JEFFERSON ENDOSCOPY CENTER AT BALA, LLC (NPI# 1972977627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972977627 |
| Entity Type | Organization |
| Organization Name | JEFFERSON ENDOSCOPY CENTER AT BALA, LLC |
| Practice Address |
130 Presidential Blvd Bala Cynwyd PA 19004-1110 |
| Mailing Address |
111 S 11th St Ste. 2210 Philadelphia PA 19107-4824 |
| Practice Telephone | 6153979187 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2016-01-21 |
| Authorized Official Name | MR. RICHARD WEBSTER (PRESIDENT) |
| Authorized Official Telephone | 2159557937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
PA | Ambulatory Health Care Facilities |
| Street Address |
130 PRESIDENTIAL BLVD |
| City | BALA CYNWYD |
| State | PA |
| Zip Code | 19004-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013171123 | Preferred Home Health Care & Nursing Services Inc | In Home Supportive Care | 130 Presidential Blvd, Suite 200, Bala Cynwyd, PA 19004-1110 | 2008-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707819 | Katherine Lesher | Psychologist | 2 Bala Plaza Pl-13, Bala Plaza, PA 19004 | 2020-07-16 |
| 1144749342 | Apthcs | In Home Supportive Care | 150 Monument Road Suite 207, Bala Cynwyd, PA 19004 | 2017-09-19 |
| 1508389222 | Miriam Ray | Social Worker | 15 Montgomery Ave Apt 2b, Bala Cynwyd, PA 19004 | 2017-07-25 |
| 1003363235 | Catherine Kazanjian | Nurse Practitioner | 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 | 2016-09-06 |
| 1295181717 | Ruth Sampson-pilgrim | Nurse Practitioner | 160 Rock Hill Road, Vista Medical Services, Balacynwood, PA 19004 | 2016-05-13 |
| 1902252414 | Nurse Plus Home Care Agency,llc | In Home Supportive Care | Two Bala Plaza, Pmb #516, Suite 300, Bala Cynwyd, PA 19004 | 2016-05-13 |
| 1386010999 | Joan Lyall | Speech-Language Pathologist | 113 Ashland Avenue, Bala Cynwyd, PA 19004 | 2015-08-18 |
| 1922349158 | May W. Lee | Pediatrics | 130 E. Levering Mill Road, Bala Cynwyd, PA 19004 | 2013-03-13 |
| 1023362423 | Justin Carl Lavo | Physical Therapist | 100 Presidental Boulevard, Bala Cynwyd, PA 19004 | 2012-11-07 |
| 1689961765 | Cassio Castro | Dentist | 147 Montgomery Avenue, Bala Cynwyd, PA 19004 | 2011-07-08 |
| Find all providers in zip 19004 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| 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 |
| 1730511718 | Securemd Professionals - California PC | Clinic/Center | 2500 York Rd, Ste 300, Jamison, PA 18929-1068 | 2013-08-01 |
| 1700228079 | Northampton Endoscopy Center LLC | Clinic/Center | 20 Community Dr, Easton, PA 18045-2658 | 2013-07-26 |
| Find all providers with the same taxonomy | ||||
| City | BALA CYNWYD |
| Zip Code | 19004 |
Please comment or provide details below to improve the information on JEFFERSON ENDOSCOPY CENTER AT BALA, LLC.
| 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.