Progressive Gynecology PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

OS013045 Issued in PA

Legal business name

PROGRESSIVE GYNECOLOGY PLLC

Practice address

2603 Dekalb Pike
East Norriton, PA 19401-1818

Phone

(484) 680-7374

Fax

(484) 612-4619

NPI assigned

Feb 9, 2017

Organization subpart

No

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

Authorized official

Name

Thea Cooper Barton, DO

Title

Owner

Phone

(484) 459-8629

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

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

• Thea Cooper Barton, D.O.

  • Obstetrics & Gynecology Physician
  • Blue Bell, PA
  • NPI 1881861920
  Medicare reassignment NPD
• Joseph L Grisafi, M.D.

  • Vascular Surgery Physician
  • East Norriton, PA
  • NPI 1194939736
  NPD (past)
• Westley Mark Smith, MD

  • Vascular Surgery Physician
  • Langhorne, PA
  • NPI 1689976235
  NPD (past)
• Jordan Mount, CRNP

  • Family Nurse Practitioner
  • Vancouver, WA
  • NPI 1750613980
  NPD (past)

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1366980351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 DEKALB PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011818",
            "telephone_number": "484-680-7374",
            "fax_number": "484-612-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 DEKALB PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011818",
            "telephone_number": "484-680-7374",
            "fax_number": "484-612-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE GYNECOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "THEA",
        "authorized_official_middle_name": "COOPER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-459-8629",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS013045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Leslie Melissa Presbot, MD
• Prime Healthcare Services-Suburban Hospital LLC (Suburban Community Hospital)
• Prime Healthcare Services-Suburban Hospital LLC
• Prime Healthcare Services-Suburban Hospital LLC
• John Thomas Quigley, M.D., M.P.H.
• Whitney Quinlan, PSY.D.
• Ramanan Ramesh, DO
• Craig William Raphael, M.D.
• Rebecca Cate, LLC

• Obstetrics & Gynecology Physician in East Norriton, PA
• Providers in East Norriton, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.