Theresa Korneluk Reilly
Ophthalmology

Address: 2418 E Allegheny Ave, Philadelphia, PA 19134-4403
Phone: 2156346660

Theresa Korneluk Reilly (NPI# 1700828472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1700828472
Entity Type Individual
Full Name Theresa Korneluk Reilly
Credential M.D.
Gender Female
Practice Address 2418 E Allegheny Ave
Philadelphia
PA 19134-4403
Practice Telephone 2156346660
Practice Fax Number 2157396777
Mailing Address 2418 E Allegheny Ave
Philadelphia
PA 19134-4403
Mailing Telephone 2156346660
Mailing Fax Number 2157396777
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2006-06-10
Last Update Date 2010-06-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207W00000X Ophthalmology Allopathic & Osteopathic Physicians 020803E PA

Other Provider Identifier

State Identifier Issuer Type Code
PA 0842013 MEDICAID

Other Providers THERESA REILLY

NPI Name Taxonomy Address Enumeration
1902316565 Theresa Ann Reilly Nurse Practitioner 39 Toronto Dr, Brick, NJ 08723-7531 2017-10-09
1154558435 Theresa Marie Reilly Speech-Language Pathologist 8460 Parsons Blvd, Jamaica, NY 11432-2544 2009-06-15

Physician Overview

NPI 1700828472
PAC ID by PECOS 9830220284
Professional Enrollment ID I20100629000037
Full Name Theresa Korneluk Reilly
Phone Number 2156346660
Gender F
Medical School JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year 1977
Primary Specialty OPHTHALMOLOGY
Accepts Medicare Assignment Y
Report Quality Measures Y

Office Location

Street Address 2418 E ALLEGHENY AVE
City PHILADELPHIA
State PA
Zip Code 19134-4403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831377746 Theresa K. Reilly Md Opt Ophthalmology 2418 E Allegheny Ave, Philadelphia, PA 19134-4403 2008-02-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053881672 Ana Y Almanzar Psychologist 3513 North Water Street, Philadelphia, PA 19134 2018-11-27
1861974206 Stephanie C Curtis Registered Nurse St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 2018-09-01
1720566227 Alif Home Health Care Inc In Home Supportive Care 2334 E Allegheny Ave, Philadelphia, PA 19134 2018-08-06
1700371978 Kristi Motyka Nurse Practitioner 160 E Erie Ave # 21542, Philadelphia, PA 19134 2018-06-28
1700370178 Natalie Martinez Case Manager/Care Coordinator 3528 I St Ste 1, Philadelphia, PA 19134 2018-06-19
1205352309 Personal Injury Clinic PC Chiropractor 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 2017-08-21
1306376280 Port Richmond Counseling Practices Clinic/Center 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 2017-06-14
1760864441 Jason Roy Toews Pediatrics 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 2015-06-18
1376933291 David Tanney Yusavitz Nurse Practitioner 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 2015-01-30
1215346960 Emily Newell Dietitian, Registered 3635 N. Front St., Nelson Pavilion, St. Chris Gastroenterology, Philadelphia, PA 19134 2014-08-07
Find all providers in zip 19134

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285188383 Imran Jivraj Ophthalmology 3737 Chestnut St, Apt 809, Philadelphia, PA 19104-7702 2016-08-08
1144604380 Uriel Schechter Ophthalmology 7834 Oxford Ave, Philadelphia, PA 19111-2219 2015-07-17
1235557166 Maximilian R. Padilla Ophthalmology 840 Walnut St Ste 910, Philadelphia, PA 19107 2014-03-28
1376981894 Robert Joel Welch Ophthalmology 840 Walnut St Ste 1440, Philadelphia, PA 19107-5109 2013-06-06
1548605231 Avni Umesh Badami Ophthalmology 51 N 39th St Ste 515, Philadelphia, PA 19104-2640 2013-05-08
1871836577 Natasha Nayak Kolomeyer Ophthalmology 840 Walnut St Ste 1110, Philadelphia, PA 19107-5109 2013-04-01
1447509807 William Alan Raich Ophthalmology 210 Locust St, Apt. 19ab, Philadelphia, PA 19106-3934 2012-08-31
1780955575 Collazo Ophthalmology & Optometry Ophthalmology 4231 N 5th St, Philadelphia, PA 19140-2602 2012-01-25
1053614453 Philip Storey Ophthalmology 840 Walnut St Ste 1020, Philadelphia, PA 19107-5109 2010-12-07
1114247343 Hilary Smolen Brader Ophthalmology 125 S 9th St Ste 400, Philadelphia, PA 19107 2010-06-10
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19134

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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