STC PEDIATRICS LLC


Address: 5501 Old York Rd, Philadelphia, PA 19141-3018
Phone: 6107436049

STC PEDIATRICS LLC (NPI# 1255975652) 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) 1255975652
Entity Type Organization
Organization Name STC PEDIATRICS LLC
Practice Address 5501 Old York Rd
Philadelphia
PA 19141-3018
Mailing Address Po Box 13579
Reading
PA 19612-3579
Practice Telephone 6107436049
Enumeration Date 2019-10-30
Last Update Date 2019-10-30
Authorized Official Name GARY CONNER (VP & VFO)
Authorized Official Telephone 4846280797
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
St. Christopher's Pediatric Associates Cardiothoracic Surgery-Old York Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912516279 Stc Pediatrics LLC Pediatrics 3601 A St Fl Family, Philadelphia, PA 19134-1043 2020-07-23
1932722881 Stc Pediatrics LLC Orthopaedic Surgery 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 2020-05-27
1649806217 Stc Pediatrics LLC Pediatrics 160 E Erie Ave Fl 3, Philadelphia, PA 19134-1011 2020-03-16
1033753439 Stc Pediatrics LLC Pediatrics 500 York Rd Ste 250, Jenkintown, PA 19046-2870 2019-10-30
1861036279 Stc Pediatrics LLC Pediatrics 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 2019-10-30
1639713944 Stc Pediatrics LLC Pediatrics 1201 Langhorne Newtown Rd Ste 401, Langhorne, PA 19047-1201 2019-10-30
1548804909 Stc Pediatrics LLC Psychiatry & Neurology 100 Kings Way E Ste C, Sewell, NJ 08080-2238 2019-10-29
1962046474 Stc Pediatrics LLC Pediatrics 301 Oxford Valley Rd Ste 1201, Yardley, PA 19067-7706 2019-10-29
1508466913 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-10-27
1548867476 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-10-05

Office Location

Street Address 5501 OLD YORK RD
City PHILADELPHIA
State PA
Zip Code 19141-3018

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518962331 Sean Janzer Internal Medicine 5501 Old York Rd, 4th Floor Willowcrest, Philadelphia, PA 19141-3018 2005-06-17
1740897594 Tajmia G Mcintosh Nurse Practitioner 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-09-25
1104433200 Juan Pablo Solano Romero Student in an Organized Health Care Education/Training Program 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-09-23
1205442233 Rasha Elrefai Pediatrics 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-09-15
1124633847 Maria Carolina Musri Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-09-10
1295345916 Bakhtawer Siraj Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-08-06
1699383091 Sreenagavishnuvardha Motupalli Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-07-21
1750909222 Raja Srinivas Boddepalli Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-07-10
1306463518 Atif Iftikhar Nehvi Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-07-03
1821615345 Paulina Henriquez Rojas Psychiatry & Neurology 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-06-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598375925 Meredith Jeanne Behr Physician Assistant 5401 N Broad St, Philadelphia, PA 19141 2020-07-31
1811552896 Kristine Nissley Registered Nurse Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 2019-05-06
1427525054 Danielle Dicicco Havelin Social Worker 1314 Windrim Ave, Philadelphia, PA 19141 2018-11-01
1568956043 Reid Thomas Alley Psychiatry & Neurology Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 2018-06-19
1912409533 Lauren Joy Barton Physician Assistant 5401 N Broad St Ste 363, Philadelphia, PA 19141 2018-02-28
1952819633 Einstein Practice Plan, Inc. Internal Medicine 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 2018-01-17
1043739642 Lauren Lynn Pleis Nurse Practitioner 1200 Tabor Road, Philadelphia, PA 19141 2017-09-14
1225558224 Ryan A. Hoffman Student in an Organized Health Care Education/Training Program Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 2017-06-21
1972036515 Hussein Safa Family Medicine 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 2017-04-11
1366895500 Ejaz Mahmood Student in an Organized Health Care Education/Training Program 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 2016-07-22
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528443041 Michael Ibrahim Thoracic Surgery (Cardiothoracic Vascular Surgery) 3701 Chestnut St Apt 410, Philadelphia, PA 19104-3104 2015-07-27
1215279112 Jeffrey M Dunn Thoracic Surgery (Cardiothoracic Vascular Surgery) 200 W. Washington Sq, #1207, Philadelphia, PA 19106 2013-03-19
1124200167 Charles Tanos Bakhos Thoracic Surgery (Cardiothoracic Vascular Surgery) 3509 N. Broad St, Philadelphia, PA 19140 2007-12-01
1548303464 Srikrishna Sirivella Thoracic Surgery (Cardiothoracic Vascular Surgery) Erie Ave & Front Street, St.christopher's Hospital for Children, Cardiothoracic, Philadelphia, PA 19134-1095 2007-02-14
1114943644 Raphael Chun-sing Lui Thoracic Surgery (Cardiothoracic Vascular Surgery) 151 W School House Ln, Philadelphia, PA 19144-3348 2006-07-15
1174167571 Stc Pediatrics LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-10-30
1437793833 Stc Pediatrics LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 230 N Broad St, Philadelphia, PA 19102-1121 2019-10-30
1629538228 Benjamin Franklin Smood Thoracic Surgery (Cardiothoracic Vascular Surgery) 3400 Spruce Street, 4 Maloney, Department of Surgery, Surgery Education, Philadelphia, PA 19104 2019-03-21
1770068041 Chirantan Vinodbhai Mangukia Thoracic Surgery (Cardiothoracic Vascular Surgery) 3509 N Broad St, Philadelphia, PA 19140-4105 2018-10-02
1841772878 Temple Faculty Practice Plan Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-06
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Competitor

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City PHILADELPHIA
Zip Code 19141

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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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