DR. JISUN CHA (NPI# 1194950683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194950683 |
| Entity Type | Individual |
| Full Name | DR. JISUN CHA |
| Credential | M.D. |
| Practice Address |
833 Chestnut St Ste 740 Philadelphia PA 19107-4409 |
| Practice Telephone | 2159556680 |
| Mailing Telephone | 2159556680 |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2020-05-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | MD465852 | PA | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 25MA09071200 | NJ | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | MD12915 | RI | Allopathic & Osteopathic Physicians |
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
MD465852 | PA | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
MA09071200 | RI | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
25MA090712 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0315176 | 05 |
| Street Address |
833 CHESTNUT ST STE 740 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184287765 | Mitchell Silver | Psychiatry & Neurology | 833 Chestnut St Ste 740, Philadelphia, PA 19107-4409 | 2019-04-18 |
| 1285297135 | Victor Sam Wang | Psychiatry & Neurology | 833 Chestnut St Ste 740, Philadelphia, PA 19107-4409 | 2019-04-17 |
| 1457914582 | Lucia Liao | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 740, Philadelphia, PA 19107-4409 | 2019-04-15 |
| 1518420306 | Rachael Burke | Psychiatry & Neurology | 833 Chestnut St Ste 740, Philadelphia, PA 19107-4409 | 2019-04-09 |
| 1578026480 | Jessica Yi | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 740, Philadelphia, PA 19107-4409 | 2019-04-08 |
| 1013470947 | Brendan Elias | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 740, Philadelphia, PA 19107-4409 | 2019-04-08 |
| 1366905382 | Courtney Curran | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 740, Philadelphia, PA 19107-4409 | 2019-04-08 |
| 1740743723 | Erum Ahmed | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 740, Philadelphia, PA 19107-4409 | 2019-04-08 |
| 1912498767 | Melissa Ann Renzi | Nurse Practitioner | 833 Chestnut St Ste 740, Philadelphia, PA 19107-4409 | 2018-05-27 |
| 1851881130 | Eunice Jiyoung Lee | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 740, Philadelphia, PA 19107-4409 | 2018-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| 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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205851888 | John T Seykora | Dermatology | 421 Curie Blvd, 1011 Brb, Philadelphia, PA 19104-4863 | 2006-07-13 |
| 1790722981 | Debra Jih | Dermatology | 822 Pine St Ste 2a, Philadelphia, PA 19107-6187 | 2006-05-31 |
| 1922570498 | Methodist Associates In Healthcare, Inc. | Dermatology | 3 Crescent Dr Fl 2, Philadelphia, PA 19112-1016 | 2018-12-21 |
| 1073902169 | University of Penn-medical Group | Dermatology | 3400 Spruce St, 2 Rhoads Pavilion, Philadelphia, PA 19104-4238 | 2015-01-13 |
| 1225426349 | University of Penn-medical Group | Dermatology | 3400 Civic Center Blvd, 1-330s Perelman Center, Philadelphia, PA 19104-5127 | 2014-12-23 |
| 1831320332 | Jefferson University Physicians | Dermatology | 833 Chestnut St, Suite 630, Jup Central Enollments, Philadelphia, PA 19107-4414 | 2009-07-31 |
| 1801821400 | Faizan M Alawi | Dermatology | 3400 Spruce Street, 2 Rhoads Pavilion, Philadelphia, PA 19104 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164684767 | Susan D Gisser | Dermatology | 515 Redleaf Rd, Wynnewood, PA 19096-1625 | 2008-06-26 |
| 1013965011 | Marisa Frances Baldassano | Dermatology | 828 Creekview Dr, Blue Bell, PA 19422-2729 | 2006-05-04 |
| 1174585418 | Ethel Marsha Ziselman | Dermatology | 2 Castlebar Ln, Malvern, PA 19355 | 2006-04-03 |
| 1336141373 | Thomas D Griffin | Dermatology | 3805 W Chester Pike, Newtown Square, PA 19073-2329 | 2005-08-10 |
| 1265431043 | Stacey E. Englander-turner | Dermatology | 940 E Haverford Rd, Suite 100, Bryn Mawr, PA 19010-3845 | 2005-07-14 |
| 1508865304 | Christine S Stanko | Dermatology | 775 E Lancaster Ave Ste 200, Villanova, PA 19085 | 2005-07-14 |
| 1154329035 | Nancy S House | Dermatology | 419 Walnut St, Sewickley, PA 15143-1535 | 2005-07-13 |
| 1629610936 | St Luke's Physician Group, Inc | Dermatology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2019-10-09 |
| 1902359912 | Dermatology Specialists of Montgomery County PC | Dermatology | 410 W Linfield Trappe Rd, Suite 240, Limerick, PA 19468 | 2016-07-26 |
| 1942566153 | Christina Marie Dicarlo | Dermatology | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2012-04-02 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.