Via Affiliates
Organization Active NPI Plastic Surgery Physician · Doylestown, PA
NPI 1740784123 · NPPES record last updated Sep 5, 2025
Key facts
- NPI
- 1740784123
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Plastic Surgery Physician 208200000X
- Legal business name
- VIA AFFILIATES
- Practice address
- 595 W State St
Doylestown, PA 18901-2554 - Phone
- (267) 370-5296
- Fax
- (267) 885-1757
- NPI assigned
- Mar 21, 2018
- Organization subpart
- No
Authorized official
- Name
- Matt Costello
- Title
- Senior Executive Director
- Phone
- (215) 345-2389
Other NPIs on the same Medicare enrollment 14
Corporate family (same tax ID) 8
Practitioners 34
-
David Eric Cohen, D.O.
-
Karen T. Denucci, CRNP-C
-
Jarrod T Eddy, DO
-
Dana Marie Foley, CRNP
-
Salil D Gabale, M.D.
-
Richard C Gaibler, D.O.
-
Heather Gottlieb, DO
-
Michael D Kimzey, D.O.
-
James Kmetzo, M.D, FACC
-
Jayne Koellhoffer, MD, PHD
-
Deborah McLean, RDN
-
Sean C Reinhardt, MD
-
Hephziba Saji, CRNP
-
Colleen Suter, C.R.N.P.
-
Sarah White, PA-C
-
Emily L Wong, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031117000104 | PA | Part B Supplier - Clinic/Group Practice | 1759295512 |
Receives reassigned benefits from 295 practitioners 14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hatboro, PA; Huntingdon Valley, PA; Jenkintown, PA; Meadowbrook, PA; Doylestown, PA; New Hope, PA; Newtown, PA; Richboro, PA… |
National Provider Directory
- Tax ID family
- Donna J Hogue
Locations
1500 Horizon Dr
Ste 116
Chalfont, PA 18914
Phone (215) 997-9910
847 Easton Rd
Ste 2100
Warrington, PA 18976
Phone (215) 262-9867
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician |
208200000X | Yes |
Addresses
Primary practice location
595 W State St
Doylestown, PA 18901-2554
Mailing address
PO Box 829641
Philadelphia, PA 19182-0001
Phone (267) 370-5296
Other names
- Doylestown Health Wound Care
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Other providers in Doylestown, PA
- Via Affiliates
- Via Affiliates
- Via Affiliates
- Via Affiliates
- Via Affiliates
- Via Affiliates
- Via Affiliates
- Via Affiliates
- Via Affiliates
- Aliona Viarokha
All providers in Doylestown, PA · Plastic Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.