TEMPLE FACULTY PRACTICE PLAN, INC (NPI# 1023591781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023591781 |
| Entity Type | Organization |
| Organization Name | TEMPLE FACULTY PRACTICE PLAN, INC |
| Other Organization Name | TEMPLE FACULTY OTORHINOLOGY ASSOCIATES |
| Practice Address |
3509 N Broad St Philadelphia PA 19140-4105 |
| Mailing Address |
2450 W Hunting Park Ave Philadelphia PA 19129-1302 |
| Practice Telephone | 2157073663 |
| Practice Fax Number | 2157076417 |
| Mailing Telephone | 2157073663 |
| Mailing Fax Number | 2157076417 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Authorized Official Name | TONYA WOODARD (DIRECTOR REVENUE CYCLE) |
| Authorized Official Telephone | 2157073911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Temple Faculty Otorhinology Associates | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1077 Rydal Rd, Meadowbrook, PA 190461712 | 2157073663 | 2158854849 |
| 515 Pennsylvania Ave, Fort Washington, PA 190343314 | 2157073663 | 2156411664 |
| 7604 Central Ave, Philadelphia, PA 191112433 | 2157073663 | 2157077871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849656 | Temple Faculty Practice Plan, Inc | Radiology | 41922 N Mill Dr, Magnolia, TX 77354-1850 | 2020-04-06 |
| 1316573124 | Temple Faculty Practice Plan, Inc | Family Medicine | 1316 W Ontario St, Philadelphia, PA 19140-5220 | 2020-03-13 |
| 1609412279 | Temple Faculty Practice Plan, Inc | Case Manager/Care Coordinator | 1316 W Ontario St, Philadelphia, PA 19140-5220 | 2019-11-19 |
| 1194361766 | Temple Faculty Practice Plan, Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2019-11-19 |
| 1790346187 | Temple Faculty Practice Plan, Inc | Clinic/Center | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2019-06-26 |
| 1871067116 | Temple Faculty Practice Plan, Inc | Obstetrics & Gynecology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2019-01-21 |
| 1891278933 | Temple Faculty Practice Plan, Inc | Speech-Language Pathologist | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-14 |
| 1396228508 | Temple Faculty Practice Plan, Inc | Surgery | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-13 |
| 1992288112 | Temple Faculty Practice Plan, Inc | Urology | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-13 |
| 1467935825 | Temple Faculty Practice Plan, Inc | Physical Medicine & Rehabilitation | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-12 |
| Street Address |
3509 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669466793 | Riyaz Bashir | Internal Medicine | 3509 N Broad St, Philadelphia, PA 19140-5103 | 2005-09-05 |
| 1750841151 | Chloe Beiler | Physician Assistant | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2019-03-21 |
| 1770068041 | Chirantan Vinodbhai Mangukia | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-10-02 |
| 1891278933 | Temple Faculty Practice Plan, Inc | Speech-Language Pathologist | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-14 |
| 1396228508 | Temple Faculty Practice Plan, Inc | Surgery | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-13 |
| 1992288112 | Temple Faculty Practice Plan, Inc | Urology | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-13 |
| 1154804839 | Temple Faculty Practice Plan, Inc | Physical Therapist | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-10 |
| 1902389646 | Temple Faculty Practice Plan, Inc | Neurological Surgery | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-10 |
| 1245713908 | Temple Faculty Practice Plan, Inc | Orthopaedic Surgery | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-10 |
| 1093298887 | Temple Faculty Practice Plan, Inc | Psychiatry & Neurology | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
| 1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
| 1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
| 1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
| 1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
| 1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
| Find all providers in zip 19140 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.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 Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790278372 | Vishaal Patel | Otolaryngology | 3440 N Broad St # 300, Philadelphia, PA 19140-5104 | 2018-06-08 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1912313792 | Julie Paige Shtraks | Otolaryngology | 205 N Broad St Ste 401, Philadelphia, PA 19107-1553 | 2014-07-01 |
| 1639585417 | Steven A Zuniga Jr. | Otolaryngology | 2201 Pennsylvania Ave Apt 111, Philadelphia, PA 19130-3512 | 2014-07-01 |
| 1952711574 | Anne Morgan Selleck | Otolaryngology | 145 S 13th St Apt 705, Philadelphia, PA 19107-4930 | 2014-05-05 |
| 1245659911 | Kirkland N Lozada | Otolaryngology | 3737 Market St Fl 3, Philadelphia, PA 19104-5545 | 2014-04-10 |
| 1225311798 | Amanda Chia-ming Hu | Otolaryngology | 219 N Broad St Fl 10, Philadelphia Ear Nose & Throat Associates, Philadelphia, PA 19107-1506 | 2011-09-21 |
| 1942471131 | A J Woodring Md Associates | Otolaryngology | 1841 S 15th St, Philadelphia, PA 19145-2301 | 2008-03-17 |
| 1811007487 | Ent R Net Pa | Otolaryngology | 4190 City Line Avenue, Suite 526, Philadelphia, PA 19131-1635 | 2006-08-30 |
| 1750315388 | Edward B Gaynor | Otolaryngology | 1500 North 39th Street, Philadelphia, PA 19104 | 2006-07-10 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
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| 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.