Dr. Larry Jonas
Surgery (Plastic and Reconstructive Surgery)

Address: 100 E Lancaster Ave, Ste 456, Wynnewood, PA 19096-3450
Phone: 6106499099

Dr. Larry Jonas (NPI# 1902860489) 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) 1902860489
Entity Type Individual
Full Name Dr. Larry Jonas
Credential M.D.
Gender Male
Practice Address 100 E Lancaster Ave
Ste 456
Wynnewood
PA 19096-3450
Practice Telephone 6106499099
Mailing Address 466 N Highland Ave
Merion Station
PA 19066-1746
Mailing Telephone 6106688780
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2006-04-13
Last Update Date 2013-01-31

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2086S0122X Surgery · Plastic and Reconstructive Surgery Allopathic & Osteopathic Physicians MD037397L PA

Other Providers LARRY JONAS

NPI Name Taxonomy Address Enumeration
1609164409 Larry A Jonas Physical Therapist 1630 Carl Ave, Baton Rouge, LA 70808-2970 2011-07-13

Physician Overview

NPI 1902860489
PAC ID by PECOS 5294814257
Professional Enrollment ID I20080502000312
Full Name Larry Jonas
Phone Number 6102965804
Gender M
Medical School UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE
Graduation Year 1976
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390153 PAOLI HOSPITAL
390195 MAIN LINE HOSPITAL LANKENAU

Office Location

Street Address 100 E LANCASTER AVE
STE 456
City WYNNEWOOD
State PA
Zip Code 19096-3450

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003819079 Robert D. Smink Jr. Surgery 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2005-05-24
1700343290 Peter Edward Cunnius Nurse Practitioner 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2019-02-21
1992261754 Rachel Sumfest Physician Assistant 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2019-02-18
1275098774 Drew Anthony Kopicki Student in an Organized Health Care Education/Training Program 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2019-02-08
1184188724 Sarah Katherine Purcell Occupational Therapy Assistant 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2019-01-28
1033682968 Melissa Diane Buchter Nurse Practitioner 100 E Lancaster Ave, Wynnewood, PA 19096 2019-01-03
1437622339 Denee Gable Nurse Practitioner 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2019-01-03
1821569922 Olga Laster Nurse Anesthetist, Certified Registered 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2018-12-16
1578032835 Brian Mccauley Nurse Anesthetist, Certified Registered 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2018-11-16
1558846519 Gregory Mcgaurn Physician Assistant 100 E Lancaster Ave, Wynnewood, PA 19096-3450 2018-09-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306355987 Karie Elizabeth Melton Social Worker 250 E Wynnewood Rd E12, Wynnewood, PA 19096 2017-09-26
1518320662 Kaitlyn Kennard Surgery 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 2016-04-05
1366814675 Linda Elkins Counselor 543 Haverford Rd, Wynnewood, PA 19096 2015-10-26
1619347655 Tessa Kovick Registered Nurse 100 E Lancaster Ave Ste 114, Wynnewood, PA 19096 2015-10-02
1922476415 Amy Lenrow Skilled Nursing Facility 1510 Powder Mill Lane, Wynnewood, PA 19096 2015-09-14
1144602855 Casey Dajao Internal Medicine 100 E Lancaster Ave Ste 140, Wynnewood, PA 19096 2015-06-18
1649666223 Benjamin Larson Internal Medicine 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 2015-04-10
1760873285 Kathleen Gilmartin Nurse Practitioner 100 East Lancaster Ave, Wynnewood, PA 19096 2015-02-06
1255777934 Kei Nagatomo Surgery 100 East Lancaster Avenue, Mob S Suite 422, Wynnewood, PA 19096 2013-05-21
1225380918 Aviva Sharon Gaskill Psychologist 308 East Lancast Ave, Suite 200, Wynnewood, PA 19096 2012-10-05
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861696320 Ryan Samuel Hoffman Surgery 100 E Lancaster Ave, Mobe #660, Wynnewood, PA 19096-3450 2007-06-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487029971 Philip Lipkin Surgery 233 S 6th St Apt 2101, Philadelphia, PA 19106-3756 2015-12-09
1134469992 Michael Alan Shafran Surgery 104 Pheasant Run Ste 123, Newtown, PA 18940-3413 2013-02-15
1477865566 Ralph W Hamilton Surgery 847 Willow Valley Lakes Dr, Willow Street, PA 17584-9040 2010-07-06
1649408162 Michael David Lado Surgery 1828 Ridgewood Rd, Orwigsburg, PA 17961-9525 2009-06-23
1245490515 Wellspan Medical Group Surgery 50 Wyntre Brooke Dr, York, PA 17403-4535 2008-06-11
1043423502 James William Slavin Surgery 8216 Cedar Rd., Elkins Park, PA 19027-2114 2007-05-08
1467679787 Amelia Arianne Pare Md PC Surgery 123 Hidden Valley Rd, Mc Murray, PA 15317-2603 2007-04-19
1063575561 Daniel R Nevarre Surgery 415 Napoleon Pl, Johnstown, PA 15901-2504 2006-12-18
1225115553 York Plastic Surgery Assoc Ltd Surgery 50 Wyntre Brooke Drive, York, PA 17403 2006-11-01
1164517702 Mark S. Boland D.o., F.a.c.o.s.,p.c. Surgery 840 Sir Thomas Court, Harrisburg, PA 17109-4839 2006-10-03
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Competitor

Search similar providers

City WYNNEWOOD
Zip Code 19096

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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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