Urologic Consultants of Southeastern Pennsylvania, LLP

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

UROLOGIC CONSULTANTS OF SOUTHEASTERN PENNSYLVANIA, LLP

Practice address

1 Presidential Blvd
Ste 100
Bala Cynwyd, PA 19004-1017

Phone

(610) 667-3020

Fax

(610) 667-1817

NPI assigned

Jun 13, 2011

Last updated

Sep 18, 2014By 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

Nancy P Miller

Title

Practice Manager

Phone

(610) 667-3020

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 4

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.

• Michael Augustus Chiusano, DO

  • Urology Physician
  • West Grove, PA
  • NPI 1366415150
  NPD (past)
• Steven P Kerner, D.O.

  • Urology Physician
  • Morehead City, NC
  • NPI 1750368122
  NPD (past)
• Patricia C Pollan, MSN, APRN, BC

  • Adult Health Nurse Practitioner
  • Mount Laurel, NJ
  • NPI 1396712121
  NPD (past)
• Christopher W Schmidt, DO

  • Urology Physician
  • Portsmouth, OH
  • NPI 1851398200
  NPD (past)

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1609161207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESIDENTIAL BLVD",
            "address_2": "STE 100",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041017",
            "telephone_number": "610-667-3020",
            "fax_number": "610-667-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PRESIDENTIAL BLVD",
            "address_2": "STE 100",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041017",
            "telephone_number": "610-667-3020",
            "fax_number": "610-667-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGIC CONSULTANTS OF SOUTHEASTERN PENNSYLVANIA, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "610-667-3020"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA-HEALTHSPRING",
            "identifier": "16408",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1930192",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018621670001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "110709",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2800927000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DF9637",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ultimate Health and Chiropractic PC
• United Woundcare Institute Pennsylvania PLLC
• University Open MRI PC
• Urologic Consultants of Southeastern Pennsylvania LLP
• Urologic Consultants of Southeastern Pennsylvania LLP
• Urologic Surgery, PC
• Shailendra Shantiprasad Vaidya, M.D.
• Jennifer Megan Vallieres, LPC
• Mary Van Den Berg-Wolf, MD
• Steven Vanosten Jr.

• Radiation Oncology Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Radiation Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.