THOMAS JEFFERSON UNIVERSITY HOSPITAL


Address: 25 S 9th St, Philadelphia, PA 19107-4408
Phone: 2159556585

THOMAS JEFFERSON UNIVERSITY HOSPITAL (NPI# 1255644175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255644175
Entity Type Organization
Organization Name THOMAS JEFFERSON UNIVERSITY HOSPITAL
Practice Address 25 S 9th St
Philadelphia
PA 19107-4408
Practice Telephone 2159556585
Enumeration Date 2010-07-20
Last Update Date 2010-07-20
Authorized Official Name DR. MELISSA MARIE GUANCHE (RESIDENT)
Authorized Official Telephone 3053330412
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 283X00000X Rehabilitation Hospital Hospitals

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205207164 Thomas Jefferson University Hospital General Acute Care Hospital 33 Meadow Creek Ln, Glenmoore, PA 19343-2017 2015-10-16
1790901924 Thomas Jefferson University Hospital General Acute Care Hospital 132 S 10th Ste 524 Main, Philadelphia, PA 19107-5244 2007-04-17
1598292229 Thomas Jefferson University Hospital Nurse Practitioner 1015 Chestnut St Ste 1321, Philadelphia, PA 19107-4313 2017-05-12
1306204417 Thomas Jefferson University Hospital Clinic/Center 2607 Rhawn St, Philadelphia, PA 19152-3038 2016-02-03
1033520424 Thomas Jefferson University Hospital Clinic/Center 909 Walnut St, Philadelphia, PA 19107-5211 2014-05-19
1396079315 Thomas Jefferson University Hospital General Acute Care Hospital 900 Walnut St, Philadelphia, PA 19107-5509 2009-09-23
1144476490 Thomas Jefferson University Hospital General Acute Care Hospital 111 S 11th St, Philadelphia, PA 19107-4824 2008-08-18
1972760189 Thomas Jefferson University Hospital General Acute Care Hospital 132 S 10th St, 285 Main Bldg, Philadelphia, PA 19107-5244 2008-05-16
1174795611 Thomas Jefferson University Hospital General Acute Care Hospital 111 S 11th St, Philadelphia, PA 19107-4824 2008-03-25
1992908990 Thomas Jefferson University Hospital General Acute Care Hospital 1011 Chestnut St, Apt 801west, Philadelphia, PA 19107-1421 2007-06-07

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities THOMAS JEFFERSON UNIVERSITY HOSPITAL 111 S 11th St, Philadelphia, PA 19107-4824

Office Location

Street Address 25 S 9TH ST
City PHILADELPHIA
State PA
Zip Code 19107-4408

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013995596 Deborah J. Franklin Physical Medicine & Rehabilitation 25 S 9th St, Dept. of Rehabilitation Medicine, Philadelphia, PA 19107-4408 2006-01-05
1639630403 Devon Zorn Student in an Organized Health Care Education/Training Program 25 S 9th St, Philadelphia, PA 19107-4408 2019-03-26
1104356658 Constance Li Physical Medicine & Rehabilitation 25 S 9th St, Philadelphia, PA 19107 2017-06-18
1679009351 Deborah M Cassidy Physical Medicine & Rehabilitation 25 S 9th St, Philadelphia, PA 19107 2017-05-02
1790216000 Philip Jerome Koehler IIi Physical Medicine & Rehabilitation 25 S 9th St, Philadelphia, PA 19107 2017-03-27
1184155228 James Christopher Pendleton Student in an Organized Health Care Education/Training Program 25 S 9th St, Philadelphia, PA 19107-4408 2017-03-21
1538521752 Jessica Maria Calandra Student in an Organized Health Care Education/Training Program 25 S 9th St, Ground Floor, Philadelphia, PA 19107-4408 2016-03-26
1376905810 Stephanie Gwin Internal Medicine 25 S 9th St, Philadelphia, PA 19107-4408 2016-03-23
1386039626 Eric Larsen Student in an Organized Health Care Education/Training Program 25 S 9th St, Philadelphia, PA 19107-4408 2015-04-03
1861806861 Harla Kelly O'donnell Student in an Organized Health Care Education/Training Program 25 S 9th St, Philadelphia, PA 19107 2014-06-17
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 283X00000X
Grouping Hospitals
Classification Rehabilitation Hospital

Taxonomy Definition

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700987187 Nazareth Hospital Rehabilitation Hospital 8131 Roosevelt Blvd., Philadelphia, PA 19152 2006-09-26
1679509988 Richard Joseph Galup Rehabilitation Hospital 8131 Roosevelt Blvd, Philadelphia, PA 19152-3013 2006-06-26
1568667137 Angela Jane Pavilion Acute Rehabilitation Hospital Rehabilitation Hospital 8410 Roosevelt Blvd, Philadelphia, PA 19152-2012 2007-06-15
1366477242 Brian Kirby Rehabilitation Hospital 2630 Holme Ave, Philadelphia, PA 19152-3009 2006-07-11
1437189685 Olusayo Elizabeth Olayinka Rehabilitation Hospital 8131 Roosevelt Blvd, Philadelphia, PA 19152-3013 2006-07-04
1174553267 Michael John Hughes Rehabilitation Hospital 8131 Roosevelt Blvd, Philadelphia, PA 19152-3013 2006-07-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255711081 Patrick Porter Rehabilitation Hospital 4917 Wyoming Ave, Harrisburg, PA 17109-3030 2015-06-06
1083041776 St Mary Rehabilitation Hospital LLP Rehabilitation Hospital 1208 Newton-langhorne Road, Langhorne, PA 19047 2013-09-26
1912115494 Smarthealth Bethel Park Outpatient Center Rehabilitation Hospital 109 Driftwood Dr, Monongahela, PA 15063-1120 2007-05-18
1982721155 Keystone Service Systems, Inc. Rehabilitation Hospital 217 Race St, Sunbury, PA 17801-1909 2007-03-23
1457403966 Lancaster Rehabilitation Hospital, LLP Rehabilitation Hospital 675 Good Drive, Lancaster, PA 17601 2007-01-17
1174598106 Uhs of Pennsylvania, Inc Rehabilitation Hospital 601 Roxbury Rd, Shippensburg, PA 17257-9302 2006-02-22
1174598817 Encompass Health Rehabilitation Hospital of Harmarville, LLC Rehabilitation Hospital 320 Guys Run Road, Pittsburgh, PA 15238-0460 2006-02-17
1811961758 Geisinger Encompass Health Limited Liability Company Rehabilitation Hospital 2 Rehab Ln, Danville, PA 17821-8498 2006-02-15
1104899814 Encompass Health Rehabilitation Hospital of Mechanicsburg, LLC Rehabilitation Hospital 175 Lancaster Blvd, Mechanicsburg, PA 17055-3562 2006-02-12
1316919608 Chhs Rehab Company, LLC Rehabilitation Hospital 8601 Stenton Ave, Wyndmoor, PA 19038-8312 2006-02-02
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Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

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.

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