| Main Line Gastroenterology Associates, Pc | |
|
325 Central Ave 2nd Floor Malvern PA 19355-3265 | |
| (610) 644-6755 | |
| (610) 647-2063 |
| Full Name | Main Line Gastroenterology Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 325 Central Ave, Malvern, Pennsylvania |
| Authorized Official Name and Position | Keith J. Laskin (SECRETARY) |
| Authorized Official Contact | 6106446755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Line Gastroenterology Associates, Pc Po Box 350 Sellersville PA 18960-0350 Ph: (215) 723-2333 | Main Line Gastroenterology Associates, Pc 325 Central Ave 2nd Floor Malvern PA 19355-3265 Ph: (610) 644-6755 |
| NPI Number | 1467429365 |
|---|---|
| Provider Enumeration Date | 03/01/2006 |
| Last Update Date | 08/05/2009 |
| Medicare PECOS PAC ID | 9931189784 |
|---|---|
| Medicare Enrollment ID | O20040722000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467429365 | NPI | - | NPPES |
| 0015085480009 | Medicaid | PA | |
| CA1051 | Other | PA | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Mark A Ennett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922086248 PECOS PAC ID: 6002715687 Enrollment ID: I20040102000397 |
| Provider Name | Brian R Treston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558357111 PECOS PAC ID: 7416940978 Enrollment ID: I20040408000527 |
| Provider Name | Marni Clyman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932282001 PECOS PAC ID: 7214820257 Enrollment ID: I20040817000564 |
| Provider Name | Jacques Khoury |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427025360 PECOS PAC ID: 2062479579 Enrollment ID: I20041216000410 |
| Provider Name | Craig E. Carpenter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013944123 PECOS PAC ID: 1355393307 Enrollment ID: I20050217000570 |
| Provider Name | Matthew Matalavage |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841226826 PECOS PAC ID: 1254385719 Enrollment ID: I20050308000461 |
| Provider Name | Patricia A Kienzle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639252711 PECOS PAC ID: 8921049636 Enrollment ID: I20050512000605 |
| Provider Name | Christopher J Long |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609852532 PECOS PAC ID: 2466493325 Enrollment ID: I20050520000403 |
| Provider Name | Michael Wolfson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073580940 PECOS PAC ID: 4082658208 Enrollment ID: I20050617000312 |
| Provider Name | Dawn S Keown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790761963 PECOS PAC ID: 7517903495 Enrollment ID: I20050720000269 |
| 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 | Joseph Bojko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457341703 PECOS PAC ID: 8628083227 Enrollment ID: I20060220000180 |
| Provider Name | Elio K Figueroa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417985110 PECOS PAC ID: 4789693243 Enrollment ID: I20060411000322 |
| Provider Name | Tracy Rock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609842574 PECOS PAC ID: 5890705974 Enrollment ID: I20060503000804 |
| Provider Name | Anil Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356393797 PECOS PAC ID: 6406742949 Enrollment ID: I20060511000350 |
| Provider Name | Kristie M Adamo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861413288 PECOS PAC ID: 5496751380 Enrollment ID: I20061017000389 |
| Provider Name | Karen A. Piotrowicz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053339358 PECOS PAC ID: 4486651569 Enrollment ID: I20061102000345 |
| Provider Name | Nancy Ann Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639354640 PECOS PAC ID: 9436238532 Enrollment ID: I20080430000604 |
| Provider Name | Carl C Gable |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942416011 PECOS PAC ID: 3779657556 Enrollment ID: I20080729000320 |
| Provider Name | Malini Mathur |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871751610 PECOS PAC ID: 1052467727 Enrollment ID: I20090922000214 |
| Provider Name | Trisha Dolsky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235469156 PECOS PAC ID: 6204970064 Enrollment ID: I20100217000085 |
| Provider Name | Keith Laskin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821064783 PECOS PAC ID: 4082667910 Enrollment ID: I20100410000038 |
| Provider Name | Marc Zitin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548237423 PECOS PAC ID: 0941253868 Enrollment ID: I20100423000324 |
| Provider Name | Gary Newman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023085990 PECOS PAC ID: 9739132663 Enrollment ID: I20100423000435 |
| Provider Name | Stuart Barish |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003897299 PECOS PAC ID: 4981731825 Enrollment ID: I20100423000503 |
