LORRAINE A JEWETT


Address: 2301 S Broad St, Medical Staff Office, Dept of Surgery, Philadelphia, PA 19148-3542
Phone: 2159529000

LORRAINE A JEWETT (NPI# 1073803102) 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) 1073803102
Entity Type Individual
Full Name LORRAINE A JEWETT
Credential PA-C
Practice Address 2301 S Broad St
Medical Staff Office, Dept of Surgery
Philadelphia
PA 19148-3542
Mailing Address 2301 S. Broad Street
Medical Staff Office, Dept of Surgery
Philadelphia
PA 19148
Practice Telephone 2159529000
Practice Fax Number 2159521246
Mailing Telephone 2159529000
Mailing Fax Number 2159521246
Enumeration Date 2011-04-11
Last Update Date 2011-04-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
MA001958L PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2301 S BROAD ST
MEDICAL STAFF OFFICE, DEPT OF SURGERY
City PHILADELPHIA
State PA
Zip Code 19148-3542

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134124621 Deborah A Serba Nurse Anesthetist, Certified Registered 2301 S Broad St, Philadelphia, PA 19148-3542 2005-06-20
1215584859 Mary Ann Heller Nurse Practitioner 2301 S Broad St, Philadelphia, PA 19148-3542 2019-08-19
1093279499 Katelyn Alice Jesukiewicz Nurse Practitioner 2301 S Broad St, Philadelphia, PA 19148-3542 2019-01-30
1972088292 Lindsey Anne Wolf Registered Nurse 2301 S Broad St, Philadelphia, PA 19148-3542 2018-10-02
1346732005 Candace Cantwell-foy Registered Nurse 2301 S Broad St, Philadelphia, PA 19148-3542 2018-05-30
1386199982 Marisa A. Ciuppa Nurse Anesthetist, Certified Registered 2301 S Broad St, 1st Floor, Philadelphia, PA 19148-3542 2016-08-24
1871957324 Tejal Ulhas Naik Internal Medicine 2301 S Broad St, Philadelphia, PA 19148-3542 2016-04-11
1902267230 Methodist Associates In Healthcare, Inc. Psychiatry & Neurology 2301 S Broad St, Philadelphia, PA 19148-3542 2016-03-15
1669831996 Jeffex, Inc. Pharmacy 2301 S Broad St, 1st Floor, Philadelphia, PA 19148-3542 2016-02-15
1033575352 Methodist Associates In Healthcare, Inc. Family Medicine 2301 S Broad St, Philadelphia, PA 19148-3542 2016-01-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831759232 Be Well With Beth LLC Dietitian, Registered 1901 S. 9th Street, Bok Building, Room 508, Philadelphia, PA 19148 2019-06-18
1942798186 Beth Auguste Dietitian, Registered 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 2018-04-24
1457866576 Wholehearted Homecare In Home Supportive Care 2555 S Jessup St, Philadelphia, PA 19148 2017-12-12
1326557331 Jannick Vicky Vielleuse Physical Therapist 1208 Tasker Street, 2nd Floor, Philadelphia, PA 19148 2017-09-21
1225556137 Jamitia Camil Wilson-knight Counselor 2542 S Marshall, Phila, PA 19148 2017-08-31
1437676855 Elease Lee Pharmacist 2036 S 3rd Street, Philadelphia, PA 19148 2017-08-25
1598216483 Thy Vu Physician Assistant 2623 S Mildred St, Philadelphia, PA 19148 2016-10-17
1356723019 Meeta Chawla Dentist 1851 S Christopher Columbus Blvd, Philadelphia, PA 19148 2015-06-18
1013317882 Damian R Bereza Pharmacist 2017-2023 South Broad St, Philadelphia, PA 19148 2014-08-29
1396144390 Rite Aid Corporation Pharmacy 2017-2023 S Broad St, Philadelphia, PA 19148 2014-08-15
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1366653503 Gary Alan Cook Physician Assistant 1025 Walnut St Ste 607, Philadelphia, PA 19107-5001 2007-05-26
1063516110 Mitchell Charles Staska Physician Assistant Philadelpia Veterans Hospital, University and Woodland Avenue, Philadelphia, PA 19104 2006-09-11
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Competitor

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City PHILADELPHIA
Zip Code 19148

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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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