TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (NPI# 1023373511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023373511 |
| Entity Type | Organization |
| Organization Name | TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA |
| Practice Address |
3400 Spruce St Ground Floor Donner Philadelphia PA 19104-4206 |
| Mailing Address |
3624 Market St Suite 560w Philadelphia PA 19104-2614 |
| Practice Telephone | 2156626698 |
| Practice Fax Number | 2156623953 |
| Mailing Telephone | 2156622286 |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |
| Authorized Official Name | ELIZABETH JOHNSTON (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2156627583 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | PA | Allopathic & Osteopathic Physicians | |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366835910 | Trustees of The University of Pennsylvania | Pharmacy | 3400 Civic Center Blvd # 101w, Philadelphia, PA 19104-5127 | 2015-03-06 |
| 1538210380 | Trustees of The University of Pennsylvania | PACE Provider Organization | 4101 Woodland Ave, Philadelphia, PA 19104-4510 | 2007-01-16 |
| 1629128814 | Trustees of The University of Pennsylvania | Dentist | 240 South 40th Street, Philadelphia, PA 19104-6003 | 2007-01-11 |
| 1922029982 | Trustees of The University of Pennsylvania | Pharmacy | 145 King of Prussia Rd Ste 109n, Radnor, PA 19087-4557 | 2006-07-22 |
| 1992788350 | Trustees of The University of Pennsylvania | Durable Medical Equipment & Medical Supplies | 625 Clark Ave, Suite 10, King of Prussia, PA 19406-1438 | 2005-11-21 |
| 1659829877 | Trustees of The University of Pennsylvania | Pharmacy | 1001 Chesterbrook Blvd, 1st Floor, Berwyn, PA 19312-3805 | 2016-09-16 |
| 1740411651 | Trustees of The University of Pennsylvania | Family Medicine | 3535 Market St, Ste 100, Philadelphia, PA 19104-3309 | 2009-07-28 |
| 1972780419 | Trustees of The University of Pennsylvania | Pharmacy | 3400 Spruce St, Ravdin 1, Philadelphia, PA 19104-4238 | 2008-01-28 |
| 1457568883 | Trustees of The University of Pennsylvania | Clinical Medical Laboratory | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2007-05-16 |
| 1720107303 | Trustees of The University of Pennsylvania | Surgery | 3400 Spruce St, 4th Floor Silverstein, Philadelphia, PA 19104-4206 | 2007-03-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA | 3451 Walnut Street, Philadelphia, PA 19104 |
| Street Address |
3400 SPRUCE ST GROUND FLOOR DONNER |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415966 | Samuel Isaiah Parry | Obstetrics & Gynecology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2005-05-24 |
| 1831790609 | Renate Marie Balitzky | Registered Nurse | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-11-06 |
| 1053911156 | Jordan Charles Templeton | Physician Assistant | 3400 Spruce St, Philadelphia, PA 19104-4274 | 2020-10-28 |
| 1992305304 | Alyssa N Volpe | Registered Nurse | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-27 |
| 1700486115 | Christina Haddow | Registered Nurse | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-27 |
| 1629677497 | Marissa Leigh Berlant | Physician Assistant | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-22 |
| 1811595523 | Kristen Gilgen | Anesthesiology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-14 |
| 1962014654 | Stacey Pham | Nurse Practitioner | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-08-23 |
| 1265040109 | Abdullah T Almuqate | Pathology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-07-16 |
| 1952928541 | Stefen Andrianus | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477711190 | Brian J Clohessy | Emergency Medicine | Red Lion and Knights Road, Frankford Hospital, Philadelphia, PA 19114 | 2008-05-29 |
| 1720272818 | Maggie Beams | Emergency Medicine | 1218 Walnut St Apt 1003, Philadelphia, PA 19107-5446 | 2007-08-31 |
| 1114525367 | Madison Brannon | Emergency Medicine | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-10 |
| 1114542263 | Sean Paul Paul Schlosser | Emergency Medicine | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-06-15 |
| 1164915682 | Matthew Berger | Emergency Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-06-09 |
| 1447789565 | Jackie Mae Anderson | Emergency Medicine | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2017-06-12 |
| 1710367974 | Jean-gabriel Coignet | Emergency Medicine | 5501 Old York Rd Ste 1, Philadelphia, PA 19141-3098 | 2015-06-03 |
| 1619315090 | Emily M Hatke | Emergency Medicine | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2013-06-07 |
| 1093095887 | Matthew William Hammond | Emergency Medicine | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2011-08-24 |
| 1801183678 | Carl Alec Alsup | Emergency Medicine | 1020 Sansom St Ste 239, Thompson Building, Philadelphia, PA 19107-5002 | 2011-06-30 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA.
| 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.