Coatesville Clinic Company LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COATESVILLE CLINIC COMPANY LLC

Practice address

213 Reeceville Rd
Ste 23
Coatesville, PA 19320-1528

Phone

(610) 384-6550

NPI assigned

Jul 6, 2006

Organization subpart

No

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 11

Addresses

Other identifiers 8

Other names 7

• Family Medicine Downington Tower Health Medical Group Doing business as
• Family Medicine Exton Thomas Jones Tower Health Medical Group Doing business as
• Family Medicine Exton Uwchlan Ave Tower Health Medical Group Doing business as
• Neurology Coatesville Suite 22 Tower Health Medical Group Doing business as
• Neurology West Grove Vineyard Way Tower Health Medical Group Doing business as
• Psychiatry Coatesville Tower Health Medical Group Doing business as
• Neurology Coatesville Suite 22A Tower Health Medical Group Former legal business name

Locations

Practitioners 3

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

• Jane Lois Donmoyer, CRNP

  • Adult Health Nurse Practitioner
  • Phoenixville, PA
  • NPI 1538154299
  NPD (past)
• Pat F Romano, DO

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1326010323
  NPD (past)
• Ronald D Wolfe, M.D.

  • Occupational Medicine Physician
  • Reading, PA
  • NPI 1992823298
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1629009642",
    "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": "213 REECEVILLE RD",
            "address_2": "STE 23",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201528",
            "telephone_number": "610-384-6550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Manor Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Downingtown",
            "state": "PA",
            "postal_code": "193352661",
            "country_code": "US",
            "telephone_number": "610-269-9570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "495 Thomas Jones Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412553",
            "country_code": "US",
            "telephone_number": "610-524-4106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 E Uwchlan Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193411293",
            "country_code": "US",
            "telephone_number": "610-594-3512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 Reeceville Rd Ste 22A",
            "address_purpose": "LOCATION",
            "city": "Coatesville",
            "state": "PA",
            "postal_code": "193201529",
            "country_code": "US",
            "telephone_number": "610-384-7491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 Reeceville Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Coatesville",
            "state": "PA",
            "postal_code": "193201546",
            "country_code": "US",
            "telephone_number": "610-383-8470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 Vineyard Way Bldg 201",
            "address_purpose": "LOCATION",
            "city": "West Grove",
            "state": "PA",
            "postal_code": "193908835",
            "country_code": "US",
            "telephone_number": "610-384-7491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 N Pottstown Pike",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193411628",
            "country_code": "US",
            "telephone_number": "610-903-0640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COATESVILLE CLINIC COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015851470003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1872587",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015851470007",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015851470009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1848182",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015851470002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015851470010",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1846059",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Downington Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Medicine Exton Thomas Jones Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Medicine Exton Uwchlan Ave Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neurology Coatesville Suite 22 Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neurology West Grove Vineyard Way Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Psychiatry Coatesville Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neurology Coatesville Suite 22A Tower Health Medical Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Donna Marie Clark, LPC
• Katherine Marie Clauhs
• Clear Insight Therapy LLC
• Christina Marie Clements, LCSW, MED
• Coatesville Area School District
• Coatesville Clinic Company LLC
• Coatesville Clinic Company, LLC
• Coatesville Clinic Company, LLC
• Coatesville Clinic Company, LLC
• Coatesville Community Pharmacy Inc

• Internal Medicine Physician in Coatesville, PA
• Providers in Coatesville, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.