| Bryn Mawr Medical Specialists Association | |
|
825 Old Lancaster Rd Suite 320 Bryn Mawr PA 19010-3200 | |
| (610) 527-3800 | |
| (610) 527-0608 |
| Full Name | Bryn Mawr Medical Specialists Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 825 Old Lancaster Rd, Bryn Mawr, Pennsylvania |
| Authorized Official Name and Position | Joe Desilva (CEO) |
| Authorized Official Contact | 6105273800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryn Mawr Medical Specialists Association 825 Old Lancaster Rd Ste 320 Bryn Mawr PA 19010-3235 Ph: (610) 527-3800 | Bryn Mawr Medical Specialists Association 825 Old Lancaster Rd Suite 320 Bryn Mawr PA 19010-3200 Ph: (610) 527-3800 |
| NPI Number | 1841226099 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 03/26/2024 |
| Medicare PECOS PAC ID | 4183610934 |
|---|---|
| Medicare Enrollment ID | O20040426000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841226099 | NPI | - | NPPES |
| 0048094000 | Other | PA | GROUP PROV # |
| 0007617390001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Annamarie C Lammendola-melone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275599193 PECOS PAC ID: 2961495254 Enrollment ID: I20040405000186 |
| Provider Name | Michael Szlachta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245227289 PECOS PAC ID: 4082695077 Enrollment ID: I20040526000503 |
| Provider Name | Alison Joy Leff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568499473 PECOS PAC ID: 8921086414 Enrollment ID: I20040712000177 |
| Provider Name | Rajnee Dhawan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427169382 PECOS PAC ID: 0547240202 Enrollment ID: I20040722001042 |
| Provider Name | Eleanor Merle Leroux |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154342087 PECOS PAC ID: 5991775454 Enrollment ID: I20040730000577 |
| Provider Name | James Andrew Mclaughlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891793212 PECOS PAC ID: 2961491576 Enrollment ID: I20040813000135 |
| Provider Name | Young S Kim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255349759 PECOS PAC ID: 6002889516 Enrollment ID: I20040813000521 |
| Provider Name | Howard Barnet Kramer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225007099 PECOS PAC ID: 0042283558 Enrollment ID: I20040813000568 |
| Provider Name | Sheetal Chandhok |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1720177173 PECOS PAC ID: 0244206548 Enrollment ID: I20040908000967 |
| Provider Name | Sophia Moldavsky |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043234438 PECOS PAC ID: 7113994856 Enrollment ID: I20040913001140 |
| Provider Name | Michael F Kinslow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801830906 PECOS PAC ID: 8820057714 Enrollment ID: I20041006001030 |
| Provider Name | Clarke U Piatt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013933217 PECOS PAC ID: 2062461775 Enrollment ID: I20050120000355 |
| Provider Name | Lori A Norman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588627210 PECOS PAC ID: 9830149319 Enrollment ID: I20050124000621 |
| Provider Name | Charles Loeb Meyers |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1225097769 PECOS PAC ID: 6800840620 Enrollment ID: I20050304000186 |
| Provider Name | Rex K Kessler |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841298023 PECOS PAC ID: 3476507922 Enrollment ID: I20050308000418 |
| Provider Name | Pragati Shukla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891722195 PECOS PAC ID: 5698712040 Enrollment ID: I20050418000026 |
| Provider Name | Andrew W Murphy |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1700970993 PECOS PAC ID: 3173561016 Enrollment ID: I20050420001148 |
| Provider Name | Belinda K Birnbaum |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669469573 PECOS PAC ID: 4284677923 Enrollment ID: I20050603000766 |
| Provider Name | Deborah M Merriweather |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972509651 PECOS PAC ID: 5597709337 Enrollment ID: I20050614000014 |
| Provider Name | Steven R Growney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750494902 PECOS PAC ID: 8426093998 Enrollment ID: I20050624000450 |
| Provider Name | Tarun Mathur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649259862 PECOS PAC ID: 5597791210 Enrollment ID: I20050720000091 |
| Provider Name | Kevin P Mckelvey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154319218 PECOS PAC ID: 9234168840 Enrollment ID: I20050804000295 |
