MEDICARE: EAST NORRITON PHYSICIANS SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0019374	OTHER	PA	AUSHC HMO
2	586245	OTHER	PA	HIGHMARK BLUE SHIELD
3	4646217	OTHER	PA	AUSHC PPO
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	022	OTHER	PA	TRICARE
6	0410118005	OTHER	PA	KHPE
7	202264007	OTHER	PA	OWCP
8	482	OTHER	PA	AUSHC OFFICE NUMBER
9	30027057	OTHER	PA	KMHP

General Provider Information

NPI Number	:	1588657548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST NORRITON PHYSICIANS SERVICES

Provider Business Mailing Address
First Line	:	1 W ELM ST
Second Line	:	SUITE 100
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-2007
Country	:	US
Telephone Number	:	610-567-6967
Fax Number	:	610-567-6955

Provider Business Practice Location Address
First Line	:	305 2ND AVE
Second Line	:	SUITE 210
City	:	COLLEGEVILLE
State	:	PA
Zip	:	19426-2658
Country	:	US
Telephone Number	:	610-489-2721
Fax Number	:	610-489-1005

Authorized Official
Title or Position	:	CFO
Name	:	PETER B KENNIFF
Credential	:
Telephone Number	:	610-567-6967

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	04/26/2011

Similar Medicare Providers

1275512121 — DR. ANTONIO CARMONA FERNANDO DC
Practice Location Address:

305 2ND AVE
COLLEGEVILLE, PA
19426-2658

Practice Phone: 610-831-8086
Practice Fax: 610-831-8087

1497856561 — DR. SUJANA REDDY KURRI YERRAM M.D.
Practice Location Address:

305 SECOND AVE
COLLEGEVILLE, PA
19426-2658

Practice Phone: 484-961-8220
Practice Fax: 610-327-4432

1336626498 — DR. UKPERE DANIEL NIMTOR MD; MSN
Practice Location Address:

305 SECOND AVE
COLLEGEVILLE, PA
19426-2658

Practice Phone: 485-902-8130
Practice Fax:

1750905022 — MEDIHA BASHIR CHAUDHRY DO
Practice Location Address:

305 SECOND AVE
COLLEGEVILLE, PA
19426-2658

Practice Phone: 484-961-8220
Practice Fax:

1700883410 — DR. DALE ROBERT GROTHE PHARM.D., RP.H.
Practice Location Address:

14 MARSHWOOD DR
COLLEGEVILLE, PA
19426-3857

Practice Phone: 610-831-5432
Practice Fax:

1073512968 — NOVACARE OUTPATIENT REHABILITATION EAST INC
Practice Location Address:

201 SECOND AVE
COLLEGEVILLE, PA
19426-3613

Practice Phone: 610-489-7703
Practice Fax: 610-489-7793

Directions to “EAST NORRITON PHYSICIANS SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.