DR. JONATHAN GUSDORFF (NPI# 1891792255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891792255 |
Entity Type | Individual |
Full Name | DR. JONATHAN GUSDORFF |
Credential | D.O. |
Practice Address |
1305 W Chester Pike Havertown PA 19083-2929 |
Practice Telephone | 6104824949 |
Practice Fax Number | 6104824950 |
Mailing Telephone | 6104824949 |
Mailing Fax Number | 6104824950 |
Enumeration Date | 2005-06-30 |
Last Update Date | 2019-11-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | OS010370L | PA | Other Service Providers |
N | 2085N0700X |
Radiology Specialization: Neuroradiology |
02005865A | IN | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
OS010370L | PA | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4519 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200114580A | 05 |
Street Address |
1305 W CHESTER PIKE |
City | HAVERTOWN |
State | PA |
Zip Code | 19083-2929 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255836789 | On Demand Urgent Care Group, PC | Clinic/Center | 1305 W Chester Pike, Havertown, PA 19083-2929 | 2018-03-27 |
1366822280 | Kerry Ries | Physician Assistant | 1305 W Chester Pike, Havertown, PA 19083-2929 | 2015-06-05 |
1366856916 | Kelly Gilmer | Pharmacist | 1305 W Chester Pike, Suite 8, Havertown, PA 19083-2929 | 2014-06-11 |
1477848422 | Main Line Urgent Care Medical Group, P.C. | Clinic/Center | 1305 W Chester Pike, Havertown, PA 19083-2929 | 2011-06-16 |
1194038299 | Joseph G Castellano | Pharmacist | 1305 W Chester Pike, Havertown, PA 19083-2929 | 2010-07-16 |
1285805820 | Jeanne-marie Pennington | Physician Assistant | 1305 W Chester Pike, Havertown, PA 19083-2929 | 2008-03-21 |
1952330276 | Frederic C Stieg | Family Medicine | 1305 W Chester Pike, Havertown, PA 19083-2929 | 2006-06-30 |
1689644791 | Walter J Adamek | Emergency Medicine | 1305 W Chester Pike, Havertown, PA 19083-2929 | 2006-01-23 |
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 | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588657159 | Imaging Professionals of Pennsylvania PC | Radiology | 600 E Township Line Rd, Havertown, PA 19083-5702 | 2005-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396359014 | Kimberly Ann Nulph-laseck | Radiology | 65 Market St, Albion, PA 16401-1131 | 2020-08-31 |
1407478878 | Bridget Podbielski | Radiology | 1301 Summit Dr, Royersford, PA 19468-2873 | 2020-05-08 |
1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
1518522770 | Michael Anthony Branco | Radiology | 340 Wellslee Dr, Chambersburg, PA 17201-8289 | 2019-05-03 |
1700369535 | Tower Health Medical Group | Radiology | 301 S 7th Ave Ste 135, West Reading, PA 19611-1442 | 2018-09-07 |
1841784899 | Kyle Rives | Radiology | 200 Lothrop Street Upmc Presbyterian, South Tower 2nd Floor Suite 200, Pittsburgh, PA 15213 | 2018-06-21 |
1285128892 | Solomon Amemasor | Radiology | 200 Lothrop St Ste 200, Pittsburgh, PA 15213-2536 | 2018-06-18 |
1326545898 | Lehigh Valley Hospital | Radiology | 320 W Pumping Station Rd Ste 2, Quakertown, PA 18951-2345 | 2018-04-10 |
1376054874 | Irad Services, Inc. | Radiology | 1811 Golden Mile Hwy Ste B, Pittsburgh, PA 15239-2847 | 2017-10-24 |
1639689482 | Anna Maria Polizio | Radiology | 496 Cherry Ct, Pittsburgh, PA 15237-2608 | 2017-10-06 |
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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.