TEMPLE FACULTY PRACTICE PLAN, INC (NPI# 1104309889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104309889 |
| Entity Type | Organization |
| Organization Name | TEMPLE FACULTY PRACTICE PLAN, INC |
| Practice Address |
3401 N Broad St Philadelphia PA 19140-5103 |
| Mailing Address |
2450 W Hunting Park Ave Philadelphia PA 19129-1302 |
| Practice Telephone | 2157075864 |
| Practice Fax Number | 2157076867 |
| Mailing Telephone | 2157075864 |
| Mailing Fax Number | 2157076867 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Authorized Official Name | TONYA WOODARD (DIRECTOR REVENUE CYCLE) |
| Authorized Official Telephone | 2157073911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Temple Faculty Pulmonary Associates | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 450 Cresson Blvd, Phoenixville, PA 194606127 | 6106302222 | 6106505149 |
| 515 Pennsylvania Ave, Fort Washington, PA 190343314 | 2157075864 | 2157076867 |
| 8815 Germantown Ave, Philadelphia, PA 191182715 | 2157075864 | 2157076867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849656 | Temple Faculty Practice Plan, Inc | Radiology | 41922 N Mill Dr, Magnolia, TX 77354-1850 | 2020-04-06 |
| 1316573124 | Temple Faculty Practice Plan, Inc | Family Medicine | 1316 W Ontario St, Philadelphia, PA 19140-5220 | 2020-03-13 |
| 1609412279 | Temple Faculty Practice Plan, Inc | Case Manager/Care Coordinator | 1316 W Ontario St, Philadelphia, PA 19140-5220 | 2019-11-19 |
| 1194361766 | Temple Faculty Practice Plan, Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2019-11-19 |
| 1790346187 | Temple Faculty Practice Plan, Inc | Clinic/Center | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2019-06-26 |
| 1871067116 | Temple Faculty Practice Plan, Inc | Obstetrics & Gynecology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2019-01-21 |
| 1891278933 | Temple Faculty Practice Plan, Inc | Speech-Language Pathologist | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-14 |
| 1396228508 | Temple Faculty Practice Plan, Inc | Surgery | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-13 |
| 1992288112 | Temple Faculty Practice Plan, Inc | Urology | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-13 |
| 1467935825 | Temple Faculty Practice Plan, Inc | Physical Medicine & Rehabilitation | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-12 |
| Street Address |
3401 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205133 | Shefali Agrawal | Specialist | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2005-06-15 |
| 1962018523 | Caroline Grace Kelly | Audiologist | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-09-18 |
| 1457965964 | Barbara Ohiaeri | Pharmacist | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-09-02 |
| 1710505904 | Cara Greenspan | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-07-14 | |
| 1013535756 | Srinivasa Prasad Venkata Kanuparthi | Neurological Surgery | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-07-09 |
| 1417575143 | Sakshi Gandhi | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-07-09 |
| 1801414594 | Azka Rahman | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-07-08 |
| 1417574658 | Anna-kaye Marie Brown | Anesthesiology | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-07-04 |
| 1285251405 | Shalonda Cook | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-07-03 |
| 1386261501 | Temidayo Aderibigbe | Orthopaedic Surgery | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
| 1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
| 1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
| 1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
| 1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
| 1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
| Find all providers in zip 19140 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700260163 | Richard Kenneth Murray | Internal Medicine | 809 N Mount Pleasant Rd, Philadelphia, PA 19119-3303 | 2015-07-16 |
| 1578850426 | Judith Kathleen Greenacre | Internal Medicine | 1810 Rittenhouse Sq Apt 708, Philadelphia, PA 19103-5813 | 2011-06-29 |
| 1780889345 | Mohammad A. Sayeed, M.d. | Internal Medicine | 1633 W Girard Ave, Philadelphia, PA 19130-1614 | 2007-06-15 |
| 1942211198 | Jesse Roman | Internal Medicine | 834 Walnut St Ste 650, Philadelphia, PA 19107-5109 | 2006-08-11 |
| 1689600504 | Maria Antoniou | Internal Medicine | 3624 Market St, 2nd Floor, Philadelphia, PA 19104-2614 | 2006-06-23 |
| 1952358509 | Anita Genny Ko | Internal Medicine | 10 Shurs Ln, Philadelphia, PA 19127-2123 | 2006-05-28 |
| 1376515965 | Maria Mercedes Crespo | Internal Medicine | 3400 Civic Center Blvd Fl 1, Philadelphia, PA 19104-5161 | 2006-02-07 |
| 1700863628 | Michael Baram | Internal Medicine | 834 Walnut Street Suite 650, Philadelphia, PA 19107-5595 | 2005-12-30 |
| 1740278704 | Namrata Patel | Internal Medicine | 3600 Spruce St, 8th Floor, Philadelphia, PA 19104 | 2005-10-12 |
| 1396746764 | Frank D Caporusso | Internal Medicine | 1843 S Broad St, Philadelphia, PA 19148-2115 | 2005-08-09 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
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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.