ACUTE CARE PHYSICIANS OF PHILADELPHIA LLC


Address: 1930 S Broad St, Philadelphia, PA 19145-2328
Phone: 8563819598

ACUTE CARE PHYSICIANS OF PHILADELPHIA LLC (NPI# 1053766089) 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) 1053766089
Entity Type Organization
Organization Name ACUTE CARE PHYSICIANS OF PHILADELPHIA LLC
Practice Address 1930 S Broad St
Philadelphia
PA 19145-2328
Mailing Address Po Box 69
Mickleton
NJ 08056-0069
Practice Telephone 8563819598
Mailing Telephone 8563819598
Enumeration Date 2016-04-27
Last Update Date 2016-04-27
Authorized Official Name DR. IMRAN A MIRZA (OWNER)
Authorized Official Telephone 8563819598
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
MD431989 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 1930 S BROAD ST
City PHILADELPHIA
State PA
Zip Code 19145-2328

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437107596 Khoi Dang Pediatrics 1930 S Broad St, 2nd Floor, Philadelphia, PA 19145-2328 2006-05-04
1124628060 Kristen Mulray Psychologist 1930 S Broad St, Philadelphia, PA 19145-2328 2020-10-29
1700438660 Malvern Constitution LLC Psychiatric Hospital 1930 S Broad St, Philadelphia, PA 19145-2328 2019-07-11
1629540802 Vivek N Brahmbhatt Pharmacist 1930 S Broad St, Philadelphia, PA 19145-2328 2018-12-27
1902313810 Reeba Baboo Speech-Language Pathologist 1930 S Broad St, Philadelphia, PA 19145-2328 2018-01-02
1679082465 Krista Coons Psychologist 1930 S Broad St, Philadelphia, PA 19145-2328 2017-09-25
1962927194 Adrienne Blaire Gallo Psychologist 1930 S Broad St, Philadelphia, PA 19145-2328 2017-08-09
1710428859 Kathleen Jasion Counselor 1930 S Broad St, Philadelphia, PA 19145-2328 2017-03-08
1285009696 Dorothy Latella-zakhireh Clinical Neuropsychologist 1930 S Broad St, Ima, Philadelphia, PA 19145 2015-12-10
1740668409 Ima Professional Services of Pa, PC Public Health or Welfare 1930 S Broad St, Suite 11, Philadelphia, PA 19145-2328 2015-05-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518564350 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 2300a Rear W Oregon Ave, Philadelphia, PA 19145 2020-10-05
1376069559 Kyle James Hughes Physical Therapist 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 2017-08-18
1821519752 John A Takacs Dmd Clinic/Center 1707w Passyunk Ave, Philadelphia, PA 19145 2017-06-30
1033573209 Kenneth Donahue Dentist 1517 Packer Avenue, Philadelphia, PA 19145 2016-04-13
1437516895 Kimberly Wyand Physical Therapist 2129 Oregon St, Philadelphia, PA 19145 2016-01-15
1760856538 Liji Vipin Nurse Practitioner 1615 Oregon Ave, Philadelphia, PA 19145 2015-11-17
1528333846 Gina Marie Doyle Registered Nurse 1930 S. Broad Street, Philadelphia, PA 19145 2012-03-20
1639446214 Thao T Tran Pharmacist 2014-24 South Broad St, Philadelphia, PA 19145 2011-11-25
1649573171 Phyllis Yang Internal Medicine 1700 S Broad St, Unit 201, Philadelphia, PA 19145 2010-12-05
1326364613 South Philadelphia Open Mri, LLC Clinic/Center 1834 West Oregon Avenue, Philadelphia, PA 19145 2010-04-13
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588180673 Critical Care Medicine Services LLC Internal Medicine 1930 S Broad St Unit 12, Philadelphia, PA 19145-2328 2017-08-21
1811316672 Christopher Mcgrath Internal Medicine 834 Walnut St Ste 605, Philadelphia, PA 19107-5109 2014-04-09
1528323755 Kartik Ramakrishna Internal Medicine 245 N 15th St # Ms 107, Philadelphia, PA 19102-1198 2012-07-13
1639342439 Nilam Suryakant Mangalmurti Internal Medicine 3615 Civic Center Blvd Ste 1015f, Abramson Research Building, Philadelphia, PA 19104-4318 2008-04-12
1457564049 Methodist Associates In Healthcare, Inc. Internal Medicine 2301 South Broad Street, Philadelphia, PA 19148 2007-05-08
1871670943 Jaber M Monla-hassan Internal Medicine 5401 Old York Rd Ste 300, Philadelphia, PA 19141-3045 2006-11-01
1407880578 Michael W Sims Internal Medicine 39th & Market Street, Philadelphia, PA 19104 2006-07-11
1578590089 Alan Steinbach Internal Medicine 3257 Memphis St, Philadelphia, PA 19134-4408 2006-06-28
1962486357 Mani S Kavuru Internal Medicine 834 Walnut St, Suite 650, Philadelphia, PA 19107-5109 2005-11-30
1457356917 Jeffrey Brian Hoag Internal Medicine 219 N Broad St, 9th Floor, Philadelphia, PA 19107-1519 2005-06-20
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Competitor

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City PHILADELPHIA
Zip Code 19145

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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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