STC PEDIATRICS LLC (NPI# 1063050680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063050680 |
| Entity Type | Organization |
| Organization Name | STC PEDIATRICS LLC |
| Practice Address |
160 E Erie Ave Philadelphia PA 19134-1011 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 2154275000 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | GARY CONNER (VP & CFO) |
| Authorized Official Telephone | 4846288181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Christopher's Pediatric Associates SCPA Hematology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516279 | Stc Pediatrics LLC | Pediatrics | 3601 A St Fl Family, Philadelphia, PA 19134-1043 | 2020-07-23 |
| 1932722881 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 | 2020-05-27 |
| 1649806217 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave Fl 3, Philadelphia, PA 19134-1011 | 2020-03-16 |
| 1033753439 | Stc Pediatrics LLC | Pediatrics | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-30 |
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1639713944 | Stc Pediatrics LLC | Pediatrics | 1201 Langhorne Newtown Rd Ste 401, Langhorne, PA 19047-1201 | 2019-10-30 |
| 1548804909 | Stc Pediatrics LLC | Psychiatry & Neurology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
| 1962046474 | Stc Pediatrics LLC | Pediatrics | 301 Oxford Valley Rd Ste 1201, Yardley, PA 19067-7706 | 2019-10-29 |
| 1508466913 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-27 |
| 1548867476 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-05 |
| Street Address |
160 E ERIE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19134-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919040 | Gabriel Hauser | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2005-08-17 |
| 1932700150 | Alexandria Nicole Torrisi | Physician Assistant | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-11-04 |
| 1508466913 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-27 |
| 1548867476 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-05 |
| 1760009450 | Cassandra Anne Pantano | Nurse Practitioner | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-06-29 |
| 1366068488 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-06-24 |
| 1992326789 | Kerby Zeisloft | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-05-03 |
| 1467073353 | Neil Himanshu Patel | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-05-01 |
| 1629699665 | Rose B Bayer | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-04-30 |
| 1972124931 | Neha Jadhav | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| 1588125793 | Bret Johnson | Student in an Organized Health Care Education/Training Program | Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 | 2019-03-29 |
| 1053881672 | Ana Y Almanzar | Psychologist | 3513 North Water Street, Philadelphia, PA 19134 | 2018-11-27 |
| 1861974206 | Stephanie C Curtis | Registered Nurse | St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 | 2018-09-01 |
| 1700371978 | Kristi Ford | Nurse Practitioner | 160 E Erie Ave # 21542, Philadelphia, PA 19134 | 2018-06-28 |
| 1700370178 | Natalie Martinez | Case Manager/Care Coordinator | 3528 I St Ste 1, Philadelphia, PA 19134 | 2018-06-19 |
| 1205352309 | Personal Injury Clinic PC | Chiropractor | 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 | 2017-08-21 |
| 1306376280 | Port Richmond Counseling Practices | Clinic/Center | 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 | 2017-06-14 |
| 1760864441 | Jason Roy Toews | Pediatrics | 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2015-06-18 |
| 1376933291 | David Tanney Yusavitz | Nurse Practitioner | 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 | 2015-01-30 |
| Find all providers in zip 19134 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356668503 | Sarah Ann Richman | Pediatrics | 3501 Civic Center Blvd, Ctrb 4020, Philadelphia, PA 19104-3820 | 2010-04-28 |
| 1023656931 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-12-11 |
| 1083191852 | Caroline Jane Diorio | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2018-07-25 |
| 1699299917 | Amanda Li | Pediatrics | 3401 Civic Center Blvd, Division of Oncology, Philadelphia, PA 19104 | 2017-07-28 |
| 1194254557 | Haley Newman | Pediatrics | 3401 Civic Center Blvd, Division of Oncology, Philadelphia, PA 19104-4319 | 2017-06-08 |
| 1194266478 | Christina Turn | Pediatrics | 3401 Civic Center Blvd, Division of Hematology/oncology, Philadelphia, PA 19104 | 2017-03-20 |
| 1255786075 | Michelle Perry Milligan | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2016-04-29 |
| 1952765190 | Kailin Hsu | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2016-04-13 |
| 1225492945 | Aleksandra Sarah Dain | Pediatrics | 3401 Civic Center Blvd, Division of Pediatric Hematology/oncology, Philadelphia, PA 19104 | 2016-04-08 |
| 1639533649 | Kaoru Takasaki | Pediatrics | 3401 Civic Center Blvd, Division of Pediatric Hematology/oncology, Philadelphia, PA 19104-4319 | 2016-04-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19134 |
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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.