PGC ENDOSCOPY CENTER FOR EXCELLENCE, LLC (NPI# 1972678449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972678449 |
| Entity Type | Organization |
| Organization Name | PGC ENDOSCOPY CENTER FOR EXCELLENCE, LLC |
| Other Organization Name | PGC ENDOSCOPY CENTER, INC |
| Practice Address |
700 Cottman Ave Suite 201 Philadelphia PA 19111-3062 |
| Practice Telephone | 2157429900 |
| Practice Fax Number | 2157427051 |
| Mailing Telephone | 2157429900 |
| Mailing Fax Number | 2157427051 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2019-09-12 |
| Authorized Official Name | SHARON M HOHLFELD (TREASURER) |
| Authorized Official Telephone | 2155899024 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PGC Endoscopy Center, Inc | Former Legal Business Name - Organization |
| Street Address |
700 COTTMAN AVE SUITE 201 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-3062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595023 | Benjamin Paul Stewart | Nurse Anesthetist, Certified Registered | 700 Cottman Ave, Ste 201, Philadelphia, PA 19111-3062 | 2005-08-16 |
| 1104371780 | Julie Holesh | Physician Assistant | 700 Cottman Ave, Suite 201, Philadelphia, PA 19111-3062 | 2016-08-24 |
| 1700233020 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 700 Cottman Ave, Philadelphia, PA 19111-3062 | 2016-05-17 |
| 1578840922 | Lauren Moore | Physician Assistant | 700 Cottman Ave, Suite 201, Philadelphia, PA 19111-3062 | 2011-11-14 |
| 1124238134 | Misty Sue Harth | Physician Assistant | 700 Cottman Ave, Suite 201, Philadelphia, PA 19111-3062 | 2007-05-22 |
| 1609081041 | Corey Stefan Brotz | Internal Medicine | 700 Cottman Ave, Suite 201, Philadelphia, PA 19111-1232 | 2007-05-11 |
| 1639280456 | Eastern Pennsylvania Crna Services | Nurse Anesthetist, Certified Registered | 700 Cottman Ave, Suite 201, Philadelphia, PA 19111-3062 | 2006-08-31 |
| 1972528610 | Shiban K Raina | Internal Medicine | 700 Cottman Ave, Suite 201, Philadelphia, PA 19111-3062 | 2006-07-13 |
| 1699790790 | Bruce P Gelman | Internal Medicine | 700 Cottman Ave, Suite 201, Philadelphia, PA 19111-3062 | 2006-07-12 |
| 1225053259 | Daniel J. Sher | Internal Medicine | 700 Cottman Ave, Suite 201, Philadelphia, PA 19111-3062 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477808459 | The Pennsylvania Hospital of The University of Pennsylvania Health Sys | Clinic/Center | 230 W Washington Sq, Farm Journal Building, 4th Floor, Philadelphia, PA 19106-3500 | 2012-07-17 |
| 1124115092 | Washington Square Endoscopy Center, LLC | Clinic/Center | 230 W Washington Sq, 4th Fl, Philadelphia, PA 19106-3500 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396877726 | Regional Gastroenterology Associates of Lancaster, Ltd | Clinic/Center | 4140 Oregon Pike, Ephrata, PA 17522 | 2007-03-12 |
| 1447362769 | Bethlehem Endoscopy Center LLC | Clinic/Center | 5325 North Gate Drive, Suite 101, Bethlehem, PA 18017 | 2006-08-31 |
| 1457397945 | Manoa Diagnostic Center | Clinic/Center | 1010 West Chester Pike, Suite 101, Havertown, PA 19083-3442 | 2006-06-21 |
| 1841295201 | Digestive Disease Institute Inc. | Clinic/Center | 899 Poplar Church Rd, Camp Hill, PA 17011-2206 | 2005-06-14 |
| 1922608785 | St. Luke's Ambulatory Services Inc. | Clinic/Center | 20 Community Dr, Easton, PA 18045-2658 | 2020-10-29 |
| 1952868622 | York Endoscopy Center LLC | Clinic/Center | 2690 Southfield Dr, York, PA 17403-4510 | 2019-02-28 |
| 1588152250 | Dh Physicians Ambulatory Services | Clinic/Center | 599 W State St Ste 102, Doylestown, PA 18901-2567 | 2018-04-27 |
| 1821529892 | Allegheny Clinic | Clinic/Center | 118 Nature Park Rd, Suite 200, Greensburg, PA 15601-6960 | 2017-03-22 |
| 1972977627 | Jefferson Endoscopy Center At Bala, LLC | Clinic/Center | 130 Presidential Blvd, Bala Cynwyd, PA 19004-1110 | 2015-11-18 |
| 1730511718 | Securemd Professionals - California PC | Clinic/Center | 2500 York Rd, Ste 300, Jamison, PA 18929-1068 | 2013-08-01 |
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| City | PHILADELPHIA |
| Zip Code | 19111 |
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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.