Plumsteadville Family Practice | |
5612 Easton Rd Plumsteadville PA 18949 | |
(215) 766-8844 | |
(215) 766-0733 |
Full Name | Plumsteadville Family Practice |
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Speciality | Family Medicine |
Location | 5612 Easton Rd, Plumsteadville, Pennsylvania |
Authorized Official Name and Position | Joseph D Ferrara (VICE PRESIDENT) |
Authorized Official Contact | 2157668844 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Plumsteadville Family Practice 5612 Easton Rd P O Box 866 Plumsteadville PA 18949 Ph: (215) 766-8844 | Plumsteadville Family Practice 5612 Easton Rd Plumsteadville PA 18949 Ph: (215) 766-8844 |
NPI Number | 1275573503 |
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Provider Enumeration Date | 06/07/2006 |
Last Update Date | 07/11/2007 |
Medicare PECOS PAC ID | 9335138155 |
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Medicare Enrollment ID | O20040507000784 |
Identifier | Type | State | Issuer |
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1275573503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Scott Michael Blore |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063405710 PECOS PAC ID: 3779556634 Enrollment ID: I20040818000586 |
Provider Name | Elizabeth Mckenna |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861480584 PECOS PAC ID: 4082743331 Enrollment ID: I20100525000092 |
Provider Name | Joseph Ferrara |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215925979 PECOS PAC ID: 3971565797 Enrollment ID: I20100611000665 |
Provider Name | Khara Ayres Woehr |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245738889 PECOS PAC ID: 3375806342 Enrollment ID: I20180405000476 |
Provider Name | Karen A Anderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164063681 PECOS PAC ID: 3779917232 Enrollment ID: I20191217000815 |
Provider Name | Inthushi Selvanayagam |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1700311313 PECOS PAC ID: 2961835574 Enrollment ID: I20201008002624 |