Collegeville Medical Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COLLEGEVILLE MEDICAL CENTER PC

Practice address

753 W Main St
Trappe, PA 19426-1948

Phone

(601) 489-8645

Fax

(610) 489-6329

NPI assigned

Jun 3, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kem Yenal, MD

Title

Owner

Phone

(610) 489-8645

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1154734622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "DELAWARE WATER GAP",
            "state": "PA",
            "postal_code": "183270299",
            "telephone_number": "610-489-8645",
            "fax_number": "610-489-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 W MAIN ST",
            "city": "TRAPPE",
            "state": "PA",
            "postal_code": "194261948",
            "telephone_number": "601-489-8645",
            "fax_number": "610-489-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGEVILLE MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "YENAL",
        "authorized_official_first_name": "KEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-489-8645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn H Burwell, LCSW
• Christopher David Byerly, RPH
• Francine Marie Carr, MHS, LPC, CAC, SAP
• Child & Family Focus Inc
• Haesung Chung, DDS
• Collegeville Optical, LLC
• David P Digiallorenzo DMD Inc
• Sarah Deacle, DPT
• Gianna Capri Degrazio, LAT, ATC
• Donna A. Delany, D.M.D.

• All providers in Trappe, PA
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.