MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA (NPI# 1083754352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083754352 |
| Entity Type | Organization |
| Organization Name | MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA |
| Other Organization Name | MERCY PHILADELPHIA HOSPITAL SHORT PROCEDURE UNIT |
| Practice Address |
501 S 54th St Philadelphia PA 19143-1900 |
| Mailing Address |
1 W Elm St Suite 100 Conshohocken PA 19428-2007 |
| Practice Telephone | 2157489000 |
| Mailing Telephone | 6105676000 |
| Mailing Fax Number | 6105676633 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | MR. DOUGLAS C. SMITH (VICE PRESIDENT) |
| Authorized Official Telephone | 6105676601 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mercy Philadelphia Hospital Short Procedure Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437130705 | Mercy Catholic Medical Center of Southeastern Pa | Psychiatry & Neurology | 1503 Lansdowne Avenue, Suite 2000, Philadelphia, PA 19143-1900 | 2005-11-14 |
| 1861486698 | Mercy Catholic Medical Center of Southeastern Pa | General Acute Care Hospital | 501 S 54th St, Philadelphia, PA 19143-1900 | 2005-09-08 |
| 1801057617 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 501 S 54th St, Philadelphia, PA 19143-1900 | 2008-06-24 |
| 1700904802 | Mercy Catholic Medical Center of Southeastern Pa | General Acute Care Hospital | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2007-03-27 |
| 1730207267 | Mercy Catholic Medical Center of Southeastern Pa | General Acute Care Hospital | 501 S 54th St, Philadelphia, PA 19143-1900 | 2007-03-26 |
| 1962520502 | Mercy Catholic Medical Center of Southeastern Pa | Case Management | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2007-03-26 |
| 1063553709 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 501 S 54th St, Philadelphia, PA 19143-1900 | 2007-02-08 |
| 1568502656 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2007-02-07 |
| 1043350168 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 501 S 54th St, Philadelphia, PA 19143-1900 | 2007-02-07 |
| 1699815811 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2007-02-07 |
| Street Address |
501 S 54TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19143-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861486698 | Mercy Catholic Medical Center of Southeastern Pa | General Acute Care Hospital | 501 S 54th St, Philadelphia, PA 19143-1900 | 2005-09-08 |
| 1598322604 | Zena Lee Harrison | Dietitian, Registered | 501 S 54th St, Philadelphia, PA 19143-1900 | 2019-05-23 |
| 1346709326 | Lienhuong Thi Nguyen | Occupational Therapist | 501 S 54th St, Philadelphia, PA 19143-1900 | 2019-03-18 |
| 1659844199 | Brenda Johnson | Nurse Practitioner | 501 S 54th St, Philadelphia, PA 19143-1900 | 2019-01-08 |
| 1518481225 | Mercy Management of Sepa | Internal Medicine | 501 S 54th St, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1689024143 | Surjeet Singh Dheer | Hospitalist | 501 S 54th St, Philadelphia, PA 19143-1900 | 2016-06-15 |
| 1659726420 | Greggory Wilhoite | Emergency Medicine | 501 S 54th St, Philadelphia, PA 19143-1900 | 2016-04-29 |
| 1154796928 | Amanda Meehan | Nurse Practitioner | 501 S 54th St, Philadelphia, PA 19143-1900 | 2015-12-04 |
| 1699158352 | Yik Han Chan | Dietitian, Registered | 501 S 54th St, Philadelphia, PA 19143-1900 | 2015-06-30 |
| 1932532504 | Melissa Wing | Registered Nurse | 501 S 54th St, Philadelphia, PA 19143-1900 | 2013-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554142 | Trusted Hands Care Professionals LLC | In Home Supportive Care | 1130 South Paxon Street, Philadelphia, PA 19143 | 2020-06-26 |
| 1477189140 | Kareemah Anjail Abdullah | Counselor | 5307 Chelen Ave, Philadelphia, PA 19143 | 2020-03-13 |
| 1336604024 | Mohamed Keita | Non-emergency Medical Transport (VAN) | 5030 Warrington Avenue, Philadelphia, PA 19143 | 2019-02-06 |
| 1366924011 | Whitney Tamika Carter | Specialist/Technologist | 5526 Ridgewood St, Philadelphia, PA 19143 | 2018-08-29 |
| 1639662190 | Mattew Muchnick | Physical Therapist | 4730 Hazel Ave 2r, Philadelphia, PA 19143 | 2018-06-10 |
| 1750883062 | Optimal Support for Everyday Lives | Case Management | 5800 Springfield Avenue, Philadelphia, PA 19143 | 2018-03-02 |
| 1205352671 | New Visions Case Management & Consulting, LLC | Social Worker | 726 S 55th Street, Philadelphia, PA 19143 | 2017-08-17 |
| 1104342583 | Mercy Management of Southeastern Pennsylvania | Orthopaedic Surgery | 501 S 54th St Ste 28, Phila, PA 19143 | 2017-08-17 |
| 1093238388 | Blessed Hands Home Care Agency L.L.C. | Home Health | 433 S. 57th Street, Phila, PA 19143 | 2017-07-19 |
| 1891216529 | Ashley Seiver | Occupational Therapist | 923 S. 46th Street, Philadelphia, PA 19143 | 2017-07-03 |
| Find all providers in zip 19143 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154839553 | American Access Care of Sp LLC | Clinic/Center | 2412 W Passyunk Ave # 14, Philadelphia, PA 19145-4114 | 2018-01-19 |
| 1265950802 | M&m Surgical Center PC | Clinic/Center | 1 Crescent Dr. Suite 300, Philadelphia, PA 19112 | 2017-09-05 |
| 1154787117 | The Pennsylvania Surgery and Laser Center LLC | Clinic/Center | 601 Franklin Mills Cir, Philadelphia, PA 19154-3124 | 2016-01-06 |
| 1023347226 | The Children's Hospital of Philadelphia | Clinic/Center | 34th & Civic Center Ave, Philadelphia, PA 19104 | 2009-12-17 |
| 1710114293 | Riverview Surgery Center At The Navy Yard Lp | Clinic/Center | Three Crescent Drive, Navy Yard Corporate Center, Philadelphia, PA 19112 | 2009-06-11 |
| 1083750103 | Perry Black | Clinic/Center | 219 N Broad St Fl -10th, Philadelphia, PA 19107-1519 | 2007-01-29 |
| 1447301122 | Planned Parenthood Southeastern Pennsylvania | Clinic/Center | 1144 Locust St, Philadelphia, PA 19107-6734 | 2007-01-16 |
| 1679658710 | Stadium Campus Ambulatory Surgical Center, LLC | Clinic/Center | 3340 S Broad St, Philadelphia, PA 19145-5802 | 2006-10-26 |
| 1215038252 | Red Lion Surgicenter, LLC | Clinic/Center | 240 Geiger Rd, Philadelphia, PA 19115-1008 | 2006-09-25 |
| 1447218433 | Liberty Eye Surgical Center LLC | Clinic/Center | 9122 Blue Grass Rd, Philadelphia, PA 19114-3202 | 2006-05-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19143 |
Please comment or provide details below to improve the information on MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA.
| 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.