HEALTHMARK, INCORPORATED (NPI# 1023132867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023132867 |
| Entity Type | Organization |
| Organization Name | HEALTHMARK, INCORPORATED |
| Practice Address |
1 Crescent Dr. Navy Yard Suite 100 Philadelphia PA 19112 |
| Mailing Address |
1crescent Dr. Navy Yard Suite 100 Philadelphia PA 19112 |
| Practice Telephone | 2159529900 |
| Practice Fax Number | 2159529977 |
| Mailing Telephone | 2159529900 |
| Mailing Fax Number | 2159529977 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DIANE WILDERMUTH (DIRECTOR) |
| Authorized Official Telephone | 2159529900 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
MD058825L | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PHYSICIAN ASSISTANT | 72118 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HEALTHMARK, INCORPORATED | One Crescent Dr Ste 100, Philadelphia, PA 19112-1015 |
| Street Address |
1 CRESCENT DR. NAVY YARD SUITE 100 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265950802 | M&m Surgical Center PC | Clinic/Center | 1 Crescent Dr. Suite 300, Philadelphia, PA 19112 | 2017-09-05 |
| 1710114293 | Riverview Surgery Center At The Navy Yard Lp | Clinic/Center | Three Crescent Drive, Navy Yard Corporate Center, Philadelphia, PA 19112 | 2009-06-11 |
| 1023136942 | Susan Elizabeth Fredericks | Physician Assistant | 1 Crescent Drive Suite 100, Navy Yard Corporate Center, Philadelphia, PA 19112 | 2007-03-27 |
| 1932526258 | Anne Catherine Kane | Otolaryngology | 3 Crescent Dr, Philadelphia, PA 19112 | 2014-03-25 |
| 1255539896 | Sheldon Gottlieb | Physical Medicine & Rehabilitation | 1 Crescent Dr, Suite 100, Philadelphia, PA 19112 | 2007-07-05 |
| 1407074750 | Jennifer L Johansen | Pharmacist | 5 Crescent Dr, Ny0200, Philadelphia, PA 19112-1001 | 2007-04-23 |
| 1679981708 | Andrew Trofa | Internal Medicine | 5 Crescent Dr, Ny 0300, Philadelphia, PA 19112-1001 | 2014-08-01 |
| 1508029463 | Robert Williams Carr | Preventive Medicine | 5 Crescent Dr, Ny 0300, Philadelphia, PA 19112-1001 | 2008-07-09 |
| 1952947152 | Navy Yard Dental Associates, Pllc | Dentist | 1 Crescent Dr Ste 300, Philadelphia, PA 19112-1015 | 2019-11-22 |
| 1174502157 | Francis S Matarazzo | Dentist | 1 Crescent Dr, Suite 300, Philadelphia, PA 19112-1015 | 2006-01-10 |
| Find all providers in zip 19112 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
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| 1720299654 | Carthage Area Hospital Inc. | Clinic/Center | 32787 Us Route 11, Philadelphia, NY 13673 | 2007-05-24 |
| 1710393871 | Concorde, Inc. | Clinic/Center | 1835 Market St, 12th Floor, Philadelphia, PA 19103-2994 | 2014-07-09 |
| 1013017219 | R & B Medical Management, Inc | Clinic/Center | 2301 E Allegheny Ave, Northeastern Hospital, Philadelphia, PA 19134-4427 | 2006-09-25 |
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|---|---|---|---|---|
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| 1578090577 | Occupational Health Center of The Southwest, P.a. | Clinic/Center | 1480 Manheim Pike, Lancaster, PA 17601-3152 | 2017-05-22 |
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| 1336579911 | Sentier LLC | Clinic/Center | 179 Forsythia Dr N, Levittown, PA 19056-1935 | 2013-11-19 |
| 1174776876 | Dominion Therapy Services, LLC | Clinic/Center | 122 Crabapple Ln, Ligonier, PA 15658-3602 | 2008-10-28 |
| 1538320270 | St Clair Medical Services | Clinic/Center | 2000 Oxford Driv, Suite 110, Pittsburgh, PA 15102 | 2008-06-24 |
| 1295995298 | Bechtel Bettis, Inc. | Clinic/Center | 814 Pittsburgh Mckeesport Blvd, West Mifflin, PA 15122-2849 | 2008-06-12 |
| 1073731014 | Med Center 100 | Clinic/Center | 625 N. Pottstown Pike, Exton, PA 19341 | 2007-04-23 |
| 1598838328 | Pro Care Health Systems Inc | Clinic/Center | 300 E. Plank Rd, Altoona, PA 16602-4154 | 2006-11-17 |
| 1396835534 | Apple Occupational Heatlh Services, Inc. | Clinic/Center | 501 Jamison Avenue, Ellwood City, PA 16117 | 2006-10-16 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19112 |
Please comment or provide details below to improve the information on HEALTHMARK, INCORPORATED.
| 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.