DR. JONATHAN GUSDORFF


Address: 1305 W Chester Pike, Havertown, PA 19083-2929
Phone: 6104824949

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OK 200114580A 05

Office Location

Street Address 1305 W CHESTER PIKE
City HAVERTOWN
State PA
Zip Code 19083-2929

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588657159 Imaging Professionals of Pennsylvania PC Radiology 600 E Township Line Rd, Havertown, PA 19083-5702 2005-08-29

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City HAVERTOWN
Zip Code 19083

Improve Information

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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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