UNIVERSITY OF PENN - MEDICAL GROUP (NPI# 1053447151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053447151 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF PENN - MEDICAL GROUP |
| Practice Address |
3400 Spruce St Philadelphia PA 19104-4206 |
| Mailing Address |
3600 Civic Center Blvd # 300e Philadelphia PA 19104-4310 |
| Practice Telephone | 2156624000 |
| Mailing Telephone | 2156622286 |
| Mailing Fax Number | 2156150500 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-01-31 |
| Authorized Official Name | ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2156627583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HEALTHPARTNERS | 06638 | 01 |
| PA | RAILROAD | CA0235 | 01 |
| PA | HEALTHNET | 0002Y20116 | 01 |
| PA | 0006610360 | 05 | |
| PA | AETNA | 003473 | 01 |
| PA | KEYSTONE MERCY | 40063 | 01 |
| NJ | 5543509 | 05 | |
| PA | KEYSTONE | 0053945000 | 01 |
| PA | BLUE SHIELD | 147249 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720553001 | University of Penn - Medical Group | Internal Medicine | 4923 Stanton Ogletown Rd, Newark, DE 19713-2081 | 2018-10-12 |
| 1114481504 | University of Penn - Medical Group | Clinic/Center | 1800 Lombard St Ste 206, Philadelphia, PA 19146-1414 | 2019-01-30 |
| 1194829739 | University of Penn - Medical Group | Psychologist | 3400 Spruce St, 11 Gates, Philadelphia, PA 19104-4206 | 2006-09-12 |
| 1659488351 | University of Penn - Medical Group | Allergy & Immunology | 3737 Market St, 3rd Floor, Philadelphia, PA 19104-5545 | 2006-08-25 |
| 1568579266 | University of Penn - Medical Group | Internal Medicine | 3400 Spruce St, 1 Maloney, Philadelphia, PA 19104-4206 | 2006-08-25 |
| 1477660173 | University of Penn - Medical Group | Internal Medicine | 3400 Spruce St, 3 Dulles Building, Philadelphia, PA 19104-4206 | 2006-08-25 |
| 1003923707 | University of Penn - Medical Group | Internal Medicine | 3400 Spruce St, 3 Ravdin, Suite F, Pulmonary & Critical Care, Philadelphia, PA 19104-4206 | 2006-08-25 |
| 1912014614 | University of Penn - Medical Group | Internal Medicine | 3400 Spruce St, One Maloney, Philadelphia, PA 19104-4206 | 2006-08-25 |
| 1629181912 | University of Penn - Medical Group | Internal Medicine | 3400 Spruce St, 210 White Building, Philadelphia, PA 19104-4206 | 2006-08-17 |
| 1497767495 | University of Penn - Medical Group | Internal Medicine | 3615 Chestnut St, Ralston-penn Center, Philadelphia, PA 19104-2612 | 2006-08-12 |
| Street Address |
3400 SPRUCE ST |
| 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659736320 | Katherine Gelinne | Hospitalist | 3400 Spruce St # 5023, Philadelphia, PA 19104-4238 | 2015-12-23 |
| 1063731354 | Masood Ahmed | Hospitalist | 10800 Kights Rd, Philadelphia, PA 19114 | 2010-05-26 |
| 1992952253 | Nimesh Patel, Md LLC | Hospitalist | 837 N 2nd St, Unit 301, Philadelphia, PA 19123-3030 | 2008-08-19 |
| 1932219052 | Kindred Hospitals East LLC | Hospitalist | 6129 Palmetto St, Philadelphia, PA 19111-5729 | 2006-08-30 |
| 1740824259 | Stc Pediatrics LLC | Hospitalist | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
| 1225566987 | Sarah Anne Case | Hospitalist | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2017-05-25 |
| 1962938035 | Carli Julia Peters | Hospitalist | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2017-05-10 |
| 1841725777 | Kevon Hatamian | Hospitalist | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2017-04-28 |
| 1770015349 | William Franklin Lewis | Hospitalist | 3400 Spruce St, 5 Maloney, Philadelphia, PA 19104 | 2017-04-01 |
| 1689024143 | Surjeet Singh Dheer | Hospitalist | 501 S 54th St, Philadelphia, PA 19143-1900 | 2016-06-15 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.