Stephanie M Daviduk (NPI# 1346799434, PAC ID# 3870876899) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1346799434 |
| PAC ID by PECOS | 3870876899 |
| Professional Enrollment ID | I20170216001270 |
| Full Name | Stephanie M Daviduk |
| Organization Legal Name | CENTERS FOR ADVANCED UROLOGY LLC |
| Address |
211 S Gulph Rd Suite 200 The Prostate Center King of Prussia PA 19406-3101 |
| Phone Number | 6105793577 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3274800941 |
| Number of Group Practice Members | 84 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390179 | CHESTER COUNTY HOSPITAL |
| 390076 | BRANDYWINE HOSPITAL |
| 390153 | PAOLI HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 211 S Gulph Rd, Suite 200 The Prostate Center, King of Prussia, PA 19406-3101 | 6105793577 | CENTERS FOR ADVANCED UROLOGY LLC |
| Organization Legal Name | CENTERS FOR ADVANCED UROLOGY LLC |
| Physicians | 80 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn J Paik | Urology | Centers for Advanced Urology LLC | 500 Evergreen Dr G5 Garden Terrace, Academic Urology Crozer, Glen Mills, PA 19342-1032 |
| Gregory Thompson | Urology | Centers for Advanced Urology LLC | 245 S Bryn Mawr Ave, Uhs Bryn Mawr, Bryn Mawr, PA 19010-2221 |
| Nicos Nicolaou | Radiation Oncology | Centers for Advanced Urology LLC | 1 Presidential Blvd, Bala Cynwyd, PA 19004-1017 |
| Peter O Oskanian | Urology | Centers for Advanced Urology LLC | 20 N Sunnybrook Rd, Academic Urology Pottstown, Pottstown, PA 19464-2946 |
| Teodora A Schellato | Urology | Centers for Advanced Urology LLC | 231 N Broad St Fl, 2 Ucosp Hahnemann Office, Philadelphia, PA 19107-1511 |
| Jeffrey N Gordon | Urology | Centers for Advanced Urology LLC | 2301 E Allegheny Ave Fl, 3 Northeastern Care Center, Philadelphia, PA 19134-4427 |
| Steven Martin Salva | Urology | Centers for Advanced Urology LLC | 455 Woodview Rd, 230 Uhs Chester County, West Grove, PA 19390-9301 |
| Pierre Y Ghayad | Urology | Centers for Advanced Urology LLC | 1974 Sproul Rd, Suite 106, Broomall, PA 19008-3402 |
| Craig Alan Landow | Urology | Centers for Advanced Urology LLC | 1088 W Baltimore Pike Hc II, Suite 2304 Uhs Media, Media, PA 19063-5136 |
| Mehrdad M Soroush | Urology | Centers for Advanced Urology LLC | 919 Conestoga Rd, Suite 300, Bryn Mawr, PA 19010-1352 |
| Street Address |
211 S GULPH RD SUITE 200 THE PROSTATE CENTER |
| City | KING OF PRUSSIA |
| State | PA |
| Zip | 19406-3101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather M Lampe | Physical Therapy | Integrated Physical Therapy, LLC | 211 S Gulph Rd, Suite 300, King of Prussia, PA 19406-3101 |
| Kelsey Payung | Physical Therapy | Integrated Physical Therapy, LLC | 211 S Gulph Rd, Suite 300, King of Prussia, PA 19406-3101 |
| David B Cahn | Urology | Centers for Advanced Urology LLC | 211 S Gulph Rd, Suite 200 The Prostate Center, King of Prussia, PA 19406-3101 |
| Mark L Sobczak | Radiation Oncology | Centers for Advanced Urology LLC | 211 S Gulph Rd, Suite 200 The Prostate Center, King of Prussia, PA 19406-3101 |
| Caitlin Maureen Trevino | Physical Therapy | Integrated Physical Therapy, LLC | 211 S Gulph Rd, Suite 300, King of Prussia, PA 19406-3101 |
| A Michael Michael Samaha | Urology | Centers for Advanced Urology LLC | 211 S Gulph Rd, Suite 200 The Prostate Center, King of Prussia, PA 19406-3101 |
| Joann Chalal | Radiation Oncology | Centers for Advanced Urology LLC | 211 S Gulph Rd, Suite 200 The Prostate Center, King of Prussia, PA 19406-3101 |
| Sangeeta Kamath Tyerech | Radiation Oncology | Centers for Advanced Urology LLC | 211 S Gulph Rd, Suite 200 The Prostate Center, King of Prussia, PA 19406-3101 |
| Laurie B Cole | Physician Assistant | Centers for Advanced Urology LLC | 211 S Gulph Rd, Academic Urology, King of Prussia, PA 19406-3112 |
| Barbara G Robins | Diagnostic Radiology | Centers for Advanced Urology LLC | 211 S Gulph Rd, Suite 200 The Prostate Center, King of Prussia, PA 19406-3101 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cari D Cinamella | Optometry | Delaware Valley Vision Associates Group Practice LLC | 200 Mall Boulevard, King of Prussia, PA 19406 |
| Ketki Soin | Ophthalmology | Delaware Valley Vision Associates Group Practice LLC | 200 Mall Boulevard, King of Prussia, PA 19406 |
| Sandhya S Ramsook | Optometry | Delaware Valley Vision Associates Group Practice LLC | 200 Mall Boulevard, King of Prussia, PA 19406 |
| Tanja Moennichmeyer | Optometry | Delaware Valley Vision Associates Group Practice LLC | 200 Mall Boulevard, King of Prussia, PA 19406 |
| Jurij R Bilyk | Ophthalmology | Delaware Valley Vision Associates Group Practice LLC | 200 Mall Boulevard, King of Prussia, PA 19406 |
| Anthony Zacchei | Ophthalmology | Delaware Valley Vision Associates Group Practice LLC | 200 Mall Boulevard, King of Prussia, PA 19406 |
| Aaron D Cohn | Ophthalmology | Delaware Valley Vision Associates Group Practice LLC | 200 Mall Boulevard, King of Prussia, PA 19406 |
| Michael Allan Aronsky | Ophthalmology | Delaware Valley Vision Associates Group Practice LLC | 200 Mall Boulevard, King of Prussia, PA 19406 |
| Jacquelyn Repice | Occupational Therapy | Full Range Physical Therapy, LLC | 10102 Valley Forge Cir, Suite 102a, King of Prussia, PA 19406-1111 |
| Sarah Marlene Derr | Optometry | The Elder Eye Care Group, Inc | 10106 Valley Forge Cir, King of Prussia, PA 19406-1111 |
| Find all physicians in zip 19406 | |||
| City | KING OF PRUSSIA |
| Zip Code | 19406 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KING OF PRUSSIA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Stephanie M Daviduk.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.