| Provider Name | Priscilla Peilan Chiu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861472474 PECOS PAC ID: 0042249047 Enrollment ID: I20050810000518 |
| Provider Name | Kelly M Bellamy-dixon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235133026 PECOS PAC ID: 5294750022 Enrollment ID: I20051011000880 |
| Provider Name | Sean Connor Curran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699709071 PECOS PAC ID: 5294759536 Enrollment ID: I20060125000489 |
| Provider Name | Molly Stumacher |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396842126 PECOS PAC ID: 7012926967 Enrollment ID: I20060424000192 |
| Provider Name | Toan Thanh Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487685079 PECOS PAC ID: 4486667581 Enrollment ID: I20060713000232 |
| Provider Name | Corinna Sabine Bowser |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1003850439 PECOS PAC ID: 5799798260 Enrollment ID: I20060731000060 |
| Provider Name | Danielle Marie Dehoratius |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245346873 PECOS PAC ID: 0244235539 Enrollment ID: I20060920000051 |
| Provider Name | Jeffrey L Butcher |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1891716197 PECOS PAC ID: 7113922444 Enrollment ID: I20060920000305 |
| Provider Name | Laurence David Fine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396776985 PECOS PAC ID: 2264437169 Enrollment ID: I20060928000107 |
| Provider Name | George J Dugan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558303719 PECOS PAC ID: 0143229179 Enrollment ID: I20061220000261 |
| Provider Name | Joanne T Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578779245 PECOS PAC ID: 0244339042 Enrollment ID: I20070620000010 |
| Provider Name | Vanita Proothi Treat |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235349655 PECOS PAC ID: 9739289737 Enrollment ID: I20070705000010 |
| Provider Name | Stephanie D Flagg |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1780682815 PECOS PAC ID: 8426159633 Enrollment ID: I20070718000333 |
| Provider Name | John Gerard Devlin |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1073728663 PECOS PAC ID: 8022119759 Enrollment ID: I20070725000612 |
| Provider Name | David Samuel Prince |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447275698 PECOS PAC ID: 4587765011 Enrollment ID: I20070727000023 |
| Provider Name | Sarang S Mangalmurti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790984003 PECOS PAC ID: 5496846230 Enrollment ID: I20070808000092 |
| Provider Name | Donte Lang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003907635 PECOS PAC ID: 1951402304 Enrollment ID: I20070810000170 |
| Provider Name | Juanita Regina Kcomt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285744516 PECOS PAC ID: 5597742262 Enrollment ID: I20070815000259 |
| Provider Name | Jonathan P Weaver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790989218 PECOS PAC ID: 7416041546 Enrollment ID: I20070920000497 |
| Provider Name | Claudia L Hargrove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609076876 PECOS PAC ID: 6901988062 Enrollment ID: I20080128000668 |
| Provider Name | Ashlie L Burkart |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871646703 PECOS PAC ID: 1153494646 Enrollment ID: I20080716000485 |
| Provider Name | Matthew E Halpern |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1538207600 PECOS PAC ID: 1759457922 Enrollment ID: I20080912000076 |
| Provider Name | Nirag C Jhala |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770510729 PECOS PAC ID: 1355407537 Enrollment ID: I20090313000307 |
| Provider Name | Catherine Riley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841493285 PECOS PAC ID: 1456403971 Enrollment ID: I20090715000014 |
| Provider Name | Jeffrey Wuhl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740421346 PECOS PAC ID: 1052464500 Enrollment ID: I20090730000236 |
| Provider Name | Matthew P Cahill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528031325 PECOS PAC ID: 5698816619 Enrollment ID: I20100112000610 |
| Provider Name | Jack Collazzo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891725891 PECOS PAC ID: 0446392377 Enrollment ID: I20100115000091 |
| Provider Name | Robert A Atkins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023049400 PECOS PAC ID: 2668459231 Enrollment ID: I20100122000110 |
| Provider Name | Joseph M Abboud |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295757649 PECOS PAC ID: 4587709308 Enrollment ID: I20100304000621 |
