THOMAS JEFFERSON UNIVERSITY (NPI# 1124195854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124195854 |
Entity Type | Organization |
Organization Name | THOMAS JEFFERSON UNIVERSITY |
Practice Address |
111 S 11th St Suite 4240 Philadelphia PA 19107-4824 |
Mailing Address |
125 S 9th St Suite 801 Philadelphia PA 19107-5125 |
Practice Telephone | 2159558874 |
Mailing Telephone | 2159559642 |
Enumeration Date | 2006-11-29 |
Last Update Date | 2020-08-22 |
Authorized Official Name | SUSAN BEAL (DIRECTOR) |
Authorized Official Telephone | 2155031295 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | MD053709L | PA | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467547968 | Thomas Jefferson University | Psychologist | 1021 South 21st Street, Philadelphia, PA 19146 | 2006-10-03 |
1316390024 | Thomas Jefferson University | Special Hospital | 900 Walnut St, Philadelphia, PA 19107-5509 | 2016-07-18 |
1750694055 | Thomas Jefferson University | Rehabilitation Unit | 3801 Conshohocken Ave, Philadelphia, PA 19131-5530 | 2010-07-15 |
1235378209 | Thomas Jefferson University | Social Worker | 130 S 9th St, Suite 647, Philadelphia, PA 19107-5233 | 2009-02-13 |
1508011313 | Thomas Jefferson University | Community/Behavioral Health | 1233 Locust St, Suite 201, Philadelphia, PA 19107-5453 | 2008-11-20 |
1245495944 | Thomas Jefferson University | Neurological Surgery | 909 Walnut St, 3rd Floor, Philadelphia, PA 19107-5211 | 2008-07-22 |
1992824312 | Thomas Jefferson University | Clinic/Center | 1233 Locust St, Suite 201, Philadelphia, PA 19107-5453 | 2007-03-28 |
1972622306 | Thomas Jefferson University | Clinic/Center | 1239 Spring Garden St, Philadelphia, PA 19123-3206 | 2007-03-28 |
1124147277 | Thomas Jefferson University | General Acute Care Hospital | 111 S 11th St, Suite 8270, Philadelphia, PA 19107-4824 | 2007-03-28 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | THOMAS JEFFERSON UNIVERSITY | 1020 Walnut St, Philadelphia, PA 19107 |
System for Award Management (SAM) Entities | THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11th St, Philadelphia, PA 19107-4824 |
Street Address |
111 S 11TH ST SUITE 4240 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19107-4824 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346246642 | Flavius F. Guglielmo | Radiology | 111 S 11th St, Suite 3390, Philadelphia, PA 19107-4824 | 2005-06-22 |
1265046569 | Sherman John Torres | Nurse Anesthetist, Certified Registered | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-09-03 |
1609489376 | Andrew Michael Mcguire | Registered Nurse | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-08-24 |
1326657420 | Daniel Joseph Leehan | Pharmacist | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-07-24 |
1013539436 | Kashyap Rajendra Chauhan | Internal Medicine | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-05-07 |
1134749385 | Maria Mattioli | Nurse Practitioner | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-04-17 |
1598392151 | Amine Sahmoud | Student in an Organized Health Care Education/Training Program | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-03-24 |
1346877198 | Abigail M O'connell | Nurse Practitioner | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-03-23 |
1396370342 | Alexandra Elder | Student in an Organized Health Care Education/Training Program | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-03-10 |
1134754252 | Christopher James Neely | Student in an Organized Health Care Education/Training Program | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-03-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
Find all providers in zip 19107 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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1174156012 | Sade Yolanda Davis | Specialist | 2414 N Garnet St, Philadelphia, PA 19132-3725 | 2020-02-19 |
1356803993 | Larkerra Goodson | Specialist | 1336 Arrott St Apt E15, Philadelphia, PA 19124-3281 | 2019-04-03 |
1306302617 | Keisha Robinson | Specialist | 6852 Regent St, Philadelphia, PA 19142-1213 | 2019-02-12 |
1740758168 | William Whitaker | Specialist | 1115 E Sanger St, Philadelphia, PA 19124-1130 | 2018-11-02 |
1902395536 | Ran Barzilay | Specialist | 3440 Market St, Suite 200, Philadelphia, PA 19104 | 2018-05-09 |
1093229668 | Danielle M Marshall | Specialist | 514 Seville St Apt 7, Philadelphia, PA 19128-2737 | 2017-11-19 |
1336651017 | Radhia Afif | Specialist | 5943 Weymouth St, Philadelphia, PA 19120-1122 | 2017-11-02 |
1306383401 | Helping Hair LLC | Specialist | 930 N 50th St, Philadelphia, PA 19131-5102 | 2017-01-26 |
1447796172 | Kristen Halvorson | Specialist | 3411 Cresson St, Apartment 6, Philadelphia, PA 19129-1654 | 2017-01-19 |
1174079131 | Sadia Randolph | Specialist | 6718 Paschall Ave, Philadelphia, PA 19142-1809 | 2016-08-30 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19107 |
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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.