NPIMap

Organization Active NPI

Coatesville Cardiology Clinic LLC

Doing business as Brandywine Valley Cardiology

  • Cardiovascular Disease Physician
  • Thorndale, PA
National Provider Identifier
1427369404
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
COATESVILLE CARDIOLOGY CLINIC LLC
Doing business as
Brandywine Valley Cardiology
Cardiology Coatesville Reeceville Rd Tower Health Medical Group
Cardiology Exton Lincoln Hwy Tower Health Medical Group3 more in Other names
Practice address
3025 C G Zinn Rd
Thorndale, PA 19372-1131
Phone
(610) 384-2211
Fax
(610) 384-2340
NPI assigned
Jun 24, 2010
Last updated
Nov 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Robert Ehinger
Title
Sr VP Financial Operations
Phone
(484) 628-4681

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X

Addresses

Primary practice location

3025 C G Zinn Rd
Thorndale, PA 19372-1131

Mailing address

PO Box 13579
Reading, PA 19612-3579

Other practice location 1

471 Pequea Ave
Honey Brook, PA 19344-1084
Phone (610) 384-2211

Other practice location 2

1015 W Baltimore Pike Ste 304
West Grove, PA 19390-9459
Phone (610) 384-2211

Other practice location 3

1011 W Baltimore Pike Ste 304
West Grove, PA 19390-9448
Phone (484) 628-1324

Other practice location 4

770 W Lincoln Hwy
Exton, PA 19341-2547
Phone (484) 628-1324

Other practice location 5

217 Reeceville Rd Ste B
Coatesville, PA 19320-1572
Phone (484) 628-1324

Other identifiers 1

IdentifierTypeStateIssuer
102536600001MedicaidPA

Other names 6

  • Brandywine Valley Cardiology Doing business as
  • Cardiology Coatesville Reeceville Rd Tower Health Medical Group Doing business as
  • Cardiology Exton Lincoln Hwy Tower Health Medical Group Doing business as
  • Cardiology Honeybrook Tower Health Medical Group Doing business as
  • Cardiology Thorndale Tower Health Medical Group Doing business as
  • Cardiology West Grove Baltimore Pike 304 Tower Health Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110211000266 PA Part B Supplier - Clinic/Group Practice 7618157439 Receives reassigned benefits from 24 practitioners
Practice locations: West Grove, PA; West Brandywine, PA; Thorndale, PA; Pottstown, PA; Phoenixville, PA; Honey Brook, PA; Exton, PA; Elverson, PA

National Provider Directory

National Provider Directory

Locations

217 Reeceville Rd
Ste B
Coatesville, PA 19320
Phone (610) 269-0800

119 E Uwchlan Ave
Exton, PA 19341

1015 W Baltimore Pike
#1309
West Grove, PA 19390
Phone (610) 869-1730

1015 W Baltimore Pike
Ste 304
West Grove, PA 19390
Phone (610) 384-2211

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1427369404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 C G ZINN RD",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721131",
            "telephone_number": "610-384-2211",
            "fax_number": "610-384-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "471 Pequea Ave",
            "address_purpose": "LOCATION",
            "city": "Honey Brook",
            "state": "PA",
            "postal_code": "193441084",
            "country_code": "US",
            "telephone_number": "610-384-2211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 W Baltimore Pike Ste 304",
            "address_purpose": "LOCATION",
            "city": "West Grove",
            "state": "PA",
            "postal_code": "193909459",
            "country_code": "US",
            "telephone_number": "610-384-2211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 W Baltimore Pike Ste 304",
            "address_purpose": "LOCATION",
            "city": "West Grove",
            "state": "PA",
            "postal_code": "193909448",
            "country_code": "US",
            "telephone_number": "484-628-1324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 W Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412547",
            "country_code": "US",
            "telephone_number": "484-628-1324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 Reeceville Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Coatesville",
            "state": "PA",
            "postal_code": "193201572",
            "country_code": "US",
            "telephone_number": "484-628-1324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COATESVILLE CARDIOLOGY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "EHINGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SR VP FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "484-628-4681"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102536600001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandywine Valley Cardiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardiology Coatesville Reeceville Rd Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardiology Exton Lincoln Hwy Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardiology Honeybrook Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardiology Thorndale Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardiology West Grove Baltimore Pike 304 Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thorndale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.