| Provider Name | Donald S. Miller |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376569418 PECOS PAC ID: 5991831729 Enrollment ID: I20100331000062 |
| Provider Name | Sandra F. Schnall |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598780728 PECOS PAC ID: 8921134750 Enrollment ID: I20100331000141 |
| Provider Name | Kendra K Zuckerman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1154351294 PECOS PAC ID: 1951437672 Enrollment ID: I20100331001040 |
| Provider Name | John C Steers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013912708 PECOS PAC ID: 2062548720 Enrollment ID: I20100405000286 |
| Provider Name | Christopher Jackson Reid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821013079 PECOS PAC ID: 3274669882 Enrollment ID: I20100407000070 |
| Provider Name | Lawrence S Mendelson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851396600 PECOS PAC ID: 2860474061 Enrollment ID: I20100407000618 |
| Provider Name | Pierre Minerva |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1699708099 PECOS PAC ID: 7416083092 Enrollment ID: I20100407000717 |
| Provider Name | Daniel Roling |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1285659425 PECOS PAC ID: 9436285939 Enrollment ID: I20100408000294 |
| Provider Name | Cheryl A Koch |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790707198 PECOS PAC ID: 3072649573 Enrollment ID: I20100408000300 |
| Provider Name | Francis P Day |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023042462 PECOS PAC ID: 4082741533 Enrollment ID: I20100415000160 |
| Provider Name | George J Hart |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770505109 PECOS PAC ID: 6800923202 Enrollment ID: I20100415000843 |
| Provider Name | Jeffrey N Retig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225053465 PECOS PAC ID: 9739216789 Enrollment ID: I20100422000576 |
| Provider Name | Peter G Spitzer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801820188 PECOS PAC ID: 2961530274 Enrollment ID: I20100506000957 |
| Provider Name | John P Fisher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356363782 PECOS PAC ID: 5597894295 Enrollment ID: I20100518000507 |
| Provider Name | Rochelle Rudolph Weiss |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295769628 PECOS PAC ID: 9436289774 Enrollment ID: I20100611000508 |
| Provider Name | Alexander T Skiadas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841247905 PECOS PAC ID: 8729074752 Enrollment ID: I20100715000042 |
| Provider Name | Jason T Bradley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316154255 PECOS PAC ID: 5193849529 Enrollment ID: I20100907000957 |
| Provider Name | Caroline M Groft-macfarlane |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669667366 PECOS PAC ID: 7315063542 Enrollment ID: I20100924001233 |
| Provider Name | Michael D. Flanagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851453252 PECOS PAC ID: 2668565003 Enrollment ID: I20100929000419 |
| Provider Name | Bartholomew R Bono |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902865603 PECOS PAC ID: 1759407521 Enrollment ID: I20100929000910 |
| Provider Name | Thomas J Mckenna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063724490 PECOS PAC ID: 9830381102 Enrollment ID: I20101005000408 |
| Provider Name | Glenn R Harper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679578629 PECOS PAC ID: 1951594274 Enrollment ID: I20101019001292 |
| Provider Name | Margaret B Mcpherson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316074461 PECOS PAC ID: 4284537291 Enrollment ID: I20101026001081 |
| Provider Name | Gary V Gordon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225065774 PECOS PAC ID: 1456450725 Enrollment ID: I20101104001345 |
| Provider Name | Thomas P Harder |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174568612 PECOS PAC ID: 9133314867 Enrollment ID: I20101108001249 |
| Provider Name | Lisa A Kenis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497807879 PECOS PAC ID: 3678769577 Enrollment ID: I20101117001488 |
| Provider Name | Rita L Ritsema |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982621629 PECOS PAC ID: 9032305370 Enrollment ID: I20101129000220 |
| Provider Name | Denise Joffe |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760675714 PECOS PAC ID: 3375630957 Enrollment ID: I20110225000399 |
| Provider Name | John J Hobson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124177431 PECOS PAC ID: 9436334885 Enrollment ID: I20110428000144 |
