PAI PARTICIPANT 5 PC (NPI# 1194381947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194381947 |
| Entity Type | Organization |
| Organization Name | PAI PARTICIPANT 5 PC |
| Practice Address |
1526 Lombard St Philadelphia PA 19146-1625 |
| Mailing Address |
Po Box 639676 Cincinnati OH 45263-9676 |
| Practice Telephone | 2155465960 |
| Practice Fax Number | 2157327450 |
| Mailing Telephone | 8592914800 |
| Mailing Fax Number | 8596558588 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2020-08-10 |
| Authorized Official Name | ERIN N LAIRD (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 4104588713 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1526 LOMBARD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19146-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558303982 | Geriatric & Medical Services Inc | Assisted Living Facility | 1526 Lombard St, Philadelphia, PA 19146-1625 | 2006-06-11 |
| 1457965808 | Alaina Meghan Noronha | Physician Assistant | 1526 Lombard St, Philadelphia, PA 19146-1625 | 2020-09-03 |
| 1417573403 | Brandon Henry Ly | Speech-Language Pathologist | 1526 Lombard St, Philadelphia, PA 19146-1625 | 2020-06-25 |
| 1487281358 | Jessica Decraene | Occupational Therapist | 1526 Lombard St, Philadelphia, PA 19146-1625 | 2020-03-23 |
| 1326674581 | Joshua Fuller | Physical Therapy Assistant | 1526 Lombard St, Philadelphia, PA 19146-1625 | 2020-03-19 |
| 1033754973 | Kelsey Topham | Occupational Therapist | 1526 Lombard St, Philadelphia, PA 19146-1625 | 2019-11-14 |
| 1326693102 | Tram Huynh Tran | Physical Therapist | 1526 Lombard St, Philadelphia, PA 19146-1625 | 2019-08-07 |
| 1083269385 | Kathleen Claire Mcgee | Physical Therapist | 1526 Lombard St, Philadelphia, PA 19146-1625 | 2019-08-05 |
| 1437616281 | Rachel Renee Koller | Physical Therapist | 1526 Lombard St, Philadelphia, PA 19146-1625 | 2019-02-28 |
| 1720545106 | Julie Rose Krecko | Occupational Therapist | 1526 Lombard St, Philadelphia, PA 19146-1625 | 2019-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545977 | Puentes De Salvd | Clinic/Center | 1700 South Street, Philadelphia, PA 19146 | 2020-07-08 |
| 1407480155 | Mutiat Ajibade | Nurse Practitioner | 1401 S. 31 Street, Phialdelphia, PA 19146 | 2020-03-02 |
| 1003453952 | Bridget Smith | Psychologist | Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 | 2019-12-10 |
| 1730678012 | Christina Martindale | Nurse Anesthetist, Certified Registered | 917 S 15th Street, Philadelphia, PA 19146 | 2018-05-02 |
| 1598289456 | Allison Ortolano | Speech-Language Pathologist | 1933 Montrose St., Philadelphia, PA 19146 | 2017-08-01 |
| 1033630116 | Jami F Young | Psychologist | 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 | 2017-06-29 |
| 1336678788 | Joshua Ryan Fidler | Occupational Therapist | 2223 Wharton Street, Philadelphia, PA 19146 | 2017-06-08 |
| 1912357930 | Mei Lan Natalie Lau | Pharmacist | 3000-02 Reed Street, Philadelphia, PA 19146 | 2016-06-21 |
| 1417354887 | Brandy Mitchell | Specialist | 1608 Webster Street, Philadelphia, PA 19146 | 2014-12-01 |
| 1942638101 | Woong Yi | Pharmacist | 1155 S.mole St, Philadelphia, PA 19146 | 2013-10-28 |
| Find all providers in zip 19146 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730239039 | Chintana Suanlarm | Internal Medicine | 5129 Germantown Ave, Philadelphia, PA 19144-2326 | 2007-01-11 |
| 1548338874 | Alan P Berg | Internal Medicine | 1940 W Allegheny Ave, Philadelphia, PA 19132-1614 | 2006-12-04 |
| 1689748600 | Richard Gebriel Stefanacci | Internal Medicine | 600 S 43rd St, Philadelphia, PA 19104-4418 | 2006-11-20 |
| 1962513531 | Maria Fogata, M.d., PC | Internal Medicine | 7800 Bustelton Ave, Philadelphia, PA 19152 | 2006-08-31 |
| 1093724890 | Joel Sam Betesh | Internal Medicine | 2240 S 3rd St Fl 2, Philadelphia, PA 19148-3347 | 2006-08-08 |
| 1346257490 | Luz S Ramos-bonner | Internal Medicine | 6970 Germantown Ave, Philadelphia, PA 19119-2114 | 2006-08-02 |
| 1275584807 | Ellen N Zagrebelsky | Internal Medicine | 9892 Bustleton Ave, Suite 102, Philadelphia, PA 19115-2184 | 2006-05-16 |
| 1962465674 | Heidi J Syropoulos | Internal Medicine | 1010 W Lehigh Ave, Philadelphia, PA 19133-1640 | 2006-04-11 |
| 1548243751 | Lisa Maria Walke | Internal Medicine | 3615 Chestnut St, Philadelphia, PA 19104 | 2005-11-22 |
| 1457340317 | Emmanuel C Okolo | Internal Medicine | 6950 Germantown Ave, Philadelphia, PA 19119-2120 | 2005-10-13 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19146 |
Please comment or provide details below to improve the information on PAI PARTICIPANT 5 PC.
| 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.