CHRISTINE MARIE ENNIS


Address: 1512 Bensalem Blvd, Bensalem, PA 19020-2404
Phone: 2672492355

CHRISTINE MARIE ENNIS (NPI# 1871810192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871810192
Entity Type Individual
Full Name CHRISTINE MARIE ENNIS
Practice Address 1512 Bensalem Blvd
Bensalem
PA 19020-2404
Practice Telephone 2672492355
Mailing Telephone 2672492355
Enumeration Date 2010-04-26
Last Update Date 2013-07-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
MT197255 PA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1512 BENSALEM BLVD
City BENSALEM
State PA
Zip Code 19020-2404

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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922595016 St. Luke's Physician Group, Inc. Pediatrics 450 Chew St Fl 2, Allentown, PA 18102-3434 2018-04-16
1942671532 Ian Gertner Pediatrics 3430 W Congress St, Allentown, PA 18104-2677 2015-10-08
1740443936 Sulaiman Sannoh Pediatrics 2545 Schoenersville Rd Fl 3, Bethlehem, PA 18017-7300 2008-07-08
1568656981 Mario Zichella Jr. Pediatrics 1025 Walnut Street, Suite 700, Philadelphia, PA 19107-3121 2007-08-29
1235333774 Andrea Freeman Duncan Pediatrics 3401 Civic Center Blvd Fl 2, Philadelphia, PA 19104-4319 2007-06-11
1831302603 Folasade Ibironke Kehinde Pediatrics 160 E Erie Ave Dept Of, Philadelphia, PA 19134-1011 2007-05-08
1851512685 Andrew Meyer Pediatrics Cedar Crest Blvd & I78, Allentown, PA 18105 2007-05-01
1700918414 Nicole Esther Cohen-addad Pediatrics 6039 Boardwalk Dr, Tobyhanna, PA 18466-3207 2007-03-09
1770610677 Erika Maria Yencha Pediatrics Lehigh Valley Hospital, Cedar Crest & I78, Allentown, PA 18102-1556 2007-02-27
1639204225 Kirstie R Marcello Pediatrics 111 South 11th Street, 7th Floor College Building, Philadelphia, PA 19107 2007-02-22
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Competitor

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City BENSALEM
Zip Code 19020

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Dataset Information

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.

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