| Provider Name | Michael Gober |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1154514131 PECOS PAC ID: 9830368240 Enrollment ID: I20110801000596 |
| Provider Name | Sameer Gupta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013171420 PECOS PAC ID: 1456524222 Enrollment ID: I20111024000678 |
| Provider Name | Kristina A Kennedy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548545007 PECOS PAC ID: 6204002900 Enrollment ID: I20111230000145 |
| Provider Name | Fengwei Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457591711 PECOS PAC ID: 9638332901 Enrollment ID: I20120524000018 |
| Provider Name | Laura Share Immordino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043428063 PECOS PAC ID: 1254595812 Enrollment ID: I20120611000402 |
| Provider Name | Dana M Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497021273 PECOS PAC ID: 0749445138 Enrollment ID: I20120710000608 |
| Provider Name | Andrew Pollock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487915450 PECOS PAC ID: 7214186287 Enrollment ID: I20121008000196 |
| Provider Name | Stephanie Jean Toth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396080115 PECOS PAC ID: 9931354651 Enrollment ID: I20130304000356 |
| Provider Name | Luciano Kapelusznik |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609883735 PECOS PAC ID: 4183625759 Enrollment ID: I20130702000676 |
| Provider Name | Michelle C Springer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235367525 PECOS PAC ID: 7618119207 Enrollment ID: I20130812000059 |
| Provider Name | Hyon Ju Park |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083810048 PECOS PAC ID: 6608019518 Enrollment ID: I20130826000098 |
| Provider Name | Marie C Scutti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326393729 PECOS PAC ID: 0446493175 Enrollment ID: I20130828000894 |
| Provider Name | Nicholas R Lambros |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831512318 PECOS PAC ID: 6002046893 Enrollment ID: I20140221001472 |
| Provider Name | Jonathan M Matey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285057182 PECOS PAC ID: 8426281494 Enrollment ID: I20140428000265 |
| Provider Name | William Brewster Boyden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063621373 PECOS PAC ID: 3274628482 Enrollment ID: I20140603000745 |
| Provider Name | Jonathan Isaac Gotfried |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548556392 PECOS PAC ID: 8022233774 Enrollment ID: I20140714000429 |
| Provider Name | Corbin Ryen Mills |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538129101 PECOS PAC ID: 6406818996 Enrollment ID: I20141002001163 |
| Provider Name | David A Obando |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932109063 PECOS PAC ID: 0840286373 Enrollment ID: I20150126001399 |
| Provider Name | Bo Feng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669672994 PECOS PAC ID: 1153472303 Enrollment ID: I20150126001634 |
| Provider Name | Amy L Lundholm |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689901324 PECOS PAC ID: 1658699251 Enrollment ID: I20150410001334 |
| Provider Name | Seth M Reed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245618149 PECOS PAC ID: 0941515993 Enrollment ID: I20150819008937 |
| Provider Name | Shirish Jagga |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770904724 PECOS PAC ID: 0840587291 Enrollment ID: I20160928001799 |
| Provider Name | Adam J Seufert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396169801 PECOS PAC ID: 9638302920 Enrollment ID: I20161108000251 |
| Provider Name | Julie Yaeger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528436474 PECOS PAC ID: 7719263821 Enrollment ID: I20170404000141 |
| Provider Name | Arthur O Omondi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841603644 PECOS PAC ID: 5395014781 Enrollment ID: I20170628000621 |
| Provider Name | Dana M Rodgers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841734472 PECOS PAC ID: 8921383209 Enrollment ID: I20171012003283 |
| Provider Name | Ryan S Maleknia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578098216 PECOS PAC ID: 7113293150 Enrollment ID: I20171019000862 |
| Provider Name | Meredith Mooney-levin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003293010 PECOS PAC ID: 8527373687 Enrollment ID: I20180112001633 |
| Provider Name | Lindsey Verica |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841706058 PECOS PAC ID: 6608135942 Enrollment ID: I20180112002236 |
