Professional Providers Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PROFESSIONAL PROVIDERS INC

Doing business as

Whiteland Medical Associates for Progressive Health

Practice address

119 E Uwchlan Ave
Suite 201
Exton, PA 19341-1206

Phone

(610) 363-1995

Fax

(610) 363-1995

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Martin Leboutillier III, MD

Title

Physician

Phone

(610) 738-8016

Specialties & licenses 1

Addresses

Other names 1

• Whiteland Medical Associates for Progressive Health Doing business as

Locations

Practitioners 1

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

• Charles P McClure, MD

  • Family Medicine Physician
  • West Chester, PA
  • NPI 1619941580
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1821039132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 W CHESTER PIKE",
            "address_2": "SUITE 409",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825657",
            "telephone_number": "610-738-8016",
            "fax_number": "610-918-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E UWCHLAN AVE",
            "address_2": "SUITE 201",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411206",
            "telephone_number": "610-363-1995",
            "fax_number": "610-363-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PROVIDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "LEBOUTILLIER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "610-738-8016",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whiteland Medical Associates for Progressive Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Orthopaedic and Sports Medicine Associates, LTD
• Premier Orthopaedic and Sports Medicine Associates, LTD
• Premier Orthopaedic and Sports Medicine Associates, LTD.
• Jamie Price
• Trichia Tamica Prince, LSW
• Promedica Senior Care of Exton PA, LLC
• Sriharsha Pulakurthi
• Carol A Pusey, LPC CADC CCDP-D
• Joseph Michael Pyne Jr., PTA
• Q Corp Surgery Center Inc

• Internal Medicine Physician in Exton, PA
• Providers in Exton, 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 Oct 1, 2012; 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.