JUDITH ANN TANENBAUM (NPI# 1184601627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184601627 |
| Entity Type | Individual |
| Full Name | JUDITH ANN TANENBAUM |
| Other Name | JUDITH ANN LEVINE |
| Credential | PAC |
| Practice Address |
2100 W Girard Ave Phila PA 19130 |
| Mailing Address |
623 Unruh Ave 2nd Fl Phila PA 19111 |
| Practice Telephone | 2152141094 |
| Practice Fax Number | 2152141098 |
| Mailing Telephone | 2152141094 |
| Mailing Fax Number | 2152141098 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA002088L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093873267 | Judith Hertz Tanenbaum | Psychiatry & Neurology | 930 Park Ave, Suite 1c, New York, NY 10028-0209 | 2006-12-04 |
| Street Address |
2100 W GIRARD AVE |
| City | PHILA |
| State | PA |
| Zip Code | 19130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164690327 | Felix Vershvovsky | Family Medicine | 2100 W Girard Ave, Phila, PA 19130-1400 | 2008-02-11 |
| 1699751230 | Dennis Ilozulike Eneanya | Internal Medicine | 2100 W Girard Ave, Phila, PA 19130-1400 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1689213456 | Nora Marie Corbett | Physical Therapist | 1714 Fairmount Avenue, Philadelphia, PA 19130 | 2019-12-27 |
| 1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
| 1619444577 | Rebecca Boova | Dietitian, Registered | 1644 Francis St, #3, Philadelphia, PA 19130 | 2018-10-30 |
| 1184191108 | Sharon Marie Thompson | Nurse Practitioner | School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 | 2018-10-29 |
| 1861918542 | Theresa Mary Thompson | Dental Hygienist | Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 | 2017-08-15 |
| 1023539806 | Marina France | Social Worker | 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 | 2017-06-30 |
| 1619425063 | Sarah Nash | Dietitian, Registered | 420 North 20th Street, Philadelphia, PA 19130 | 2016-09-14 |
| 1154737757 | Julia Ferrence | Social Worker | 2305 Fairmount Avenue, Philadelphia, PA 19130 | 2014-07-03 |
| 1811319924 | Larry H Goldberg | Internal Medicine | 2441 Olive Street, Philadelphia, PA 19130 | 2014-01-08 |
| Find all providers in zip 19130 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225273212 | Temple Physicians Inc | Physician Assistant | 4857 C St, Phila, PA 19120-4328 | 2008-12-05 |
| 1962468009 | Marylouis Friedberger | Physician Assistant | University & Woodland Ave, Phila Va Med Center, Phila, PA 19104 | 2006-04-26 |
| 1497904049 | Temple Physicians Inc | Physician Assistant | 8025 Castor Ave, Phila, PA 19152-2733 | 2008-09-18 |
| 1396923132 | April Nicole Shepard | Physician Assistant | 2340 E Allegheny Ave, Phila, PA 19134-4433 | 2008-02-04 |
| 1417147661 | Donna Pietrafesa | Physician Assistant | 5501 Old York Rd, Hackenberg Building, 3rd Floor, Phila, PA 19141-3018 | 2007-07-25 |
| 1689717860 | John Avery Salvia | Physician Assistant | 1703 S Broad St, Ste 300, Phila, PA 19148-1536 | 2007-02-15 |
| 1588728406 | Jessica Ocava | Physician Assistant | 925 Chestnut St, Dpt of Otorhinolargyngology 6th Floor, Phila, PA 19107-4216 | 2006-12-22 |
| 1093881328 | Maryann Kelly | Physician Assistant | 3300 Aramingo Ave, Phila, PA 19134-4500 | 2006-11-28 |
| 1548353600 | Eileen Bowie | Physician Assistant | 1703 S Broad St, Ste. 300, Phila, PA 19148-1536 | 2006-10-02 |
| 1649257528 | Perry Avery Cain | Physician Assistant | 3401 N. Broad Street, Phila, PA 19140 | 2005-12-30 |
| Find all providers in PHILA | ||||
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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.