PMSI COLLEGEVILLE FAMILY PRACTICE (NPI# 1942324330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942324330 |
| Entity Type | Organization |
| Organization Name | PMSI COLLEGEVILLE FAMILY PRACTICE |
| Other Organization Name | COLLEGEVILLE FAMILY PRACTICE |
| Practice Address |
555 Second Avenue Suite 300 Collegeville PA 19426 |
| Practice Telephone | 6104547750 |
| Practice Fax Number | 6104541367 |
| Mailing Telephone | 6104547750 |
| Mailing Fax Number | 6104541367 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2016-07-14 |
| Authorized Official Name | SHANA M ENOCHS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 6103274200 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLLEGEVILLE FAMILY PRACTICE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD046620L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE HMO | 0045725015 | 01 |
| PA | BLUE SHIELD ASSIGN ACCT | 26191 | 01 |
| Other Name | Type Code |
|---|---|
| COLLEGEVILLE FAMILY PRACTICE | Doing Business As Name - Organization |
| Street Address |
555 SECOND AVENUE SUITE 300 |
| City | COLLEGEVILLE |
| State | PA |
| Zip Code | 19426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083722946 | Robert J Talamo | Family Medicine | 555 Second Avenue, Suite D201, Collegeville, PA 19426 | 2006-08-29 |
| 1538706213 | Collegeville Dental Center | Dentist | 555 Second Avenue, Suite D-500, Collegeville, PA 19426 | 2019-12-02 |
| 1225243777 | Amy E Baker | Physician Assistant | 555 Second Avenue, Suite D201, Collegeville, PA 19426 | 2007-05-10 |
| 1861561763 | Collegeville Speech and Hearing, LLC | Audiologist | 555 Second Avenue, Suite D-204, Collegeville, PA 19426 | 2006-11-06 |
| 1649353426 | Talamo Family Practice | Family Medicine | 555 Second Avenue, Suite D201, Collegeville, PA 19426 | 2006-10-23 |
| 1982799359 | Shailen R Shah | Allergy & Immunology | 555 Second Avenue, Suite C-750, Collegeville, PA 19426 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057040 | Oswaldo Giovanni Tagle Manrique | Physician Assistant | 1200 Mokychic Road, Collegeville, PA 19426 | 2019-11-13 |
| 1639722507 | Child & Family Focus Inc | Community/Behavioral Health | 121 Wartman Road, Perkiomen Township, PA 19426 | 2019-07-19 |
| 1487116299 | Joshua Heinsheimer | Dentist | 241-3 Plaza Drive, Collegeville, PA 19426 | 2019-04-01 |
| 1093284101 | Courtney Cione | Nurse Practitioner | 1200 Mokychic Rd., Collegeville, PA 19426 | 2018-11-19 |
| 1538645007 | Linda Kathleen Muller | Registered Nurse | 369 Avon Ave, Collegeville, PA 19426 | 2018-07-17 |
| 1215445333 | Mary Catherine Campetti | Nurse Practitioner | 555 Second Ave Ste C-850, Collegeville, PA 19426 | 2018-01-11 |
| 1831606292 | Kevin Titze | Counselor | 3819 Germantown Pike Ste B, Collegeville, PA 19426 | 2018-01-08 |
| 1942727441 | Naomi Avoline Kim | Counselor | 555 2nd Ave, Building B, Suite 101, Collegeville, PA 19426 | 2017-08-24 |
| 1376086348 | Kelly Robin Durante | Nurse Practitioner | 433 Komen Ct., Collegeville, PA 19426 | 2016-11-23 |
| 1558817262 | Joseph Kosto | Pharmacist | 1219 Taylor Way, Collegeville, PA 19426 | 2016-09-01 |
| Find all providers in zip 19426 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710406947 | Brooke Capetola | Family Medicine | 599 Arcola Rd Ste 200, Collegeville, PA 19426-3954 | 2017-09-19 |
| 1265967608 | Patient First Pennsylvania Medical Group Pllc | Family Medicine | 1411 S. Collegeville Road, Collegeville, PA 19426-2957 | 2017-04-24 |
| 1720437395 | Audrey Elizabeth Oakley | Family Medicine | 1411 S Collegeville Rd, Collegeville, PA 19426-2957 | 2016-06-06 |
| 1912192337 | Schuylkill Internal Medicine Associates LLC | Family Medicine | 555 Second Ave Ste D-201, Collegeville, PA 19426-3642 | 2007-09-10 |
| 1083722946 | Robert J Talamo | Family Medicine | 555 Second Avenue, Suite D201, Collegeville, PA 19426 | 2006-08-29 |
| 1275574626 | Fornance Physician Services, Inc. | Family Medicine | 1 Iron Bridge Dr, Ste 150, Collegeville, PA 19426-2042 | 2006-06-09 |
| 1699716688 | Gina L Rose | Family Medicine | 17 Iron Bridge Dr Ste 150, Collegeville, PA 19426-2042 | 2006-06-09 |
| 1568442929 | Michelle A Smith | Family Medicine | 599 Arcola Rd, Collegeville, PA 19426 | 2006-01-20 |
| 1689664088 | Jeanne M Sandella | Family Medicine | 1 Iron Bridge Dr Ste 150, Collegeville, PA 19426-2058 | 2005-10-26 |
| 1972593812 | Louis Joseph Simonetti Jr. | Family Medicine | 78 Second Ave, Collegeville, PA 19426-3646 | 2005-10-23 |
| Find all providers in COLLEGEVILLE | ||||
| City | COLLEGEVILLE |
| Zip Code | 19426 |
Please comment or provide details below to improve the information on PMSI COLLEGEVILLE FAMILY PRACTICE.
| 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.