Organization Active NPI

1977 Mesk

Doing business as ProHealth Family Care & Aesthetics

  • Family Medicine Physician
  • Warminster, PA
National Provider Identifier
1790636876
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
1977 MESK
Doing business as
ProHealth Family Care & Aesthetics
Practice address
605 Louis Dr
Warminster, PA 18974-2830
Phone
(610) 744-1919
NPI assigned
Feb 5, 2026
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Ilona Osadze, FNP-C
Title
Office Manager
Phone
(610) 744-1919

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

605 Louis Dr
Warminster, PA 18974-2830

Mailing address

605 Louis Dr
Warminster, PA 18974-2830

Other names 1

  • ProHealth Family Care & Aesthetics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2332769Prohealth Family Care & Aesthetics605 Louis Dr, Ste 508, Warminster, PA 18974Certificate of waiverOct 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
1977 Mesk6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1790636876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 LOUIS DR",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 LOUIS DR",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742830",
            "telephone_number": "610-744-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1977 MESK",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "OSADZE",
        "authorized_official_first_name": "ILONA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-744-1919",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProHealth Family Care & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warminster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.