| Tohickon Internal Medicine, Llc | |
|
1456 Ferry Rd Ste 400 Doylestown PA 18901-2391 | |
| (267) 362-5157 | |
| (267) 362-5158 |
| Full Name | Tohickon Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1456 Ferry Rd Ste 400, Doylestown, Pennsylvania |
| Authorized Official Name and Position | Susan Sander (PHYSICIAN) |
| Authorized Official Contact | 2673625157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tohickon Internal Medicine, Llc 1456 Ferry Rd Ste 400 Doylestown PA 18901-2391 Ph: (267) 362-5157 | Tohickon Internal Medicine, Llc 1456 Ferry Rd Ste 400 Doylestown PA 18901-2391 Ph: (267) 362-5157 |
| NPI Number | 1639472061 |
|---|---|
| Provider Enumeration Date | 12/07/2010 |
| Last Update Date | 01/06/2011 |
| Medicare PECOS PAC ID | 0042492290 |
|---|---|
| Medicare Enrollment ID | O20110309000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639472061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Melissa A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295821692 PECOS PAC ID: 9739169087 Enrollment ID: I20040726000751 |
| Provider Name | Marina Shtern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467489740 PECOS PAC ID: 0345253134 Enrollment ID: I20060721000103 |
| Provider Name | Susan A Sander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538174065 PECOS PAC ID: 3577568062 Enrollment ID: I20060915000095 |
| Provider Name | Tina H Degnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568621126 PECOS PAC ID: 7719045285 Enrollment ID: I20081028000333 |
| Provider Name | Rebecca B Masters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205885332 PECOS PAC ID: 4183818222 Enrollment ID: I20101102000878 |
| Provider Name | Louis C Cimorelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255302246 PECOS PAC ID: 7416028683 Enrollment ID: I20110124001021 |
| Provider Name | Pamela Jessen Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629382643 PECOS PAC ID: 8426232422 Enrollment ID: I20110418000016 |
| Provider Name | Joanne Eileen Markowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780968099 PECOS PAC ID: 8527354547 Enrollment ID: I20160831000122 |
| Provider Name | Thomas Joseph Speranger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154840080 PECOS PAC ID: 4082972765 Enrollment ID: I20180102000365 |
| Provider Name | Mary Ellen Dagusto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982765392 PECOS PAC ID: 7810298478 Enrollment ID: I20181005001352 |
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