1285693507 NPI number — DR. JOYANN ALLISON KROSER M.D.

Table of content: DR. JOYANN ALLISON KROSER M.D. (NPI 1285693507)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285693507 NPI number — DR. JOYANN ALLISON KROSER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KROSER
Provider First Name:
JOYANN
Provider Middle Name:
ALLISON
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285693507
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/05/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 EVERGREEN DR STE 26
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GLEN MILLS
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19342-1032
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-619-7475
Provider Business Mailing Address Fax Number:
610-619-7477

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 EVERGREEN DR STE 26
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLEN MILLS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19342-1032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-619-7475
Provider Business Practice Location Address Fax Number:
610-619-7477
Provider Enumeration Date:
03/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  MD048015L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01571597-07 . This is a "AMERICHOICE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1005328 . This is a "KEYSTONE MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 170125 . This is a "PERSONAL CHOICE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 33676MD048015L . This is a "HEALTH PARTNERS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 3Y1712 . This is a "PHS HEALTH NET" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 319407 . This is a "AETNA USHC SCP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0278295000 . This is a "KEYSTONE HPE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1571597 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: KR170125 . This is a "BLUE SHIELD/PA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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