DR. RICHARD A LICHTENBERG (NPI# 1861496705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861496705 |
| Entity Type | Individual |
| Full Name | DR. RICHARD A LICHTENBERG |
| Credential | M.D. |
| Practice Address |
1999 Sproul Rd Ste 21 Broomall PA 19008-3508 |
| Practice Telephone | 6103536400 |
| Practice Fax Number | 6103561204 |
| Mailing Telephone | 6103536400 |
| Mailing Fax Number | 6103561204 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2008-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD018781E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE SHIELD | 131926 | 01 |
| PA | RAILROAD MEDICARE | CF6196 | 01 |
| PA | KEYSTONE | 0031373000 | 01 |
| PA | AETNA | 58229 | 01 |
| PA | 0007336900002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962465476 | Richard Lichtenberg | Radiology | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2006-04-07 |
| Street Address |
1999 SPROUL RD STE 21 |
| City | BROOMALL |
| State | PA |
| Zip Code | 19008-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435069 | Leonard M Haltrecht | Family Medicine | 1999 Sproul Rd, Ste 21, Broomall, PA 19008-3508 | 2005-05-24 |
| 1104344779 | Shana Rose Poole | Registered Nurse | 1999 Sproul Rd, Broomall, PA 19008-3508 | 2017-09-05 |
| 1427429067 | Cozy Senior Care, LLC. | Home Health | 1999 Sproul Rd, Suite 14, Broomall, PA 19008-3508 | 2015-10-08 |
| 1386048197 | Prevention Center LLC | Preventive Medicine | 1999 Sproul Rd, Suite 21, Broomall, PA 19008-3508 | 2014-10-22 |
| 1992131015 | Sherry Ly | Physician Assistant | 1999 Sproul Rd, Broomall, PA 19008-3508 | 2013-09-20 |
| 1477845246 | Michael D Ezekowitz Md,inc | Internal Medicine | 1999 Sproul Rd, Ste 26, Broomall, PA 19008-3508 | 2011-05-11 |
| 1821311440 | Stephanie Shull | Physician Assistant | 1999 Sproul Rd, Ste 25, Broomall, PA 19008-3508 | 2010-03-10 |
| 1245553866 | Laura Winsor Brooks | Physician Assistant | 1999 Sproul Rd, Ste 25, Broomall, PA 19008-3508 | 2010-03-10 |
| 1659514206 | Thomas Michael Marchese | Physical Therapy Assistant | 1999 Sproul Rd, Suite 10, Broomall, PA 19008-3508 | 2009-04-13 |
| 1003068057 | Leroy B. Fleischer, M.d., P.C. | Internal Medicine | 1999 Sproul Rd, Suite 21, Broomall, PA 19008-3508 | 2008-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275098964 | Ashley Szewczuk | Occupational Therapy Assistant | 50 Malin Rd., Broomall, PA 19008 | 2019-02-06 |
| 1134647316 | Bernadette Jacobs | Registered Nurse | Accucare Home Nursing 1999 Sproul Rd, # 1, Broomall, PA 19008 | 2017-09-07 |
| 1447780549 | Laura Ann Jamison | Physical Therapy Assistant | 50 North Malin Road, Broomall, PA 19008 | 2017-06-13 |
| 1528596608 | Lauren S. Burns | Occupational Therapist | 51 N Malin Rd., Broomall, PA 19008 | 2017-06-01 |
| 1558893024 | Marc Belitsky D.c., .pc. | Clinic/Center | 2633 West Chester Pike, Broomall, PA 19008 | 2017-04-03 |
| 1053773390 | Helen Richman | Pharmacist | 567 Sproul Road, Broomall, PA 19008 | 2016-03-25 |
| 1487028007 | Jenelle Thomas | Social Worker | 85 N. Malin Road, Broomall, PA 19008 | 2015-11-19 |
| 1649654740 | Akeesha M Washington | Counselor | 600 Abbott Drive, Broomall, PA 19008 | 2015-07-17 |
| 1821411976 | Ketrin Kapllani | Behavioral Analyst | 475 Lawrence, Philadelphia, PA 19008 | 2014-01-27 |
| 1710325741 | Joel Christopher Fusunyan-lee | Registered Nurse | 219 Sussex Blvd, Broomall, PA 19008 | 2013-06-12 |
| Find all providers in zip 19008 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891051256 | Michael A Valentino | Internal Medicine | 1999 Sproul Rd Ste 25, Broomall, PA 19008-3508 | 2012-04-10 |
| 1477845246 | Michael D Ezekowitz Md,inc | Internal Medicine | 1999 Sproul Rd, Ste 26, Broomall, PA 19008-3508 | 2011-05-11 |
| 1629211644 | Michael Lawrence Tobin | Internal Medicine | 1999 Sproul Rd Ste 25, Broomall, PA 19008-3508 | 2009-04-07 |
| 1043272818 | Marple Medical Associates | Internal Medicine | 1999 Sproul Rd, Ste21, Broomall, PA 19008-3508 | 2006-04-05 |
| 1366413296 | Michael Ezekowitz | Internal Medicine | 1999 Sproul Rd, Ste 26, Broomall, PA 19008-3508 | 2006-01-30 |
| 1760472484 | Richard Seifert | Internal Medicine | 1999 Sproul Rd, Ste 12, Broomall, PA 19008-3522 | 2005-10-25 |
| 1073517918 | Julian L Gladstone | Internal Medicine | 1999 Sproul Rd, Ste 21, Broomall, PA 19008-3508 | 2005-06-09 |
| 1982608824 | Mark D Lisberger | Internal Medicine | 1999 Sproul Rd, Ste 21, Broomall, PA 19008-3508 | 2005-06-09 |
| 1750385696 | Mark R Edelstein | Internal Medicine | 1999 Sproul Rd, Ste 21, Broomall, PA 19008-3508 | 2005-06-09 |
| 1538162474 | Myron E Resnick | Internal Medicine | 1999 Sproul Rd, Ste 21, Broomall, PA 19008-3508 | 2005-05-24 |
| Find all providers in BROOMALL | ||||
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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.