DR. MITCHELL S MEDNICK


Address: 1514 E Moyamensing Ave, Philadelphia, PA 19147
Phone: 6153455400

DR. MITCHELL S MEDNICK (NPI# 1164648846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164648846
Entity Type Individual
Full Name DR. MITCHELL S MEDNICK
Credential DO
Practice Address 1514 E Moyamensing Ave
Philadelphia
PA 19147
Mailing Address 3 Maryland Farms Ste 200
Brentwood
TN 37027-5005
Practice Telephone 6153455400
Mailing Telephone 6153455400
Mailing Fax Number 6153455405
Enumeration Date 2007-04-18
Last Update Date 2018-08-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204D00000X Neuromusculoskeletal Medicine & OMM OS006362E PA Allopathic & Osteopathic Physicians
N 208VP0000X Pain Medicine
Specialization: Pain Medicine
0S006362E PA Allopathic & Osteopathic Physicians

Office Location

Street Address 1514 E MOYAMENSING AVE
City PHILADELPHIA
State PA
Zip Code 19147

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508336181 Jamica Cropper-pam Counselor 401 S 2nd St. Suite 301, Philadelphia, PA 19147 2018-11-27
1598234411 Halina Dziewolska Behavioral Analyst 535 Queen Street, Philadelphia, PA 19147 2018-11-20
1972072908 City Dental LLC Clinic/Center 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 2018-11-20
1487120218 Christopher Michael Rosado Behavioral Analyst 1218-20 South 8th St, 1, Philadelphia, PA 19147 2018-10-19
1891271722 Candice Millard Dietitian, Registered 419 S 8th St Apt 1b, Philadelphia, PA 19147 2018-07-13
1669998217 Julianne Leonarda Wiebalk Counselor 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 2017-08-16
1396269247 Sara Parente Social Worker 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 2017-08-02
1609398445 Nikele Riek Social Worker 1348 Bainbridge Street, Philadelphia, PA 19147 2017-07-13
1023556875 Bralow Medical Group General Practice 834 South St., Philadelphia, PA 19147 2017-02-01
1194196105 Ann Courto Dietitian, Registered 1140 Cross Street, Philadelphia, PA 19147 2015-10-16
Find all providers in zip 19147

Taxonomy Information

Taxonomy Code 204D00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neuromusculoskeletal Medicine & OMM

Taxonomy Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition]
- Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710334404 Bethany Blum Neuromusculoskeletal Medicine & OMM 4636 Woodland Ave, Philadelphia, PA 19143-3854 2016-05-23
1295097376 Meghna M Patel Neuromusculoskeletal Medicine & OMM 4190 City Ave Ste 320, Philadelphia, PA 19131-1633 2012-06-13
1497014070 Andrew M Levin Neuromusculoskeletal Medicine & OMM 4190 City Ave Ste 330, Philadelphia, PA 19131-1633 2012-05-16
1063545838 Gerald Skobinsky PC Neuromusculoskeletal Medicine & OMM 6615 Torresdale Ave, Philadelphia, PA 19135-2827 2007-03-13
1457658015 Donald Lee Allison II Neuromusculoskeletal Medicine & OMM 4190 City Ave, Suite 330, Philadelphia, PA 19131-1626 2011-02-17
1023140605 Lauren Noto Bell Neuromusculoskeletal Medicine & OMM 4190 City Ave, Philadelphia, PA 19131-1626 2007-03-10
1790715001 Nicholas M Renzi Neuromusculoskeletal Medicine & OMM 1900 S Broad St, Philadelphia, PA 19145-2304 2006-07-03
1992742977 David B Fuller Neuromusculoskeletal Medicine & OMM 4190 City Ave, Philadelphia, PA 19131-1626 2006-05-31
1457353336 Evan A. Nicholas Neuromusculoskeletal Medicine & OMM 4190 City Line Ave, Philadelphia, PA 19131-1626 2005-08-11
1639171598 Alexander S. Nicholas Neuromusculoskeletal Medicine & OMM 4190 City Line Ave, Philadelphia, PA 19131-1626 2005-08-11
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19147

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Dataset Information

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.

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