SPECTRUM HEALTH SERVICES (NPI# 1194831131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194831131 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH SERVICES |
| Other Organization Name | L RALPH POTHEL MD |
| Practice Address |
5619 25 Vine St Philadelphia PA 19139 |
| Practice Telephone | 2154712750 |
| Practice Fax Number | 2154711079 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-11-20 |
| Authorized Official Name | L RALPH POTHEL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2154712750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD426295 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3986239 | 01 | |
| OTHER ID NUMBER | 3986239 | 01 |
| Other Name | Type Code |
|---|---|
| L RALPH POTHEL MD | Doing Business As Name - Organization |
| Street Address |
5619 25 VINE ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992744122 | Spectrum Health Services Inc | Clinic/Center | 5619 25 Vine St, Spectrum Health Services Inc, Philadelphia, PA 19139 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
| 1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
| 1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
| 1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
| 1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
| 1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
| 1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
| 1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
| 1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
| Find all providers in zip 19139 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023655602 | Dedicated Pennsylvania Holding, LLC | Non-Pharmacy Dispensing Site | 330 W Oregon Ave # 170, Philadelphia, PA 19148-4723 | 2019-12-03 |
| 1134528839 | Bucks Philadelphia Medical Care Group | Non-Pharmacy Dispensing Site | 10745 Haldeman Ave, Philadelphia, PA 19116-3928 | 2014-08-19 |
| 1376843912 | Philadelphia Chemocap Hair Store | Non-Pharmacy Dispensing Site | 766 S 4th St, Philadelphia, PA 19147-3137 | 2010-10-29 |
| 1326185182 | Morrell Eye Care, Inc. | Non-Pharmacy Dispensing Site | 3810 Morrell Ave, Philadelphia, PA 19114-1915 | 2007-01-31 |
| 1588738017 | David L Topolsky Md | Non-Pharmacy Dispensing Site | 230 S Broad St, 15th Flr, Philadelphia, PA 19102-4121 | 2006-11-17 |
| 1356828123 | Richard H. Kaplan, M.d., P.C. | Non-Pharmacy Dispensing Site | 9140 Academy Rd Ste A, Philadelphia, PA 19114-2853 | 2018-07-25 |
| 1407397565 | Premier Pain & Rehab Center | Non-Pharmacy Dispensing Site | 10184 Verree Rd, Philadelphia, PA 19116-3637 | 2017-03-09 |
| 1336699776 | Anand Medical Investment | Non-Pharmacy Dispensing Site | 5000 Frankford Ave, Suite 2, Philadelphia, PA 19124-2620 | 2016-10-10 |
| 1780926915 | Alliance Cancer Specialists,p.c. | Non-Pharmacy Dispensing Site | 3998 Red Lion Rd, Suite 130, Philadelphia, PA 19114-1445 | 2013-03-26 |
| 1679844492 | Alliance Cancer Specialists, P.C. | Non-Pharmacy Dispensing Site | 3998 Red Lion Rd, Suite 130, Philadelphia, PA 19114-1445 | 2012-01-25 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19139 |
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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.