| Provider Name | Lori A Mileto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891293981 PECOS PAC ID: 8325300734 Enrollment ID: I20180323000730 |
| Provider Name | Kathleen Marie Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356810097 PECOS PAC ID: 9739427717 Enrollment ID: I20190218001204 |
| Provider Name | Tina Marie Mccune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720554694 PECOS PAC ID: 0941541874 Enrollment ID: I20190403000028 |
| Provider Name | Stephanie Schlesman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124670484 PECOS PAC ID: 8022348143 Enrollment ID: I20191002002215 |
| Provider Name | Rebecca Lynn Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073155479 PECOS PAC ID: 6507295888 Enrollment ID: I20200408000918 |
| Provider Name | Daniela Proca |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295774685 PECOS PAC ID: 2466636477 Enrollment ID: I20201001001131 |
| Provider Name | James Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295741650 PECOS PAC ID: 0345240933 Enrollment ID: I20201015000048 |
| Provider Name | Jay K Ghadiali |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1053760835 PECOS PAC ID: 5597052019 Enrollment ID: I20210706000743 |
| Provider Name | Shilpa Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437303146 PECOS PAC ID: 3870655905 Enrollment ID: I20210819002024 |
| Provider Name | Robert Dyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467983494 PECOS PAC ID: 9133491954 Enrollment ID: I20220419001447 |
| Provider Name | Eric Fox |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1417310038 PECOS PAC ID: 7214215599 Enrollment ID: I20220601000149 |
| Provider Name | Michael Post |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598151664 PECOS PAC ID: 7012396062 Enrollment ID: I20220621003425 |
| Provider Name | Nikhita Dharbhamulla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255715090 PECOS PAC ID: 5799034781 Enrollment ID: I20220623001059 |
| Provider Name | Tanya Allawh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841727237 PECOS PAC ID: 3577801000 Enrollment ID: I20220712004001 |
| Provider Name | Amy Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639602287 PECOS PAC ID: 2860761400 Enrollment ID: I20220719003122 |
| Provider Name | Anthony Kent |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942685441 PECOS PAC ID: 8729322722 Enrollment ID: I20220825003438 |
| Provider Name | Manju Bengaluru Jayanna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366722191 PECOS PAC ID: 8527288851 Enrollment ID: I20230527000012 |
| Provider Name | Nicole Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467813154 PECOS PAC ID: 9335506112 Enrollment ID: I20230609001690 |
| Provider Name | Rachel Abramczyk |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609360791 PECOS PAC ID: 2163771213 Enrollment ID: I20230620001606 |
| Provider Name | Kristina Keegan Bonesteel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972969426 PECOS PAC ID: 5496104762 Enrollment ID: I20231212001926 |
| Provider Name | William Haberstroh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346773462 PECOS PAC ID: 9335598655 Enrollment ID: I20231212003421 |
| Provider Name | Gemma Beauchamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578339057 PECOS PAC ID: 0648629758 Enrollment ID: I20231214003406 |
| Provider Name | Moiriah Burdo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447951777 PECOS PAC ID: 8820448541 Enrollment ID: I20231221000840 |
Haverford Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 937 E Haverford Rd, Suite 103, Bryn Mawr, PA 19010 Phone: 610-527-8844 Fax: 610-527-6658 | |
Main Line Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 888 Glenbrook Ave, Bryn Mawr, PA 19010 Phone: 610-525-2990 | |
Lifecycle Womancare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 County Line Rd, Bryn Mawr, PA 19010 Phone: 610-525-6086 Fax: 610-525-6631 | |
Modern Family Medicine Main Line Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 864 County Line Rd, Bryn Mawr, PA 19010 Phone: 484-222-6222 | |
Bryn Mawr Medical Specialists Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 937 E Haverford Rd, Suite 103, Bryn Mawr, PA 19010 Phone: 610-527-8844 Fax: 610-527-6658 | |
Bryn Mawr Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 735 Old Lancaster Rd, Bryn Mawr, PA 19010 Phone: 610-520-1127 Fax: 610-520-1143 | |
Beaumont Retirement Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 N Ithan Ave, Bryn Mawr, PA 19010 Phone: 610-526-7000 Fax: 610-525-0293 |