Frederick B La Van (NPI# 1003811233, PAC ID# 4789662107) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1003811233 |
| PAC ID by PECOS | 4789662107 |
| Professional Enrollment ID | I20040713000592 |
| Full Name | Frederick B La Van |
| Organization Legal Name | PLASTIC AND COSMETIC SURGICAL GROUP OF NEW JERSEY, P.C. |
| Address |
5800 Ridge Ave Philadelphia PA 19128-1737 |
| Phone Number | 2154874377 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 8325026735 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390026 | CHESTNUT HILL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5800 Ridge Ave, Philadelphia, PA 19128-1737 | 2154874377 | PLASTIC AND COSMETIC SURGICAL GROUP OF NEW JERSEY, P.C. |
| 1007 Mantua Pike, Suite B, West Deptford, NJ 08096-3963 | 8562567705 | PLASTIC AND COSMETIC SURGICAL GROUP OF NEW JERSEY, P.C. |
| Organization Legal Name | PLASTIC AND COSMETIC SURGICAL GROUP OF NEW JERSEY, P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Steffe | Plastic and Reconstructive Surgery | Plastic and Cosmetic Surgical Group of New Jersey, P.C. | 5800 Ridge Ave, Philadelphia, PA 19128-1737 |
| Street Address |
5800 RIDGE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19128-1737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roderick E Brown | Anesthesiology | Coast Anesthesia Practice PC | 5800 Ridge Ave, Philadelphia, PA 19128-1737 |
| Rodney D Franklin | Emergency Medicine | Progressive Emergency Physicians Pa, Pllc | 5800 Ridge Ave, Roxborough Memorial Hospital, Philadelphia, PA 19182-0001 |
| Brent R Fox | Anesthesiology | Coast Anesthesia Practice PC | 5800 Ridge Ave, Philadelphia, PA 19128-1737 |
| Shivam L Hingorani | Psychiatry | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | |
| Heather K Livezey | Anesthesiology | Coast Anesthesia Practice PC | 5800 Ridge Ave, Philadelphia, PA 19128-1737 |
| Wayne V Arnold | Cardiovascular Disease (cardiology) | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | |
| Lawton O Delisser | Family Medicine | Progressive Emergency Physicians Pa, Pllc | 5800 Ridge Ave, Roxborough Memorial Hospital, Philadelphia, PA 19182-0001 |
| Vijaya Sagar Dukle | Anesthesiology | Coast Anesthesia Practice PC | 5800 Ridge Ave, Philadelphia, PA 19128-1737 |
| Scot M Depue | Emergency Medicine | Progressive Emergency Physicians Pa, Pllc | 5800 Ridge Ave, Roxborough Memorial Hospital, Philadelphia, PA 19182-0001 |
| Bruce D Levine | Anesthesiology | Coast Anesthesia Practice PC | 5800 Ridge Ave, Philadelphia, PA 19128-1737 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William D La Valle | Psychologist, Clinical | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Darnell M Lorick | Nurse Practitioner | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Christina Hallquist | Clinical Social Worker | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Michael P Gray | Psychologist, Clinical | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Erica M Brendel | Psychiatry | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Deborah A Carter | Clinical Social Worker | Intercommunity Action, Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Daniel T Fitzgerald | Clinical Social Worker | Intercommunity Action, Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Paul L Ezeukwu | Physical Therapy | Lyceum Physical Medicine, PC | 6062 Ridge Ave, Philadelphia, PA 19128-1647 |
| Samuel Schepart | Chiropractic | Lyceum Longevity Center Pllc | 6062 Ridge Ave, Philadelphia, PA 19128-1647 |
| Marlene Fox Goldwein | Internal Medicine | Einstein Community Health Associates Inc | 6001 Ridge Ave, Philadelphia, PA 19128-1651 |
| Find all physicians in zip 19128 | |||
| City | PHILADELPHIA |
| Zip Code | 19128 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | PHILADELPHIA + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Frederick B La Van.
| 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.