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).
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 |
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 |
Street Address |
1514 E MOYAMENSING AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19147 |
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 Code | 204D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neuromusculoskeletal Medicine & OMM |
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 |
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 |
City | PHILADELPHIA |
Zip Code | 19147 |
Please comment or provide details below to improve the information on DR. MITCHELL S MEDNICK.
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.