Abington Memorial Hospital
Organization Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Abington, PA
NPI 1275575482 · NPPES record last updated Oct 12, 2022
Key facts
- NPI
- 1275575482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- 270501 (PA)
- Legal business name
- ABINGTON MEMORIAL HOSPITAL
- Practice address
- 1200 Old York Rd
5 Toll
Abington, PA 19001-3720 - Phone
- (215) 881-8519
- NPI assigned
- Jun 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael B Walsh
- Title
- Vice President
- Phone
- (215) 481-2000
Practitioners 48
-
Kelly Applebaum, CRNP
-
Colleen Boyle Donovan, CRNP
-
Julia Ann Buckley, CRNP
-
Rebecca Chui, CRNP
-
Christine M Clark, CRNP
-
Olivia Flink, PA-C
-
John Doromal Jacob, M.D.
-
Beth Anne Kelly, PA-C
-
Anne Marie Kinsey, CRNP
-
Alexander Long, PA
-
Violette E Markuson, PA-C
-
Rachel McKale, PA-C
-
Zachary Michael Messina, D.O.
-
Taylor Murphy, CRNP
-
Patrick Joseph Murt, PA-C
-
Mary Ngaleu Nkamany, M.D.
-
Hyeyeon Park, AGACNP-BC
-
Konstadinos A. Plestis, M.D.
-
Vicki S Reynolds, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Abington Memorial Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 1966 Jul 1, 1966 |
| Powerback Rehabilitation |
Skilled nursing facility | Adp of the SNF | Nov 1, 2014 |
| Jefferson Health at Home by Bayada |
Home health agency | 5% Or Greater Indirect Ownership Interest (46.3%) | Jun 6, 2022 |
| Jefferson Health at Home by Bayada |
Home health agency | 5% Or Greater Indirect Ownership Interest (46.3%) | Jun 6, 2022 |
| Jefferson Health at Home by Bayada |
Home health agency | 5% Or Greater Indirect Ownership Interest (45%) | Jun 6, 2022 |
| Jefferson Health at Home by Bayada |
Hospice | 5% Or Greater Indirect Ownership Interest (45%) | Jun 6, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060213000312 | PA | Part B Supplier - Hospital Department(S) | 3274437736 |
Receives reassigned benefits from 47 practitioners Practice locations: Lansdale, PA; Abington, PA |
National Provider Directory
Locations
1200 Old York Rd
#R
Abington, PA 19001
1200 Old York Rd
Ste 5
Abington, PA 19001
Phone (215) 481-4100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X | 270501 | PA | Yes |
Addresses
Primary practice location
1200 Old York Rd
5 Toll
Abington, PA 19001-3720
Mailing address
PO Box 826594
Philadelphia, PA 19182-6594
Other names
- AMH Cardica Surgical Specialists
Other providers in Abington, PA
- Abington Memorial Hospital
- Abington Memorial Hospital
- Abington Memorial Hospital
- Abington Memorial Hospital
- Abington Memorial Hospital
- Abington Memorial Hospital
- Abington Memorial Hospital
- Abington Memorial Hospital
- Abington Memorial Hospital
- Abington Memorial Hospital
All providers in Abington, PA · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.