UNIVERSITY OF PENN-MEDICAL GROUP


Address: 51 N 39th St, Mob Suite 120, Philadelphia, PA 19104-2640
Phone: 2156627320

UNIVERSITY OF PENN-MEDICAL GROUP (NPI# 1275921298) 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) 1275921298
Entity Type Organization
Organization Name UNIVERSITY OF PENN-MEDICAL GROUP
Practice Address 51 N 39th St
Mob Suite 120
Philadelphia
PA 19104-2640
Practice Telephone 2156627320
Mailing Telephone 2156627320
Enumeration Date 2014-12-29
Last Update Date 2014-12-29
Authorized Official Name ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2156627583
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2086S0102X Surgery
Specialization: Surgical Critical Care
PA Allopathic & Osteopathic Physicians
N 2086S0127X Surgery
Specialization: Trauma Surgery
PA Allopathic & Osteopathic Physicians
Y 208600000X Surgery PA Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1396193900 University of Penn-medical Group Transplant Surgery 1501 N Cedar Crest Blvd, Suite 110 Liver Transplant, Allentown, PA 18104-2309 2016-05-25
1821451139 University of Penn-medical Group Internal Medicine 554 N Duke St, 3rd Floor Renal Transplant, Lancaster, PA 17602-2225 2016-04-04
1902269210 University of Penn-medical Group Surgery 554 N Duke St, 3rd Floor, Lancaster, PA 17602-2225 2016-04-04
1043670805 University of Penn-medical Group Internal Medicine 554 N Duke St, 3rd Floor Gi Transplant, Lancaster, PA 17602-2225 2016-03-07
1730578667 University of Penn-medical Group Internal Medicine 3400 Spruce St, Ground Floor Donner, Philadelphia, PA 19104-4238 2015-01-15
1073902169 University of Penn-medical Group Dermatology 3400 Spruce St, 2 Rhoads Pavilion, Philadelphia, PA 19104-4238 2015-01-13
1184012569 University of Penn-medical Group Clinical Medical Laboratory 3400 Spruce St, Philadelphia, PA 19104-4238 2015-01-07
1821486846 University of Penn-medical Group Marriage & Family Therapist 3535 Market St, 3rd Floor, Philadelphia, PA 19104-3309 2014-12-29
1740678762 University of Penn-medical Group Pathology 3400 Spruce St, Philadelphia, PA 19104-4238 2014-12-29
1811385834 University of Penn-medical Group Thoracic Surgery (Cardiothoracic Vascular Surgery) 51 N 39th St, 266 Wright Saunders, Philadelphia, PA 19104-2640 2014-12-29

Office Location

Street Address 51 N 39TH ST
MOB SUITE 120
City PHILADELPHIA
State PA
Zip Code 19104-2640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679570733 Tanya M Dougherty Pharmacist 51 N 39th St, 6th Floor Mutch Building, Philadelphia, PA 19104-2640 2005-07-05
1114527058 Laureen Delgado Nurse Practitioner 51 N 39th St, Philadelphia, PA 19104-2640 2020-10-29
1629677331 Annabell Boreland Nurse Practitioner 51 N 39th St, Philadelphia, PA 19104-2640 2020-10-23
1174120190 Kerry Jane Benson Dietitian, Registered 51 N 39th St, Philadelphia, PA 19104-2640 2020-10-02
1487251591 Ashley Nichole Williams Nurse Practitioner 51 N 39th St, Philadelphia, PA 19104-2640 2020-10-02
1245844687 Matthew Hinton Pharmacist 51 N 39th St, Philadelphia, PA 19104-2640 2020-09-02
1093323768 Lindsey Morgan Duboff Physician Assistant 51 N 39th St, Philadelphia, PA 19104-2640 2020-07-20
1184240830 Ashley Danielle Kelly Nurse Anesthetist, Certified Registered 51 N 39th St, Philadelphia, PA 19104-2640 2020-06-18
1992321863 Cassie Deann Prendergast Nurse Anesthetist, Certified Registered 51 N 39th St, Philadelphia, PA 19104-2640 2020-06-17
1972126951 Theresa Marie Carbone Registered Nurse 51 N 39th St, Philadelphia, PA 19104-2640 2020-05-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
Find all providers in zip 19104

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1962993170 Brian M Till Surgery 1015 Walnut Street, Suite 620 Curtis, Philadelphia, PA 19107-5005 2018-05-23
1356838932 Walker Lyons Surgery 1015 Walnut St Ste 210, Philadelphia, PA 19107-5005 2018-04-18
1790213114 Matthew Paul Mullarkey Surgery 3401 N Broad St Ste C405, Philadelphia, PA 19140-5103 2017-05-30
1528424090 Zhen Lu Surgery 5401 Old York Rd # Klein101, Philadelphia, PA 19141-3030 2016-01-13
1235517996 David Kim Surgery 3401 N Broad St # 3ppc388, Philadelphia, PA 19140 2015-05-14
1578941282 Amanda Elizabeth Deliere Surgery 3400 N Broad St, Philadelphia, PA 19140-5104 2015-05-13
1649660804 Deviney Rattigan Surgery 1110 Lombard St Apt 24, Philadelphia, PA 19147-1206 2015-01-27
1346676988 Aviva Wallace Kaplin Surgery 20 E Abington Ave, Philadelphia, PA 19118-3410 2013-09-15
1619300571 Roshin Thomas Surgery 8815 Germantown Ave Fl 2, Philadelphia, PA 19118-2722 2013-08-14
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Competitor

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City PHILADELPHIA
Zip Code 19104

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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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