DR. HEATHER MCKEAG (NPI# 1053576462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053576462 |
| Entity Type | Individual |
| Full Name | DR. HEATHER MCKEAG |
| Credential | MD |
| Practice Address |
34th and Civic Center Blvd General Pediatrics, 12nw83 Philadelphia PA 19103 |
| Practice Telephone | 2155901000 |
| Mailing Telephone | 2155901000 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2009-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD437752 | PA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | A102493 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
34TH AND CIVIC CENTER BLVD GENERAL PEDIATRICS, 12NW83 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921457 | Childrens Hospital of Philadelphia | Clinic/Center | 34th and Civic Center Blvd, Parc Business Svcs, Philadelphia, PA 19104-4306 | 2005-09-02 |
| 1013376995 | Shawnese Duren | Nurse Practitioner | 34th and Civic Center Blvd, Office # 6w58, Philadelphia, PA 19104 | 2016-02-19 |
| 1003212002 | Donna M Mcdonald-mcginn | Genetic Counselor, MS | 34th and Civic Center Blvd, Rm 8c05, Philadelphia, PA 19104 | 2014-11-18 |
| 1134567860 | Matthew Stevenson | Social Worker | 34th and Civic Center Blvd, Philadelphia, PA 19104 | 2013-06-04 |
| 1144598459 | Iris Paltin | Clinical Neuropsychologist | 34th and Civic Center Blvd, Philadelphia, PA 19104 | 2011-12-01 |
| 1508134818 | Leanne Magee | Psychologist | 34th and Civic Center Blvd, Philadelphia, PA 19104 | 2011-12-01 |
| 1871861187 | Kimberly Miller | Psychologist | 34th and Civic Center Blvd, Philadelphia, PA 19104 | 2011-12-01 |
| 1386920981 | Scott William Crothamel | Nurse Practitioner | 34th and Civic Center Blvd, General Surgery 5th Fl Wood Bldg, Philadelphia, PA 19104 | 2011-10-26 |
| 1336424514 | Kathryn Ammon | Nurse Practitioner | 34th and Civic Center Blvd, 1 Wood Center, Philadelphia, PA 19104 | 2011-10-19 |
| 1487967139 | Jennifer Diane Schonour | Nurse Practitioner | 34th and Civic Center Blvd, Division of Neonatology, Philadelphia, PA 19104 | 2010-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565431 | Allyson Caputa | Behavior Technician | 100 North 18th Street, Suite 300, Philadelphia, PA 19103 | 2020-10-13 |
| 1063062685 | Sarah Seeling | Social Worker | 255 South 17th Street Suite 1010, Suite 1500, Suite 23, Philadelphia, PA 19103 | 2019-09-16 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1932761863 | Barclay Prescription Pharmacy | Pharmacist | 1736 Spruce St, Phila, PA 19103 | 2019-07-01 |
| 1265910459 | Whitney Sue Fricke | Counselor | 2211 Locust St, Philadelphia, PA 19103 | 2018-07-31 |
| 1740784586 | Sara Elizabeth Macintyre | Speech-Language Pathologist | 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 | 2018-03-19 |
| 1326578907 | Danielle D Bercovitch | Speech-Language Pathologist | 1930 S Broad, Philadelphia, PA 19103 | 2017-06-15 |
| 1598114449 | Brooke Elaine Mullen | Dietitian, Registered | 1708 Pine St Apt 1r, Philadelphia, PA 19103 | 2016-06-10 |
| 1972966026 | Alexandra Brady Jatzke | Dietitian, Registered | 1835 Market St Fl 2, Philadelphia, PA 19103 | 2016-04-05 |
| 1932574118 | David Clements Iv | Psychiatry & Neurology | 1845 Walnut St Ste 1540, Philadelphia, PA 19103 | 2015-12-14 |
| Find all providers in zip 19103 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1447818729 | Elizabeth Edmondston Tarr | Pediatrics | 3401 Civic Center Blvd Fl 9nw55, Philadelphia, PA 19104-4319 | 2019-06-03 |
| 1245799337 | Jerry Martin Kaplan | Pediatrics | 2421 Fairmount Ave, Philadelphia, PA 19130-2517 | 2019-03-18 |
| 1992299861 | Gayathri Prabhakar | Pediatrics | 3401 Civic Center Blvd 9nw, Rm 55, Philadelphia, PA 19104-4319 | 2018-06-14 |
| 1992298004 | Daniel Rappoport | Pediatrics | 3401 Civic Center Boulevard, 9nw, Room 55, Philadelphia, PA 19104-4399 | 2018-06-13 |
| 1376069567 | Childrens Hospital of Philadelphia | Pediatrics | 3401 Civic Center Blvd Fl 4, Philadelphia, PA 19104-4319 | 2017-08-18 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1891225694 | Joshua Hruby Sperling | Pediatrics | 3401 Civic Center Boulevard 9nw, Room 55, The Children's Hospital of Philadelphia, Philadelphia, PA 19104-4399 | 2017-06-14 |
| 1124558911 | Salvatore Charles Rametta | Pediatrics | 3401 Civic Center Boulevard Building 9nw Room 55, Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2017-06-14 |
| 1922536952 | Alyssa Coffin | Pediatrics | 3401 Civic Center Blvd Fl 9nw, Philadelphia, PA 19104-4319 | 2017-06-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19103 |
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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.