SPECTRUM HEALTH SERVICES, INC. (NPI# 1265866107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265866107 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH SERVICES, INC. |
| Practice Address |
5201 Haverford Ave Philadelphia PA 19139-1401 |
| Practice Telephone | 2154726095 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |
| Authorized Official Name | PHYLLIS CATER (PRESIDENT/CEO) |
| Authorized Official Telephone | 2154723240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007288260005 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1689045437 | Spectrum Health Services, Inc. | Clinic/Center | 1325 S 33rd St, 3rd Floor, Philadelphia, PA 19146-3303 | 2015-10-19 |
| Street Address |
5201 HAVERFORD AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19139-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437178977 | Gary Davis | Family Medicine | 5201 Haverford Ave, Philadelphia, PA 19139 | 2006-07-18 |
| 1720691439 | Tye Spady Blair | Dental Hygienist | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2020-08-24 |
| 1982246682 | Myra Lynn Rutland | Nurse Practitioner | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2019-10-14 |
| 1114588019 | Samiyra Seymone Vaughn-ibrahim | Dentist | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2019-06-23 |
| 1396300331 | Sarah Pinto | Nurse Practitioner | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2019-05-06 |
| 1659845501 | Naeemah A Ali | Nurse Practitioner | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2019-01-14 |
| 1629564307 | Ana Luisa Perez Guerrero | Registered Nurse | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2018-07-06 |
| 1669962635 | Abbey Roepke | Nurse Practitioner | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2018-05-15 |
| 1871956185 | Gina Steinberg | Nurse Practitioner | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2016-04-04 |
| 1770940827 | Yahaya Ehigie Enakhimion | Nurse Practitioner | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2016-01-20 |
| Find all providers in the same location | ||||
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1508478157 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 2463 Emerald St, Philadelphia, PA 19125-1236 | 2020-08-17 |
| 1255943809 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 3116 Frankford Ave, Philadelphia, PA 19134-3827 | 2020-08-17 |
| 1467063396 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 1952 E Allegheny Ave, Philadelphia, PA 19134-3122 | 2020-08-13 |
| 1275151607 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 1717 W Allegheny Ave, Philadelphia, PA 19132-1606 | 2020-07-13 |
| 1679133268 | Public Health Management Corporation | Clinic/Center | 315 S Broad St, Philadelphia, PA 19107-5213 | 2019-06-17 |
| 1821589615 | Covenant House, Inc | Clinic/Center | 2385 W Cheltenham Ave., Philadelphia, PA 19150 | 2018-05-29 |
| 1225536568 | Delaware Valley Community Health, Inc. | Clinic/Center | 400 W Allegheny Ave Bldg 5b, Philadelphia, PA 19133-3639 | 2018-01-31 |
| 1073037826 | Greater Philadelphia Health Action Inc. | Clinic/Center | 5630 Vine Street, Philadelphia, PA 19139-4703 | 2017-08-02 |
| 1225552177 | Greater Philadelphia Health Action Inc. | Clinic/Center | 3301 Tasker Street, Philadelphia, PA 19145-9996 | 2017-08-02 |
| 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.