JOAN MUREEN ADDLEY (NPI# 1275532160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275532160 |
| Entity Type | Individual |
| Full Name | JOAN MUREEN ADDLEY |
| Credential | DO |
| Practice Address |
8125 Stenton Ave Philadelphia PA 19150-3530 |
| Mailing Address |
1 W Elm St Ste 100 Conshohocken PA 19428-4108 |
| Practice Telephone | 2152487560 |
| Practice Fax Number | 2152487564 |
| Mailing Telephone | 6105675387 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2017-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
OS010055L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101305637 | 05 |
| Street Address |
8125 STENTON AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19150-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528392008 | Covenant House, Inc | Clinic/Center | 8125 Stenton Ave, Philadelphia, PA 19150-3530 | 2009-09-30 |
| 1801065842 | Jeannie M Peake | Registered Nurse | 8125 Stenton Ave, Philadelphia, PA 19150-3530 | 2008-02-25 |
| 1861538373 | Parvaneh Ravandoost | Family Medicine | 8125 Stenton Ave, Philadelphia, PA 19150-3530 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821589615 | Covenant House, Inc | Clinic/Center | 2385 W Cheltenham Ave., Philadelphia, PA 19150 | 2018-05-29 |
| 1326553074 | Prime Health Pharmacy LLC | Pharmacy | 1514 Wadsworth Ave, Philadelphia, PA 19150 | 2017-12-04 |
| 1609319797 | Ivy Hill Rehab Center LLC | Skilled Nursing Facility | 140 Ivy Hill Road, Wyndmoor, PA 19150 | 2016-11-22 |
| 1831563857 | Kutest Kids | Early Intervention Provider Agency | 7811 Cedarbrook Avenue, Philadelphia, PA 19150 | 2015-11-16 |
| 1487044020 | Stefanie Black | Pharmacy Technician | 2527 Target Pharmacy, Philadelphia, PA 19150 | 2015-02-04 |
| 1003206590 | Fatima Jackson | Pharmacy Technician | 2527 Shoppers Lane, Cheltenham Square Mall, Philadelphia, PA 19150 | 2015-02-04 |
| 1215351762 | Hilltop Medical Associates, PC | General Practice | 2350 W. Cheltenham Ave, Philadelphia, PA 19150 | 2014-02-04 |
| 1801219472 | Fatima Bangura | Registered Nurse | Excel Medical Center, LLC, 7515 Stenton Avenue, Philadelphia, PA 19150 | 2014-02-01 |
| 1386082089 | Enjalee Jennifer Thomas-finnagan | Behavioral Analyst | 8324 Temple Rd, Phila, PA 19150 | 2013-06-05 |
| 1235572538 | Blessy Mathew | Nurse Practitioner | 2385 Cheltenham Avenue, Philadelphia, PA 19150 | 2013-04-17 |
| Find all providers in zip 19150 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801444138 | Korah Consulting, Inc | Family Medicine | 11934 Dumont Rd, Philadelphia, PA 19116-2319 | 2019-08-29 |
| 1104026350 | Michelle Eisenhower M.d. | Family Medicine | Michelle Eisenhower M.d., 2301 S. Broad St., M.o.b. Suite 201, Philadelphia, PA 19148 | 2007-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578511564 | Joseph Isaac Trompeter | Family Medicine | 813 Washington Ave, Carnegie, PA 15106-3121 | 2006-05-04 |
| 1235125584 | Amy P Hursh | Family Medicine | 2541 E. Carson St., Pittsburgh, PA 15203 | 2005-09-22 |
| 1184622524 | The Family Practice of James Martin, Md, P.C. | Family Medicine | 1148 S Cedar Crest Blvd, Allentown, PA 18103-7933 | 2005-07-11 |
| 1235642968 | Pennsylvania Psychiatric Medical Services | Family Medicine | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2017-11-16 |
| 1467849281 | Monica Rezk | Family Medicine | 250 King of Prussia Rd Ste 2j, Radnor, PA 19087-5227 | 2015-04-20 |
| 1982953592 | Gerard Anthony Margiotti IIi | Family Medicine | 4829 E Street Rd, Trevose, PA 19053-6647 | 2012-08-29 |
| 1760742035 | Nagina Farida | Family Medicine | 2 Sharpe St, Kingston, PA 18704-3715 | 2012-05-21 |
| 1689705618 | Dennis James Kondash | Family Medicine | 211 N 12th St, Lehighton, PA 18235-1138 | 2007-03-09 |
| 1285760603 | Carnegie Pediatrics | Family Medicine | 813 Washington Ave, Carnegie, PA 15106-3121 | 2007-02-27 |
| 1346258837 | Gregory Charles Anderson | Family Medicine | 6023 Harvard Sq, Pittsburgh, PA 15206-3015 | 2006-08-03 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19150 |
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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.