Southern Chester County Emergency Room Associates PC
Organization Active NPI Emergency Medicine Physician · West Grove, PA
NPI 1336192053 · NPPES record last updated Jan 31, 2012
Key facts
- NPI
- 1336192053
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- SOUTHERN CHESTER COUNTY EMERGENCY ROOM ASSOCIATES PC
- Practice address
- 1015 W Baltimore Pike
Jennersville Regional Hospital
West Grove, PA 19390-9499 - Phone
- (610) 869-1000
- Fax
- (610) 617-6280
- NPI assigned
- May 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Gregory George Desimone, MD
- Title
- President
- Phone
- (610) 869-1000
Practitioners 26
-
Charles E Barton, PA- C
-
James Duncklee, D.O.
-
Rienna P Fulmer, PA-C
-
Chad M. Jeffery, PA-C
-
Isha Trupen Modi, PA
-
Byron Edward Schieber, PA.-C
-
Lauri L Snyder, PA-C
-
Ashley S Von Dohlen, PA-C
-
Linda S Wenger, PA-C
-
Curt D Blacklock, DO
-
Kevin R Clark, DO
-
Dorothy A Dixon, MD
-
Robert P Holfelder, PA-C
-
Kristen Lopez, P.A.
-
Todd Michael Mazur, PA-C
-
Paula F Paul, PAC
-
Eugene Pratt, PA
-
Eric C Riddle, PA-C
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
1015 W Baltimore Pike
Jennersville Regional Hospital
West Grove, PA 19390-9499
Mailing address
PO Box 828023
Southern Chester County Emergency Room Associates PC
Philadelphia, PA 19182-8023
Phone (610) 869-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001253331 | Medicaid | PA |
NPI Registry JSON
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327968000000",
"number": "1336192053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 828023",
"address_2": "SOUTHERN CHESTER COUNTY EMERGENCY ROOM ASSOCIATES PC",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191828023",
"telephone_number": "610-869-1000",
"fax_number": "610-617-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 W BALTIMORE PIKE",
"address_2": "JENNERSVILLE REGIONAL HOSPITAL",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193909499",
"telephone_number": "610-869-1000",
"fax_number": "610-617-6280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN CHESTER COUNTY EMERGENCY ROOM ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2012-01-31",
"status": "A",
"authorized_official_last_name": "DESIMONE",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-869-1000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001253331",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Grove, PA
- Talene Slaughter
- Autumn Blair Smith
- Emily Sniechoski
- Jean Sorzano
- Southeastern Pennsylvania Urologic Surgery, P.C.
- Southern Chester County Medical Equipment Inc.
- Southern Chester EMS
- Kirstin Zandria Stambaugh
- Stefanie Margit Steiner
- Cathy Lynn Taylor
All providers in West Grove, PA · Emergency Medicine 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 Jan 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.