| Provider Name | Giancarlo Mercogliano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144296013 PECOS PAC ID: 1951354877 Enrollment ID: I20100426000130 |
| Provider Name | Norman M Callahan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851367783 PECOS PAC ID: 1355394289 Enrollment ID: I20100427000074 |
| Provider Name | Richard D Tolin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548237415 PECOS PAC ID: 4486607306 Enrollment ID: I20100525000970 |
| Provider Name | Rupal Kothari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124094073 PECOS PAC ID: 9830113539 Enrollment ID: I20100525001030 |
| Provider Name | Maura M Barr |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275869752 PECOS PAC ID: 9638203193 Enrollment ID: I20100819000189 |
| Provider Name | Mary R Nunan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821315151 PECOS PAC ID: 9931396462 Enrollment ID: I20101209001326 |
| Provider Name | Anthony Michael Yanarella |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376832683 PECOS PAC ID: 0749467686 Enrollment ID: I20110602000203 |
| Provider Name | Joseph J Herdman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417148131 PECOS PAC ID: 2860589363 Enrollment ID: I20110621000322 |
| Provider Name | Eutoria R Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144523283 PECOS PAC ID: 3375721863 Enrollment ID: I20110705000454 |
| Provider Name | Scott Fink |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023060480 PECOS PAC ID: 7214036243 Enrollment ID: I20110711000115 |
| Provider Name | Robert Powell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982989430 PECOS PAC ID: 9638345077 Enrollment ID: I20120105000709 |
| Provider Name | Elizabeth W Mahoney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710256169 PECOS PAC ID: 2264699180 Enrollment ID: I20120206000170 |
| Provider Name | Brian J Plasil |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164638151 PECOS PAC ID: 7113056078 Enrollment ID: I20120222000151 |
| Provider Name | Adam B Kaufman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568670198 PECOS PAC ID: 1658537774 Enrollment ID: I20120718000156 |
| Provider Name | Patricia Wong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659433936 PECOS PAC ID: 6305905563 Enrollment ID: I20120918000029 |
| Provider Name | Richard A Hartman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255699096 PECOS PAC ID: 0749438349 Enrollment ID: I20120924000072 |
| Provider Name | Regina D Canty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124364260 PECOS PAC ID: 4587819198 Enrollment ID: I20130722000149 |
| Provider Name | Desiree Zanghi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083035828 PECOS PAC ID: 2163655101 Enrollment ID: I20140429000700 |
| Provider Name | Valerie L Geraci |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407286404 PECOS PAC ID: 9436372786 Enrollment ID: I20140514001322 |
| Provider Name | Nicole E Albert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609188879 PECOS PAC ID: 7416174685 Enrollment ID: I20140812000931 |
| Provider Name | Mue S Ngo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235381617 PECOS PAC ID: 9032428982 Enrollment ID: I20151016000419 |
| Provider Name | Jessica Sterling |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740522010 PECOS PAC ID: 0446567754 Enrollment ID: I20170608000014 |
| Provider Name | Robert A Frankel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902196801 PECOS PAC ID: 8820317282 Enrollment ID: I20170608001111 |
| Provider Name | William B Huntington |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033479704 PECOS PAC ID: 7416202064 Enrollment ID: I20180622000095 |
Kurt R. Crowley, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 266 Lancaster Ave, Suite 301, Malvern, PA 19355 Phone: 610-578-0155 Fax: 610-578-0156 | |
Davita Medical Group Philadelphia, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2476 Swedesford Rd, #150, Malvern, PA 19355 Phone: 844-902-2345 | |
Rehncare Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 74 E Swedesford Rd Ste 150, Malvern, PA 19355 Phone: 484-483-3625 | |
Vishal Datta Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Ashwood Ln, Malvern, PA 19355 Phone: 202-834-2551 Fax: 331-204-0812 | |
Vanguard Majestic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Admiral Nelson Drive, Malvern, PA 19355 Phone: 610-669-9355 Fax: 610-669-3373 | |
Harmony Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Lindenwood Dr Ste 225-669, Malvern, PA 19355 Phone: 302-406-1620 | |
Pennsylvania Neurodiagnostics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Great Valley Pkwy Ste 249, Malvern, PA 19355 Phone: 215-253-7693 Fax: 866-279-4704 |