MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA (NPI# 1124200886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124200886 |
| Entity Type | Organization |
| Organization Name | MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA |
| Other Organization Name | MERCY ORTHOPEDIC GROUP |
| Practice Address |
2821 Island Ave Suite 147 Philadelphia PA 19153-2300 |
| Mailing Address |
1 W Elm St Suite 100 Conshohocken PA 19428-2007 |
| Practice Telephone | 6106269800 |
| Practice Fax Number | 6106268856 |
| Mailing Telephone | 6105676967 |
| Mailing Fax Number | 6105676170 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |
| Authorized Official Name | DOUGLAS C SMITH (VP PATIENT FINANCIAL SERVICES) |
| Authorized Official Telephone | 6105676601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD | 1893659 | 01 |
| PA | 1007787930170 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Orthopedic Group | Doing Business As Name - Organization |
| 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 |
| 1104342583 | Mercy Management of Southeastern Pennsylvania | Orthopaedic Surgery | 501 S 54th St Ste 28, Phila, PA 19143 | 2017-08-17 |
| 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 |
| Street Address |
2821 ISLAND AVE SUITE 147 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19153-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558355982 | Allison Rose | Dentist | 2821 Island Ave, Philadelphia, PA 19153-2300 | 2005-08-31 |
| 1043750318 | Tenzin Dechen | Nurse Practitioner | 2821 Island Ave, Philadelphia, PA 19153-2300 | 2017-03-06 |
| 1073939393 | Juvenile Jusice Center of Philadelphia | Community/Behavioral Health | 2821 Island Ave, Philadelphia, PA 19153-2300 | 2014-03-11 |
| 1598946501 | Staci Casey | Dentist | 2821 Island Ave, Suite 210, Philadelphia, PA 19153-2300 | 2007-11-19 |
| 1902002090 | Heather Morrison | Physical Therapist | 2821 Island Ave, Philadelphia, PA 19153-2300 | 2007-06-25 |
| 1073739066 | Olimbi Ekmekcioglu | Dentist | 2821 Island Ave, Philadelphia, PA 19153-2300 | 2007-04-18 |
| 1174658793 | Alphonse Joseph Digiovanni | Neuromusculoskeletal Medicine, Sports Medicine | 2821 Island Ave, Philadelphia, PA 19153-2300 | 2007-02-22 |
| 1326189820 | Kids Smiles | Dentist | 2821 Island Ave, Suite 210, Philadelphia, PA 19153-2300 | 2007-02-09 |
| 1235283060 | Lucienne Pino | Dentist | 2821 Island Ave, Philadelphia, PA 19153-2300 | 2007-01-22 |
| 1457435976 | Dianna C. Falkowitz | Internal Medicine | 2821 Island Ave, Suite 131, Philadelphia, PA 19153-2300 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029013 | Trinh Phuong Nguyen | Physical Therapist | 2906-2908 Island Avenue, Philadelphia, PA 19153 | 2020-10-05 |
| 1356869960 | Smiles Art Inc | Dentist | 2801 Island Ave 7, Philadelphia, PA 19153 | 2017-09-04 |
| 1770947533 | Mega Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2707 S 86th St, Philadelphia, PA 19153 | 2016-04-07 |
| 1447569967 | West Philadelphia Community Mental Health Consortium | Community Based Residential Treatment Facility, Mental Illness | 7100 Lindberg Blvd, Philadelphia, PA 19153 | 2010-10-01 |
| 1053620583 | West Philadelphia Community Mental Health Consortium | Community Based Residential Treatment Facility, Mental Illness | 7900 Lindberg Blvd, Philadelphia, PA 19153 | 2010-10-01 |
| 1285823666 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3000 Island Ave., Ste. 8, Philadelphia, PA 19153 | 2007-10-22 |
| 1568581098 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 7000 Holstein Ave., Philadelphia, PA 19153 | 2007-03-28 |
| 1528101524 | Corliss Hobson | Nurse Practitioner | 7307 Merganser Pl, Philadelphia, PA 19153 | 2007-02-15 |
| 1164523064 | Thrift Drug Inc | Durable Medical Equipment & Medical Supplies | 2512 Island Avenue, Philadelphia, PA 19153 | 2006-09-26 |
| 1407825482 | Ronald Wayne Kimball | Ophthalmology | 7701 Lindbergh Blvd, Ste 713, Philadelphia, PA 19153 | 2006-03-14 |
| Find all providers in zip 19153 | ||||
| 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 |
|---|---|---|---|---|
| 1932708492 | Sunnyvale Orthopaedic and Rehabilitation Clinic | Orthopaedic Surgery | 1419 N 75th St, Philadelphia, PA 19151-2901 | 2020-10-25 |
| 1770120537 | Marcel Orthopedics LLC | Orthopaedic Surgery | 3717 Chestnut St Apt 202.m, Philadelphia, PA 19104-3164 | 2019-11-28 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1295245694 | Hr Physician Services | Orthopaedic Surgery | 7500 Central Ave Ste 108, Philadelphia, PA 19111-2431 | 2017-10-11 |
| 1760912372 | Qingwu Kong | Orthopaedic Surgery | 230 N Broad St., Philadelphia, PA 19102 | 2017-06-15 |
| 1467981647 | Colin Ackerman | Orthopaedic Surgery | 3401 N Broad St Fl 5, Philadelphia, PA 19140-5103 | 2017-06-09 |
| 1790104578 | Talia Chapman | Orthopaedic Surgery | 1015 Chestnut St Ste 801, Philadelphia, PA 19107-4308 | 2014-04-09 |
| 1285991091 | Grant H Garcia | Orthopaedic Surgery | 23 S 23rd St Unit 3l, Philadelphia, PA 19103 | 2012-04-18 |
| 1598053365 | Amrit Singh Khalsa | Orthopaedic Surgery | 3737 Market St Fl 8, Philadelphia, PA 19104-5545 | 2011-07-14 |
| 1568752392 | Matthew Steven Wilson | Orthopaedic Surgery | 834 Chestnut Street, Suite G-114, The Philadelphia Hand Center, Philadelphia, PA 19107 | 2011-04-13 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19153 |
Please comment or provide details below to improve the information on MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA.
| 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.