NAZARETH PHYSICIAN SERVICES INC (NPI# 1215452982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215452982 |
| Entity Type | Organization |
| Organization Name | NAZARETH PHYSICIAN SERVICES INC |
| Other Organization Name | NPS N PCP HOLME AVENUE |
| Practice Address |
2630 Holme Ave Ste 101 Philadelphia PA 19152 |
| Mailing Address |
1 W Elm St Conshohocken PA 19428-4108 |
| Practice Telephone | 2156246007 |
| Practice Fax Number | 2156246465 |
| Mailing Telephone | 6105676964 |
| Mailing Fax Number | 6105675420 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2018-06-28 |
| Authorized Official Name | BETH HOPKINS (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 6105675239 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
PA | Behavioral Health & Social Service Providers | |
| Y | 207Q00000X | Family Medicine | PA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NPS N PCP Holme Avenue | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
| 1265682082 | Nazareth Physician Services Inc | Internal Medicine | 3461 Cottman Ave, Philadelphia, PA 19149-1605 | 2008-09-29 |
| 1659568533 | Nazareth Physician Services Inc | Internal Medicine | 2614 Woodward St, Philadelphia, PA 19152-1334 | 2007-09-25 |
| 1457382053 | Nazareth Physician Services Inc | Internal Medicine | 1407 Rhawn Street, Philadelphia, PA 19111 | 2006-07-05 |
| 1356377550 | Nazareth Physician Services Inc | Family Medicine | 7044 Torresdale Ave, Philadelphia, PA 19135-1915 | 2006-06-23 |
| 1497312656 | Nazareth Physician Services Inc | Internal Medicine | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2019-05-23 |
| 1861917544 | Nazareth Physician Services Inc | Social Worker | 1407 Rhawn St, Philadelphia, PA 19111 | 2017-08-03 |
| 1598112518 | Nazareth Physician Services Inc | Internal Medicine | 2701 Holme Ave, Suite 100, Philadelphia, PA 19152-2029 | 2016-05-19 |
| 1538190137 | Nazareth Physician Services Inc | Family Medicine | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2006-07-05 |
| 1699726844 | Nazareth Physician Services Inc | Obstetrics & Gynecology | 2701 Holme Ave, Suite 205, Philadelphia, PA 19152-2029 | 2006-05-12 |
| Street Address |
2630 HOLME AVE STE 101 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841706306 | Bridget Ann Dunn | Physician Assistant | 2630 Holme Ave Ste 101, Philadelphia, PA 19152-3004 | 2017-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| 1861865818 | Distinct Home Health Care, LLC. | Community/Behavioral Health | 8900 Maxwell Pl., Philadelphia, PA 19152 | 2015-11-12 |
| Find all providers in zip 19152 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1285289876 | Visiting Doctors Inc | Family Medicine | 2338 S Broad St Ste 1, Philadelphia, PA 19145-4450 | 2019-08-09 |
| 1770137218 | Health Care At Northeast Philadelphia LLC | Family Medicine | 3353 Cottman Avenue, Philadelphia, PA 19149-1603 | 2019-08-01 |
| 1679131585 | Aria Health Physician Services | Family Medicine | 3998 Red Lion Rd Ste 204, Philadelphia, PA 19114-1440 | 2019-06-05 |
| 1689232597 | Aria Health Physician Services | Family Medicine | 5000 Frankford Ave Ste 1, Philadelphia, PA 19124-2620 | 2019-06-05 |
| 1174096432 | Temple University of The Commonwealth System of Higher Education | Family Medicine | 2300 W Master St Ste 109b, Philadelphia, PA 19121-4739 | 2019-01-09 |
| 1679043152 | Prevention Point Philadelphia | Family Medicine | 2913-15 Kensington Ave, Philadelphia, PA 19134-3016 | 2018-11-28 |
| 1700362266 | Wes Corporation | Family Medicine | 5000 N 13th St, Philadelphia, PA 19141-3533 | 2018-07-17 |
| 1376046508 | Philly Medical and Rehab Associates | Family Medicine | 6401 Rising Sun Ave, Philadelphia, PA 19111-5228 | 2018-03-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
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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.