West Grove Clinic Company LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

WEST GROVE CLINIC COMPANY LLC

Practice address

1015 W Baltimore Pike
West Grove, PA 19390-9459

Phone

(610) 869-1555

NPI assigned

Jan 9, 2020

Organization subpart

No

Name

Gary Conner

Title

VP & Cfo

Phone

(484) 628-8181

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• West Grove Clinic Company LLC

  • Family Medicine Physician
  • West Grove, PA
  • NPI 1790856078

  O20070129000812

  Same enrollment

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Godson Asamoa, MD

  • Pediatrics Physician
  • Upper Darby, PA
  • NPI 1710922901
  NPD
• Abin Bandyopadhyay, M.D.

  • Neuroradiology Physician
  • Bethlehem, PA
  • NPI 1528296415
  NPD
• Heather Baum

  • Nurse Practitioner
  • West Reading, PA
  • NPI 1396269742
  NPD
• Brandon Blakey, MD

  • Emergency Medicine Physician
  • Pottstown, PA
  • NPI 1740718048
  NPD
• Kristina Bookwalter, CRNP

  • Nurse Practitioner
  • West Reading, PA
  • NPI 1750647541
  NPD
• Carolyn Brown, PA-C

  • Physician Assistant
  • Coatesville, PA
  • NPI 1306972203
  NPD
• Joseph W. Burke, M.D.

  • Specialist
  • West Reading, PA
  • NPI 1346244720
  NPD
• Tracey Carmellini, M.D.

  • Diagnostic Radiology Physician
  • West Grove, PA
  • NPI 1568442325
  NPD
• Ali Chaudhary, MD

  • Emergency Medicine Physician
  • West Reading, PA
  • NPI 1285925115
  NPD
• Nikunj Rashmikant Chauhan, M.D.

  • Vascular & Interventional Radiology Physician
  • West Reading, PA
  • NPI 1710287230
  NPD
• Young J Chong, MD

  • Diagnostic Radiology Physician
  • West Reading, PA
  • NPI 1891737268
  NPD
• Katherine Frances Clift, M.D.

  • Emergency Medicine Physician
  • Phoenixville, PA
  • NPI 1912221847
  NPD

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

• Telemedicine Jennersville Tower Health Medical Group Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2020.

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1093355992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W BALTIMORE PIKE",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909459",
            "telephone_number": "610-869-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GROVE CLINIC COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VP & CFO",
        "authorized_official_telephone_number": "484-628-8181"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Telemedicine Jennersville Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Nadine Ward
• Jennifer Warfel
• Elizabeth Warren
• Julianne Weaver
• Autumn Webb
• West Grove Clinic Company LLC
• West Grove Family Practice LLC
• West Grove Fire Company
• West Grove Home Care LLC
• West Grove Home Care LLC

• All providers in West Grove, PA
• Neurology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.