DR. TEODORA ANN SCHELLATO (NPI# 1184839698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184839698 |
| Entity Type | Individual |
| Full Name | DR. TEODORA ANN SCHELLATO |
| Credential | D.O |
| Practice Address |
7604 Central Ave Suite 104 Philadelphia PA 19111-2433 |
| Practice Telephone | 2157454130 |
| Mailing Telephone | 2157454130 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2011-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | OS013079 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE UNSPECIFIED | 168067 | 01 |
| PA | INDEPENDENCE BLUE CROSS | 3724847000 | 01 |
| PA | PA BLUE SHIELD | 2109882 | 01 |
| PA | 1023982290001 | 05 |
| Street Address |
7604 CENTRAL AVE SUITE 104 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306833132 | Temple University of The Commonwealth System of Higher Education | Orthopaedic Surgery | 7604 Central Ave, Philadelphia, PA 19111-2433 | 2005-10-06 |
| 1033496971 | Temple Physicians Inc | Surgery | 7604 Central Ave, Philadelphia, PA 19111-2433 | 2011-11-07 |
| 1952574915 | Edward J Strauss D.o., P.C. | Family Medicine | 7604 Central Ave, Suite 102, Philadelphia, PA 19111-2433 | 2008-04-10 |
| 1144402090 | Gary W. Muller, M.d.p.c. | Orthopaedic Surgery | 7604 Central Ave, Suite 100, Philadelphia, PA 19111-2433 | 2007-12-03 |
| 1881736403 | Edward J Strauss | Family Medicine | 7604 Central Ave, Suite 102, Philadelphia, PA 19111-2433 | 2007-02-12 |
| 1598817074 | Temple Physicians Inc. | Acupuncturist | 7604 Central Ave, Suite 201, Philadelphia, PA 19111-2433 | 2007-01-17 |
| 1265549208 | Linda M Perry | Physician Assistant | 7604 Central Ave, Lower Level, Philadelphia, PA 19111-2433 | 2006-08-24 |
| 1922017763 | Joel Marvin Weissman | Urology | 7604 Central Ave, Suite 104, Philadelphia, PA 19111-2433 | 2006-08-07 |
| 1235173808 | Gary W. Muller | Orthopaedic Surgery | 7604 Central Ave, Suite 100, Philadelphia, PA 19111-2433 | 2006-06-15 |
| 1669410387 | Senior Health Associates | Family Medicine | 7604 Central Ave, Philadelphia, PA 19111-2433 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336444843 | Leonard Arnold Frank | Urology | 1025 Walnut St Suite 1112, Philadelphia, PA 19107 | 2011-01-13 |
| 1427369867 | Gregory Joseph Diorio | Urology | 231 N. Broad Street 2nd Floor, Philadelphia, PA 19107-2020 | 2010-06-30 |
| 1649451535 | Yew Lam Chong | Urology | 1025 Walnut St Ste 1112, Thomas Jefferson University Hospital, Philadelphia, PA 19107-5001 | 2007-11-19 |
| 1851586150 | Dana Alexandra Weiss | Urology | 34th and Civic Center Blvd Department, Children's Hospital of Philadelphia -urology Dept., Philadelphia, PA 19104-4399 | 2007-09-10 |
| 1922165000 | Phillip Mucksavage | Urology | 299 South 8th Street, Philadelphia, PA 19106-4010 | 2007-01-02 |
| 1215033618 | Michael Adrian Daniels | Urology | 2 Penn Blvd Ste 206, Philadelphia, PA 19144-1403 | 2006-09-15 |
| 1366553745 | Victor L Torres | Urology | 125 E Lehigh Avenue, Philadelphia, PA 19125 | 2006-08-31 |
| 1346280633 | Joseph K Izes | Urology | 833 Chestnut St Ste 703, Philadelphia, PA 19107-4409 | 2006-06-07 |
| 1790748838 | Victor Leonard Carpiniello | Urology | 299 S 8th St, Philadelphia, PA 19106-4010 | 2006-04-10 |
| 1770570798 | Melanie Ina Amster | Urology | 1216 Arch St, Suite 3b, Philadelphia, PA 19107-2835 | 2005-10-04 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
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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.