UNIVERSITY OF PENN - MEDICAL GROUP (NPI# 1114481504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114481504 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF PENN - MEDICAL GROUP |
| Practice Address |
1800 Lombard St Ste 206 Philadelphia PA 19146-1414 |
| Mailing Address |
Po Box 824320 Philadelphia PA 19182-4320 |
| Practice Telephone | 2156152222 |
| Practice Fax Number | 2158937317 |
| Mailing Telephone | 2156626187 |
| Mailing Fax Number | 8665861994 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |
| Authorized Official Name | CHANTE L JACKSON (ENROLLMENT COOR) |
| Authorized Official Telephone | 2156626187 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720553001 | University of Penn - Medical Group | Internal Medicine | 4923 Stanton Ogletown Rd, Newark, DE 19713-2081 | 2018-10-12 |
| 1053447151 | University of Penn - Medical Group | Internal Medicine | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2007-02-26 |
| 1194829739 | University of Penn - Medical Group | Psychologist | 3400 Spruce St, 11 Gates, Philadelphia, PA 19104-4206 | 2006-09-12 |
| 1659488351 | University of Penn - Medical Group | Allergy & Immunology | 3737 Market St, 3rd Floor, Philadelphia, PA 19104-5545 | 2006-08-25 |
| 1568579266 | University of Penn - Medical Group | Internal Medicine | 3400 Spruce St, 1 Maloney, Philadelphia, PA 19104-4206 | 2006-08-25 |
| 1477660173 | University of Penn - Medical Group | Internal Medicine | 3400 Spruce St, 3 Dulles Building, Philadelphia, PA 19104-4206 | 2006-08-25 |
| 1003923707 | University of Penn - Medical Group | Internal Medicine | 3400 Spruce St, 3 Ravdin, Suite F, Pulmonary & Critical Care, Philadelphia, PA 19104-4206 | 2006-08-25 |
| 1912014614 | University of Penn - Medical Group | Internal Medicine | 3400 Spruce St, One Maloney, Philadelphia, PA 19104-4206 | 2006-08-25 |
| 1629181912 | University of Penn - Medical Group | Internal Medicine | 3400 Spruce St, 210 White Building, Philadelphia, PA 19104-4206 | 2006-08-17 |
| 1497767495 | University of Penn - Medical Group | Internal Medicine | 3615 Chestnut St, Ralston-penn Center, Philadelphia, PA 19104-2612 | 2006-08-12 |
| Street Address |
1800 LOMBARD ST STE 206 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19146-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336689488 | Jacqueline Mia Wolbransky | Nurse Practitioner | 1800 Lombard St Ste 206, Philadelphia, PA 19146-1414 | 2017-03-07 |
| 1154883171 | Lancaster General Medical Group | Clinic/Center | 1800 Lombard St Ste 206, Philadelphia, PA 19146-1414 | 2019-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545977 | Puentes De Salvd | Clinic/Center | 1700 South Street, Philadelphia, PA 19146 | 2020-07-08 |
| 1407480155 | Mutiat Ajibade | Nurse Practitioner | 1401 S. 31 Street, Phialdelphia, PA 19146 | 2020-03-02 |
| 1003453952 | Bridget Smith | Psychologist | Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 | 2019-12-10 |
| 1730678012 | Christina Martindale | Nurse Anesthetist, Certified Registered | 917 S 15th Street, Philadelphia, PA 19146 | 2018-05-02 |
| 1598289456 | Allison Ortolano | Speech-Language Pathologist | 1933 Montrose St., Philadelphia, PA 19146 | 2017-08-01 |
| 1033630116 | Jami F Young | Psychologist | 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 | 2017-06-29 |
| 1336678788 | Joshua Ryan Fidler | Occupational Therapist | 2223 Wharton Street, Philadelphia, PA 19146 | 2017-06-08 |
| 1912357930 | Mei Lan Natalie Lau | Pharmacist | 3000-02 Reed Street, Philadelphia, PA 19146 | 2016-06-21 |
| 1417354887 | Brandy Mitchell | Specialist | 1608 Webster Street, Philadelphia, PA 19146 | 2014-12-01 |
| 1942638101 | Woong Yi | Pharmacist | 1155 S.mole St, Philadelphia, PA 19146 | 2013-10-28 |
| Find all providers in zip 19146 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154968709 | On Demand Urgent Care Group PC | Clinic/Center | 5828 Market St, Philadelphia, PA 19139-3152 | 2019-12-03 |
| 1205486891 | Mydoc Urgent Care Chinatown | Clinic/Center | 1008 Arch St Ste 102, Philadelphia, PA 19107-3002 | 2019-09-16 |
| 1114491594 | On Demand Urgent Care Group PC | Clinic/Center | 1500 Spring Garden St Ste R105, Philadelphia, PA 19130-4067 | 2019-01-18 |
| 1538667704 | Premier Urgent Care At Kennett Square, LLC | Clinic/Center | 10050 Roosevelt Blvd Ste 2, Philadelphia, PA 19116-3965 | 2018-01-23 |
| 1679084354 | Premier Urgent Care At Kennett Square, LLC | Clinic/Center | 2231 Bryn Mawr Avenue, Philadelphia, PA 19131-2399 | 2017-10-20 |
| 1811432776 | On Demand Urgent Care Group, PC | Clinic/Center | 1217 S Broad St, Philadelphia, PA 19147-4401 | 2017-01-03 |
| 1902341860 | On Demand Urgent Care Group, PC | Clinic/Center | 1420 Chestnut St, Philadelphia, PA 19102-2505 | 2017-01-03 |
| 1629525282 | Mydoc Urgent Care | Clinic/Center | 3717 Chestnut St, Suite 202, Philadelphia, PA 19104-3164 | 2016-09-01 |
| 1013361575 | Jefferson Acute Care Physicians, PC | Clinic/Center | 2021 Chestnut St, Philadelphia, PA 19103-3373 | 2016-04-20 |
| 1881083723 | On Demand Urgent Care Group PC | Clinic/Center | 3356 Aramingo Ave, Philadelphia, PA 19134-4506 | 2015-01-15 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19146 |
Please comment or provide details below to improve the information on UNIVERSITY OF PENN - MEDICAL GROUP.
| 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.