Prospect Ccmc, LLC

Prospect Ccmc, LLC is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Chester, PA, holding Type 2 (organization) NPI 1154785848 since 2016. The authorized official on file is Robert Elders, Secretary.

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NPI	1154785848
Entity type	Organization (Type 2)
Legal business name	Prospect Ccmc, LLC
Practice address	1 MEDICAL CENTER BLVD, Chester, PA, 19013
Phone	6104472000
Fax	6109447662
Enumeration date	2016-04-08
Last updated in NPPES	2021-01-11

Authorized official

Name	Robert Elders
Title	Secretary
Phone	7147881249

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QA1903X	Ambulatory Surgical Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Prospect Ccmc, LLC
NPI: 1154785848
Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center)
Address: 1 MEDICAL CENTER BLVD, Chester, PA, 19013

Providers at this address

NPI	Name	Type	Specialty	Location
1841292828	Jialin Zhou	Individual	Anesthesiology Physician	Chester, PA
1649263443	Joel Krackow	Individual	Cardiovascular Disease Physician	Upland, PA
1437142817	Pal Radiation Oncology Associates Ltd	Organization	Radiation Oncology Physician	Upland, PA
1982697371	John Lamond	Individual	Radiation Oncology Physician	Upland, PA
1902890890	Richard Taxin	Individual	Diagnostic Radiology Physician	Upland, PA
1184618076	Irene Woo	Individual	Diagnostic Radiology Physician	Upland, PA
1700870789	Khozaim Nakhoda	Individual	Diagnostic Radiology Physician	Upland, PA
1790779684	Southeast Radiology Ltd	Organization	Diagnostic Radiology Physician	Chester, PA

Verify this record

Cross-check NPI 1154785848 against the authoritative CMS record: view Prospect Ccmc, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Prospect Ccmc, LLC located?

The practice location on file with NPPES is in Chester, PA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-01-11. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-01-11.