HEATHER MEDICA (NPI# 1073866760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073866760 |
| Entity Type | Individual |
| Full Name | HEATHER MEDICA |
| Credential | CRNP |
| Practice Address |
1700 S Broad St Unit 201 Philadelphia PA 19145-2315 |
| Practice Telephone | 2156851843 |
| Mailing Telephone | 2156851843 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2016-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
SP012917 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1700 S BROAD ST UNIT 201 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19145-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1093153405 | Melissa Rose Martin | Pediatrics | 1700 S Broad St, Suite #301, Philadelphia, PA 19145-2315 | 2013-06-07 |
| 1902164312 | Billie S Schwartz | Counselor | 1700 S Broad St, Suite 301, Philadelphia, PA 19145-2315 | 2012-04-24 |
| 1457617474 | Kymberly Marie Gonzalez | Pediatrics | 1700 S Broad St, Suite 301, Philadelphia, PA 19145-2315 | 2012-04-03 |
| 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 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| 1417271818 | Christopher James Mammola | Physical Therapy Assistant | 1413 W. Moyamensing Ave., Philadelphia, PA 19145 | 2010-03-15 |
| Find all providers in zip 19145 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316588585 | Jaimie Sholinsky | Nurse Practitioner | 5401 Old York Rd Bldg Floor3, Philadelphia, PA 19141-3030 | 2019-09-30 |
| 1366900490 | Leigh Ferguson | Nurse Practitioner | 210 S 25th St Unit 1402, Philadelphia, PA 19103-5886 | 2019-03-07 |
| 1306356498 | Donna Michelle Depalmo-wilson | Nurse Practitioner | 700 Spruce St Fl 2, Philadelphia, PA 19106-4022 | 2017-10-03 |
| 1295124642 | Morgan Finch Bartlett | Nurse Practitioner | 800 Walnut St Fl 15, Philadelphia, PA 19107-5176 | 2015-01-22 |
| 1073941308 | Dacey Boinaiv Stratton | Nurse Practitioner | 1700 South St, Philadelphia, PA 19146-1529 | 2013-10-23 |
| 1851453633 | Charlene Brown | Nurse Practitioner | 1720 South Broad Street, City of Philadelphia Health Department, Philadelphia, PA 19145 | 2006-12-15 |
| 1689693160 | Iris S Wolfson | Nurse Practitioner | 133 W Phil Ellena St, Philadelphia, PA 19119-2717 | 2006-07-18 |
| 1568427409 | Donna L Brian | Nurse Practitioner | 1035 W Berks St, Philadelphia, PA 19122-1909 | 2006-04-20 |
| 1063408219 | Michelle Eileen Woltz | Nurse Practitioner | 229 Arch St, Philadelphia, PA 19106-1915 | 2005-09-23 |
| 1124635818 | Andrea Silver | Nurse Practitioner | 4400 Haverford Ave, Philadelphia, PA 19104-1361 | 2020-09-26 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19145 |
Please comment or provide details below to improve the information on HEATHER MEDICA.
| 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.