MARY OSBAKKEN


Address: 29 W Walnut Ln, Philadelphia, PA 19144-2609
Phone: 2158445067

MARY OSBAKKEN (NPI# 1053736611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053736611
Entity Type Individual
Full Name MARY OSBAKKEN
Credential M.D.
Practice Address 29 W Walnut Ln
Philadelphia
PA 19144-2609
Practice Telephone 2158445067
Practice Fax Number 2158445067
Mailing Telephone 2158445067
Mailing Fax Number 2158445067
Enumeration Date 2014-02-19
Last Update Date 2014-02-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
MD018218E PA Allopathic & Osteopathic Physicians

Office Location

Street Address 29 W WALNUT LN
City PHILADELPHIA
State PA
Zip Code 19144-2609

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1366724585 Rasidah Campbell Pharmacist 5627 Germantown Avenue, Walgreens Pharmacy, Philadelphia, PA 19144 2011-09-14
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780198754 William Sigmund Internal Medicine 608 Spruce St, Philadelphia, PA 19106-4114 2017-11-28
1982128690 Mercy Management of Sepa Internal Medicine 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 2017-08-03
1346651130 Chukwunweike Nwosu Internal Medicine 219 North Broad Street, Arnold T Berman Building, Philadelphia, PA 19107-3720 2014-05-14
1275969131 Vohra Post Acute Care Physicians of The Northeast Pa Internal Medicine 8400 Bustleton Ave Ste 9, Philadelphia, PA 19152-1918 2013-09-23
1194169730 Edward Sawyer Cooper Internal Medicine 6710 Lincoln Drive, Philadelphia, PA 19119 2013-04-25
1720322969 Robert Alan Keisman Internal Medicine 300 Spring Garden St, Philadelphia, PA 19123-2932 2012-11-10
1497058390 Urban Health Initiatives, Inc. Internal Medicine 1408 S. Broad Street, Philadelphia, PA 19146-4808 2010-12-15
1104133354 Rajendra N Seth Md Associates Internal Medicine 5901 Summerdale Ave, Philadelphia, PA 19149-3626 2010-09-09
1194040436 Paul Nicolas Fiorilli Internal Medicine 3400 Civic Center Blvd Fl 11, Philadelphia, PA 19104-5159 2010-03-30
1578799086 Concetta Maria Milano Internal Medicine 1809 W Oregon Ave # 13, 1st Floor, Philadelphia, PA 19145 2009-06-10
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City PHILADELPHIA
Zip Code 19144

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Dataset Information

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.

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