TEMPLE FACULTY PRACTICE PLAN INC (NPI# 1174005011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174005011 |
| Entity Type | Organization |
| Organization Name | TEMPLE FACULTY PRACTICE PLAN INC |
| Other Organization Name | TEMPLE FACULTY GENERAL SURGERY ASSOCIATES |
| Practice Address |
3401 N Broad St Philadelphia PA 19140-5103 |
| Mailing Address |
2450 W Hunting Park Ave Philadelphia PA 19129-1302 |
| Practice Telephone | 2157073133 |
| Practice Fax Number | 2157073945 |
| Mailing Telephone | 2157073133 |
| Mailing Fax Number | 2157073945 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | TONYA WOODARD (DIRECTOR REVENUE CYCLE) |
| Authorized Official Telephone | 2187073911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Temple Faculty General Surgery Associates | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 515 Pennsylvania Ave, Fort Washington, PA 190343314 | 2156410700 | 2156410637 |
| 701 Ostrum St, Bethlehem, PA 180151119 | 2157073133 | 2157073945 |
| 7500 Central Ave, Philadelphia, PA 191112430 | 2152144100 | 2152144124 |
| 100 E Lehigh Ave, Philadelphia, PA 191251012 | 2157073626 | 2157078500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801378740 | Temple Faculty Practice Plan Inc | Family Medicine | 3322 Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1497238448 | Temple Faculty Practice Plan Inc | Advanced Practice Midwife | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-14 |
| 1710469655 | Temple Faculty Practice Plan Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1629550561 | Temple Faculty Practice Plan Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1073095915 | Temple Faculty Practice Plan Inc | Internal Medicine | 3322 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1548742489 | Temple Faculty Practice Plan Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1487136495 | Temple Faculty Practice Plan Inc | Family Medicine | 1700 N Broad St, Philadelphia, PA 19121-3429 | 2018-09-06 |
| 1841772878 | Temple Faculty Practice Plan Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-06 |
| 1194207134 | Temple Faculty Practice Plan Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1649752684 | Temple Faculty Practice Plan Inc | Surgery | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| Street Address |
3401 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205133 | Shefali Agrawal | Specialist | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2005-06-15 |
| 1962018523 | Caroline Grace Kelly | Audiologist | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-09-18 |
| 1457965964 | Barbara Ohiaeri | Pharmacist | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-09-02 |
| 1710505904 | Cara Greenspan | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-07-14 | |
| 1013535756 | Srinivasa Prasad Venkata Kanuparthi | Neurological Surgery | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-07-09 |
| 1417575143 | Sakshi Gandhi | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-07-09 |
| 1801414594 | Azka Rahman | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-07-08 |
| 1417574658 | Anna-kaye Marie Brown | Anesthesiology | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-07-04 |
| 1285251405 | Shalonda Cook | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-07-03 |
| 1386261501 | Temidayo Aderibigbe | Orthopaedic Surgery | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
| 1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
| 1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
| 1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
| 1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
| 1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
| Find all providers in zip 19140 | ||||
| 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 | 19140 |
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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.