MARYVILLE PULMONARY & SLEEP MEDICINE, LLC (NPI# 1053620765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053620765 |
| Entity Type | Organization |
| Organization Name | MARYVILLE PULMONARY & SLEEP MEDICINE, LLC |
| Practice Address |
5401 Old York Road Klein-suite 300 Philadelphia PA 19141-3030 |
| Mailing Address |
Po Box 5659 Maryville TN 37802-5659 |
| Practice Telephone | 2154566950 |
| Practice Fax Number | 2154561766 |
| Mailing Telephone | (865) 273-1752 |
| Mailing Fax Number | 8652731755 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | JABER M. MONLA-HASSAN (OWNER) |
| Authorized Official Telephone | 8659805100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
38341 | TN | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
38341 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD433403 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1520768 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 365 Bmh Physicians Office Bldg, Maryville, TN 378045820 | 8659805100 | 8659805105 |
| Street Address |
5401 OLD YORK ROAD KLEIN-SUITE 300 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619944626 | Jacqueline Bowers | Internal Medicine | 5401 Old York Road, Einstein Internal Medicine Associates/hospitalists, Philadelphia, PA 19141 | 2006-03-08 |
| 1326396151 | Joel Schifter | Student in an Organized Health Care Education/Training Program | 5401 Old York Road, Klein Suite 363, Philadelphia, PA 19141 | 2012-08-28 |
| 1073723755 | Albert Einstein Medical Center | Student in an Organized Health Care Education/Training Program | 5401 Old York Road, Suite 363, Philadelphia, PA 19141 | 2007-05-23 |
| 1467671396 | Anahid Kabasakalian | Psychiatry & Neurology | 5401 Old York Road, Klein Building, Suite 404, Philadelphia, PA 19141 | 2007-04-25 |
| 1679525372 | Einstein Practice Plan Inc | Internal Medicine | 5401 Old York Road, Klein 363, Philadelphia, PA 19141 | 2006-05-17 |
| 1013969690 | Einstein Practice Plan Inc | Internal Medicine | 5401 Old York Road, Suite 509, Philadelphia, PA 19141 | 2006-05-16 |
| 1407816366 | Richard A Menin | Internal Medicine | 5401 Old York Road, Klein, Suite 202, Philadelphia, PA 19141 | 2006-03-24 |
| 1053370395 | Yan Zhang | Psychiatry & Neurology | 5401 Old York Road, Suite 300, Philadelphia, PA 19141 | 2006-03-23 |
| 1376502617 | Mauricio Orrego | Internal Medicine | 5401 Old York Road, Klein Bldg Ste 509, Philadelphia, PA 19141 | 2006-03-23 |
| 1124097340 | Philip Katz | Internal Medicine | 5401 Old York Road, Klein, Suite 202, Philadelphia, PA 19141 | 2006-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700260163 | Richard Kenneth Murray | Internal Medicine | 809 N Mount Pleasant Rd, Philadelphia, PA 19119-3303 | 2015-07-16 |
| 1578850426 | Judith Kathleen Greenacre | Internal Medicine | 1810 Rittenhouse Sq Apt 708, Philadelphia, PA 19103-5813 | 2011-06-29 |
| 1780889345 | Mohammad A. Sayeed, M.d. | Internal Medicine | 1633 W Girard Ave, Philadelphia, PA 19130-1614 | 2007-06-15 |
| 1942211198 | Jesse Roman | Internal Medicine | 834 Walnut St Ste 650, Philadelphia, PA 19107-5109 | 2006-08-11 |
| 1689600504 | Maria Antoniou | Internal Medicine | 3624 Market St, 2nd Floor, Philadelphia, PA 19104-2614 | 2006-06-23 |
| 1952358509 | Anita Genny Ko | Internal Medicine | 10 Shurs Ln, Philadelphia, PA 19127-2123 | 2006-05-28 |
| 1376515965 | Maria Mercedes Crespo | Internal Medicine | 3400 Civic Center Blvd Fl 1, Philadelphia, PA 19104-5161 | 2006-02-07 |
| 1700863628 | Michael Baram | Internal Medicine | 834 Walnut Street Suite 650, Philadelphia, PA 19107-5595 | 2005-12-30 |
| 1740278704 | Namrata Patel | Internal Medicine | 3600 Spruce St, 8th Floor, Philadelphia, PA 19104 | 2005-10-12 |
| 1396746764 | Frank D Caporusso | Internal Medicine | 1843 S Broad St, Philadelphia, PA 19148-2115 | 2005-08-09 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
Please comment or provide details below to improve the information on MARYVILLE PULMONARY & SLEEP MEDICINE, LLC.
| 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.