MS. KATHLEEN BOCZAR (NPI# 1164464798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164464798 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN BOCZAR |
| Credential | CRNP |
| Practice Address |
1900 N 9th St Suite 104 Philadelphia PA 19122-1909 |
| Mailing Address |
1500 Market Street Lm 500 West Tower Philadelphia PA 19120-2100 |
| Practice Telephone | 2157656690 |
| Practice Fax Number | 2157656694 |
| Mailing Telephone | 2159852595 |
| Mailing Fax Number | 2157656694 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2016-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP000980B | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE MERCY HEALTH PLAN | 30027018 | 01 |
| PA | 0018132210001 | 05 | |
| PA | BRAVO | 16605 | 01 |
| PA | KEYSTONE HEALTH PLAN EAST | 2268271000 | 01 |
| PA | AETNA | 1487818 | 01 |
| PA | BLUE CROSS | 1590263 | 01 |
| Street Address |
1900 N 9TH ST SUITE 104 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19122-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811989692 | Megan Kelly | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2005-08-18 |
| 1043760200 | Kathleen Graham | Nurse Practitioner | 1900 N 9th St, Philadelphia, PA 19122 | 2016-10-11 |
| 1255780664 | Rebecca L Andriole | Psychologist | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-2024 | 2016-06-07 |
| 1871901819 | Naamah Cashaw-taylor | Registered Nurse | 1900 N 9th St, Philadelphia, PA 19122-2024 | 2014-07-22 |
| 1306277132 | Michelle Elizabeth Buchholz | Registered Nurse | 1900 N 9th St, Philadelphia, PA 19122-2024 | 2013-12-04 |
| 1710311345 | Jessica V Mcgill | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2013-08-30 |
| 1215370291 | Pharmacy of America Iv Inc. | Pharmacy | 1900 N 9th St, Philadelphia, PA 19122 | 2013-04-09 |
| 1508097502 | Emily Carla Dubitzky | Social Worker | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2009-08-07 |
| 1407934383 | Lori Hunter Dixon | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2006-11-01 |
| 1174565428 | Kathleen Rowan Mahoney | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-2024 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719919 | Penn Diagnostic Co. | Clinic/Center | 2014 North 3rd St, Philadelphia, PA 19122 | 2020-10-29 |
| 1821639873 | Marshannie's Home Care, LLC | Home Health | 2143 N Front Street, Philadelphia, PA 19122 | 2019-10-01 |
| 1023679289 | 99 Adult Daycare II Inc | Home Health | 1533-39 N 7th St, Philadelphia, PA 19122 | 2019-06-27 |
| 1891232716 | Alexis Bender | Specialist/Technologist | 1801 Broad Street, Philadelphia, PA 19122 | 2017-01-30 |
| 1770933392 | Frederick Charles Bader | Psychologist | 1231 North Broad Street, 5th Floor, Philadelphia, PA 19122 | 2016-06-14 |
| 1316307192 | Vibrant Rehabilitation LLC | Occupational Therapy Assistant | 1533 - 39 N 7th St, 1/fl, Philadelphia, PA 19122 | 2016-03-07 |
| 1104285519 | Yi Liu | Occupational Therapy Assistant | 1537 North 7th Street, 2/fl, Philadelphia, PA 19122 | 2016-02-12 |
| 1558754580 | Icare Home Health LLC | Home Health | 1706 N. 2nd Street, R2, Philadelphia, PA 19122 | 2015-03-16 |
| 1912313347 | Eve Peters | Pharmacist | 2131 North Broad Street, Philadelphia, PA 19122 | 2014-07-07 |
| 1356618003 | Mohamed Alaoui Mdaghri | Dentist | 2017 N 2nd St, Philadelphia, PA 19122 | 2011-11-23 |
| Find all providers in zip 19122 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454051 | Violet Anderson | Nurse Practitioner | 2338 S Broad St, Philadelphia, PA 19145-4450 | 2020-10-15 |
| 1568078582 | Lynell Wiggins | Nurse Practitioner | 1605 N 77th St, Philadelphia, PA 19151-2711 | 2020-09-16 |
| 1508479668 | Frances Laura Israel | Nurse Practitioner | 1913 Lansing St, Philadelphia, PA 19111-3505 | 2020-08-28 |
| 1063024529 | April Lee Fligor | Nurse Practitioner | 148 Osborn St, Philadelphia, PA 19128-3709 | 2020-08-17 |
| 1861010597 | Brooke Brady Bell | Nurse Practitioner | 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 | 2020-07-09 |
| 1780208090 | Kimberly Mae Behney | Nurse Practitioner | 8815 Germantown Ave Ste 20, Philadelphia, PA 19118-2722 | 2020-06-02 |
| 1811525819 | Jacqueline Baker | Nurse Practitioner | 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144-4252 | 2020-03-27 |
| 1720612914 | Zakiyyah Muhsin-fall | Nurse Practitioner | 499 N 5th St Ste A, Philadelphia, PA 19123-4005 | 2020-02-26 |
| 1386276152 | Mercedes Harley | Nurse Practitioner | 4151 Robbins Ave, Philadelphia, PA 19135-3021 | 2020-02-10 |
| 1467083063 | Tara Lynne Weaver | Nurse Practitioner | 800 Walnut St Fl 18, Philadelphia, PA 19107-5176 | 2020-02-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19122 |
Please comment or provide details below to improve the information on MS. KATHLEEN BOCZAR.
| 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.