 2017-06-13 |
| 1205382553 | Silverware Home Care Service LLC | Residential Treatment Facility, Physical Disabilities | 2010 Wester Chester Pike, Suite 448, Havertown, PA 19083 | 2016-08-28 |
| 1275903486 | Megan Keeley Ramaika | Dietitian, Registered | 404 Fairmont Road, Havertown, PA 19083 | 2015-09-30 |
| 1972987246 | Katie Paugh | Occupational Therapist | One North Belfield Avenue, Havertown, PA 19083 | 2015-07-16 |
| 1497140180 | Total Health Home Care Corporation | Nurse's Aide | 2710 West Township Line Rd, Havertown, PA 19083 | 2015-03-31 |
| 1851704084 | Ul Sik Jason Chong | Pharmacist | 700 East Townshipline Road Ste Ll, Havertown, PA 19083 | 2014-06-05 |
| Find all providers in zip 19083 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790944759 | Perinatal Cardiology Consultants | Specialist | 127 W Chester Pike, Havertown, PA 19083-5315 | 2008-06-05 |
| 1790818763 | James Stephens | Specialist | 717 Beechwood Dr, Havertown, PA 19083-2615 | 2007-03-13 |
| 1245203520 | Eric Christopher Day | Specialist | 217 N Manoa Rd, Havertown, PA 19083-4402 | 2006-02-08 |
| 1891792255 | Jonathan Gusdorff | Specialist | 1305 W Chester Pike, Havertown, PA 19083-2929 | 2005-06-30 |
| 1386083897 | Wendy Alison Lax | Specialist | 525 W Chester Pike, Havertown, PA 19083 | 2013-06-18 |
| 1598920290 | Satyen Undavia | Specialist | 301 W Chester Pike, Suite 101, Havertown, PA 19083-4530 | 2008-07-22 |
| 1861685745 | Paul A. Lotke M.d., P.C. | Specialist | 510 Darby Rd, Havertown, PA 19083-4630 | 2007-08-23 |
| 1295946333 | Renee Weintraub-kalandar | Specialist | 1 N Belfield Ave, Sunny Days, Havertown, PA 19083-4904 | 2007-05-24 |
| 1437369576 | Ellen Gilfor | Specialist | 1 N Belfield Ave, Sunny Days, Havertown, PA 19083-4904 | 2007-05-23 |
| 1578773461 | Deidre Marie Angelini | Specialist | 1 N Belfield Ave, Sunny Days, Havertown, PA 19083-4904 | 2007-05-22 |
| Find all providers in HAVERTOWN | ||||
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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.