HUSSAM KUDSI (NPI# 1154633477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154633477 |
| Entity Type | Individual |
| Full Name | HUSSAM KUDSI |
| Credential | M.D. |
| Practice Address |
3998 Red Lion Rd Suite 235 Philadelphia PA 19114-1445 |
| Mailing Address |
Po Box 8500-6335 Philadelphia PA 19178-6335 |
| Practice Telephone | 2156323630 |
| Practice Fax Number | 2156323544 |
| Mailing Telephone | 2158078000 |
| Mailing Fax Number | 2156323544 |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2016-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD430344 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1025134380001 | 05 | |
| PA | AETNA HMO | 6577180 | 01 |
| PA | HIGHMARK BLUE SHIELD | 2520599 | 01 |
| PA | KEYSTONE IBC | 3798261000 | 01 |
| PA | KEYSTONE MERCY | 30092324 | 01 |
| PA | HEALTH PARTNERS | 46749MD430344 | 01 |
| Street Address |
3998 RED LION RD SUITE 235 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19114-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657086 | Milton E Coll | Urology | 3998 Red Lion Rd, Ste 305, Philadelphia, PA 19114-1436 | 2005-05-27 |
| 1053930974 | Methodist Associates In Healthcare, Inc | Otolaryngology | 3998 Red Lion Rd, Philadelphia, PA 19114-1445 | 2020-04-10 |
| 1720645484 | Christine Nicole Bono | Nurse Practitioner | 3998 Red Lion Rd, Philadelphia, PA 19114-1445 | 2019-05-28 |
| 1396302626 | Aria Health Physicain Services | Clinic/Center | 3998 Red Lion Rd, Philadelphia, PA 19114-1445 | 2019-05-22 |
| 1932645447 | Cajulis Pediatrics | Pediatrics | 3998 Red Lion Rd, Suite 215, Philadelphia, PA 19114-1445 | 2017-01-09 |
| 1245628486 | Aileen Rueter | Nurse Practitioner | 3998 Red Lion Rd, Suite215, Philadelphia, PA 19114-1445 | 2014-12-22 |
| 1578977989 | Marcus Allen Greco | Emergency Medicine | 3998 Red Lion Rd, Office of Academic Affairs, Philadelphia, PA 19114-1445 | 2014-06-12 |
| 1669897211 | Brian Patrick Dugan | Nurse Practitioner | 3998 Red Lion Rd, Suite 306, Philadelphia, PA 19114-1445 | 2014-02-19 |
| 1144563636 | Joseph Arcieri | Nurse Practitioner | 3998 Red Lion Rd, Suite 306, Philadelphia, PA 19114-1445 | 2013-04-03 |
| 1780926915 | Alliance Cancer Specialists,p.c. | Non-Pharmacy Dispensing Site | 3998 Red Lion Rd, Suite 130, Philadelphia, PA 19114-1445 | 2013-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1215419080 | Thomas Patrick Gallagher | Specialist/Technologist | 2708 Ruth Way, Philadelphia, PA 19114 | 2018-08-29 |
| 1558840223 | Alexis Wenger | Early Intervention Provider Agency | 3810 Aubrey Ave, Phila, PA 19114 | 2018-08-13 |
| 1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
| 1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
| 1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
| 1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
| 1801338686 | April Neuls | Physical Therapy Assistant | 4213 Lackland Place, Philadelphia, PA 19114 | 2016-11-10 |
| 1114317583 | Siji Cyriac | Physical Therapist | 9501 State Road, Philadelphia, PA 19114 | 2015-01-23 |
| Find all providers in zip 19114 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1962993170 | Brian M Till | Surgery | 1015 Walnut Street, Suite 620 Curtis, Philadelphia, PA 19107-5005 | 2018-05-23 |
| 1356838932 | Walker Lyons | Surgery | 1015 Walnut St Ste 210, Philadelphia, PA 19107-5005 | 2018-04-18 |
| 1790213114 | Matthew Paul Mullarkey | Surgery | 3401 N Broad St Ste C405, Philadelphia, PA 19140-5103 | 2017-05-30 |
| 1528424090 | Zhen Lu | Surgery | 5401 Old York Rd # Klein101, Philadelphia, PA 19141-3030 | 2016-01-13 |
| 1235517996 | David Kim | Surgery | 3401 N Broad St # 3ppc388, Philadelphia, PA 19140 | 2015-05-14 |
| 1578941282 | Amanda Elizabeth Deliere | Surgery | 3400 N Broad St, Philadelphia, PA 19140-5104 | 2015-05-13 |
| 1649660804 | Deviney Rattigan | Surgery | 1110 Lombard St Apt 24, Philadelphia, PA 19147-1206 | 2015-01-27 |
| 1346676988 | Aviva Wallace Kaplin | Surgery | 20 E Abington Ave, Philadelphia, PA 19118-3410 | 2013-09-15 |
| 1619300571 | Roshin Thomas | Surgery | 8815 Germantown Ave Fl 2, Philadelphia, PA 19118-2722 | 2013-08-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19114 |
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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.