MADISON BRANNON (NPI# 1114525367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114525367 |
| Entity Type | Individual |
| Full Name | MADISON BRANNON |
| Credential | PA-C |
| Practice Address |
3900 Woodland Ave Philadelphia PA 19104-4551 |
| Mailing Address |
180 Augusta Ter Easton PA 18042-6986 |
| Practice Telephone | 2158235800 |
| Mailing Telephone | 6102996482 |
| Enumeration Date | 2020-10-10 |
| Last Update Date | 2020-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MA061773 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
3900 WOODLAND AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851389837 | Richard Alsdorf Jr. | Nurse Anesthetist, Certified Registered | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2005-10-12 |
| 1487254744 | Jason Anthony Checchia | Nurse Practitioner | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-27 |
| 1639778327 | Bridget Murray | Physician Assistant | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-22 |
| 1275131526 | Jonathan Mark Riley Jr. | Social Worker | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-09 |
| 1326655812 | Ashley Jill Maister | Pharmacist | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-09-28 |
| 1467079103 | Rohit Singla | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| 1851918585 | Matthew Clayton Mckeeman | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| 1699392316 | Jooyeon Park | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| 1205453941 | Lauren Miller | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| 1629695317 | Melanie Grajales | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477711190 | Brian J Clohessy | Emergency Medicine | Red Lion and Knights Road, Frankford Hospital, Philadelphia, PA 19114 | 2008-05-29 |
| 1720272818 | Maggie Beams | Emergency Medicine | 1218 Walnut St Apt 1003, Philadelphia, PA 19107-5446 | 2007-08-31 |
| 1114542263 | Sean Paul Paul Schlosser | Emergency Medicine | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-06-15 |
| 1164915682 | Matthew Berger | Emergency Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-06-09 |
| 1447789565 | Jackie Mae Anderson | Emergency Medicine | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2017-06-12 |
| 1710367974 | Jean-gabriel Coignet | Emergency Medicine | 5501 Old York Rd Ste 1, Philadelphia, PA 19141-3098 | 2015-06-03 |
| 1619315090 | Emily M Hatke | Emergency Medicine | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2013-06-07 |
| 1093095887 | Matthew William Hammond | Emergency Medicine | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2011-08-24 |
| 1801183678 | Carl Alec Alsup | Emergency Medicine | 1020 Sansom St Ste 239, Thompson Building, Philadelphia, PA 19107-5002 | 2011-06-30 |
| 1649434846 | Matthew Jones | Emergency Medicine | 1400 Broad St, Department of Emergency Medicine, Philadelphia, PA 19107 | 2008-07-16 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on MADISON BRANNON.
| 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.