Crozer Keystone Urgent Care LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

CROZER KEYSTONE URGENT CARE LLC

Practice address

1572 Wilmington Pike
Suite 1
West Chester, PA 19382-8371

Phone

(610) 459-3278

NPI assigned

Dec 4, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Patrick J Gavin

Title

President

Phone

(610) 447-2750

Specialties & licenses 1

Addresses

Other names 1

• Pioneer Urgent Care Doing business as

Locations

Practitioners 2

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

• James Anthony Ditaranto, PA-C

  • Physician Assistant
  • Wyoming, MI
  • NPI 1629408935
  NPD (past)
• Megan Christine McDevitt, PA-C

  • Physician Assistant
  • Virginia Beach, VA
  • NPI 1255733051
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1104257955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 OAK PARK DR",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301414",
            "telephone_number": "781-280-1699",
            "fax_number": "781-276-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 WILMINGTON PIKE",
            "address_2": "SUITE 1",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193828371",
            "telephone_number": "610-459-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROZER KEYSTONE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-447-2750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Crocker, OTR/L
• Lisa Croft
• Joseph A Cronin Jr., PH.D.
• Olivia Crosby-Gagnier
• Tisha Crovetti, MS, OTR/L
• Victoria Cruciani, DC
• Valerie Ann Cucinotta, CRNA
• Maria A Cuddy-Casey, PHD
• Leani Cuevas
• Harry Edward Culbertson III, B.S.D.C.

• Emergency Medicine Physician in West Chester, PA
• Providers in West Chester, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.