MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA (NPI# 1104342583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104342583 |
| Entity Type | Organization |
| Organization Name | MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA |
| Other Organization Name | SEPA ORTHOPEDIC AND SPORTS MEDICINE |
| Practice Address |
501 S 54th St Ste 28 Phila PA 19143 |
| Mailing Address |
1 W Elm St Conshohocken PA 19428-4108 |
| Practice Telephone | 2157489822 |
| Practice Fax Number | 2157489717 |
| Mailing Telephone | 6105676967 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2018-07-13 |
| Authorized Official Name | BETH HOPKINS (DIRECTOR) |
| Authorized Official Telephone | 6105675239 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SEPA Orthopedic and Sports Medicine | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1503 Lansdowne Ave Ste 1001, Darby, PA 190231330 | 6102372770 | 6102372771 |
| 2821 Island Ave Ste D&e, Phila, PA 191532300 | 2157483100 | 2157481586 |
| 5630 Chestnut St, Phila, PA 191393232 | 2157483100 | 2157481586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952828550 | Mercy Management of Southeastern Pennsylvania | Internal Medicine | 501 S 54th St Ste 126, Phila, PA 19143-1900 | 2017-08-24 |
| 1770566309 | Mercy Management of Southeastern Pennsylvania | Internal Medicine | 5070 Parkside Ave, Suite 50100, Philadelphia, PA 19131-4747 | 2005-11-29 |
| 1932198157 | Mercy Management of Southeastern Pennsylvania | Internal Medicine | 6323 Vine St, Philadelphia, PA 19139-1032 | 2005-10-20 |
| 1851814685 | Mercy Management of Southeastern Pennsylvania | Internal Medicine | 1501 Lansdowne Ave, Darby, PA 19023-1333 | 2017-07-24 |
| 1427570019 | Mercy Management of Southeastern Pennsylvania | Pain Medicine | 1501 Lansdowne Ave, Darby, PA 19023-1333 | 2017-07-14 |
| 1821532482 | Mercy Management of Southeastern Pennsylvania | Internal Medicine | 1503 Lansdowne Ave, Ste 3003, Darby, PA 19023-1330 | 2016-12-15 |
| 1497032114 | Mercy Management of Southeastern Pennsylvania | Internal Medicine | 501 S 54th St, Philadelphia, PA 19143-1900 | 2011-11-09 |
| 1548584733 | Mercy Management of Southeastern Pennsylvania | Surgery | 501 S 54th St, Suite 227, Philadelphia, PA 19143-1900 | 2010-03-17 |
| 1043549322 | Mercy Management of Southeastern Pennsylvania | Internal Medicine | 1503 Lansdowne Ave, 3001, Darby, PA 19023-1330 | 2009-12-15 |
| 1962634238 | Mercy Management of Southeastern Pennsylvania | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1501 Lansdowne Ave, Suite 305, Darby, PA 19023-1333 | 2009-08-20 |
| Street Address |
501 S 54TH ST STE 28 |
| City | PHILA |
| State | PA |
| Zip Code | 19143 |
| 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 |
| 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 |
| 1588193064 | Rachel Elizabeth Spruill | Counselor | 4900 Cedar Ave, Apt 2d, Philadelpia, PA 19143 | 2017-06-08 |
| Find all providers in zip 19143 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306359997 | Nazareth Physician Services | Orthopaedic Surgery | 2701 Holme Ave, Phila, PA 19152-2029 | 2017-11-06 |
| 1780616151 | Keith L Wapner | Orthopaedic Surgery | 230 W Washington Sq, Farm Journal Building, 5th Floor, Phila, PA 19106-3500 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708492 | Sunnyvale Orthopaedic and Rehabilitation Clinic | Orthopaedic Surgery | 1419 N 75th St, Philadelphia, PA 19151-2901 | 2020-10-25 |
| 1932722881 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 | 2020-05-27 |
| 1770103723 | Steel City Spine and Orthopedic Center LLC | Orthopaedic Surgery | 27 Heckel Rd Ste 203, Mc Kees Rocks, PA 15136-1673 | 2020-04-20 |
| 1053951251 | Lvhn Scranton Orthopedic Specialists | Orthopaedic Surgery | 334 Main St Ste 1, Dickson City, PA 18519-1668 | 2020-01-15 |
| 1689214488 | Geisinger Clinic | Orthopaedic Surgery | 112 N 15th St, Lewisburg, PA 17837-1224 | 2020-01-09 |
| 1770120537 | Marcel Orthopedics LLC | Orthopaedic Surgery | 3717 Chestnut St Apt 202.m, Philadelphia, PA 19104-3164 | 2019-11-28 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1205393006 | Theodore Roosevelt Moran | Orthopaedic Surgery | 30 Salem Rd, Greenville, PA 16125-8409 | 2019-02-27 |
| 1689160731 | Integrated Medical Group, P.C. | Orthopaedic Surgery | 700 Schuylkill Manor Rd Ste 1, Pottsville, PA 17901-3849 | 2018-07-02 |
| Find all providers with the same taxonomy | ||||
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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.