Main Line Allergy , L.L.P.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

MAIN LINE ALLERGY , L.L.P.

Practice address

233 E Lancaster Ave
Suite 200
Ardmore, PA 19003-2321

Phone

(610) 642-1643

NPI assigned

May 25, 2006

Last updated

May 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ruthven A. Wodell, MDNPI 1295780567

Title

Partner

Phone

(610) 642-1643

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IIEIBA

Practitioners 9

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.

• Jack Michael Becker, MD

  • Allergy & Immunology Physician
  • Ardmore, PA
  • NPI 1851349955
  Medicare reassignment Care Compare group NPD
• A. Geoffrey Didario, MD

  • Allergy & Immunology Physician
  • Ardmore, PA
  • NPI 1336282870
  Medicare reassignment Care Compare group NPD
• Hillary Gordon, MD

  • Pediatric Allergy/Immunology Physician
  • Ardmore, PA
  • NPI 1851667752
  Medicare reassignment Care Compare group NPD
• Jennifer Anita Kannan, MD

  • Allergy & Immunology Physician
  • Ardmore, PA
  • NPI 1740589993

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Lauren Woodward, PA-C

  • Physician Assistant
  • King of Prussia, PA
  • NPI 1942896808
  Medicare reassignment Care Compare group
• Janet L Beausoleil

  • Allergy & Immunology Physician
  • Ardmore, PA
  • NPI 1639199912
  Medicare reassignment NPD
• Sharon K Sweinberg, MD

  • Allergy & Immunology Physician
  • Ardmore, PA
  • NPI 1285680025
  Medicare reassignment NPD
• Ruthven A. Wodell, MD

  • Allergy & Immunology Physician
  • Ardmore, PA
  • NPI 1295780567
  Authorized official Same address or phone
• Richard A. Wachs, M.D.

  • Allergy Physician
  • Albuquerque, NM
  • NPI 1619922622
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1437104460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E LANCASTER AVE",
            "address_2": "SUITE 200",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032321",
            "telephone_number": "610-642-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E LANCASTER AVE",
            "address_2": "SUITE 200",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032321",
            "telephone_number": "610-642-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE ALLERGY , L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "WODELL",
        "authorized_official_first_name": "RUTHVEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "610-642-1643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PIN",
            "identifier": "194748",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lower Merion School District
• Philip Luu, DC
• Jennifer Ruth Lynn, MD
• Madeleine C. Weiser M.D., PC
• Main Line Acupuncture & Oriental Medicine (Main Line Acupuncture)
• Main Line Ophthalmology Associates
• Main Line Physio, LLC
• Kelley Malseed
• David Mann, D.C.
• Dena Marchiony, ICCE, CD(DONA), LCCE

• Allergy & Immunology Physician in Ardmore, PA
• Providers in Ardmore, PA by specialty
• Allergy & Immunology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.