MERCY MANAGEMENT OF SEPA (NPI# 1285158105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285158105 |
| Entity Type | Organization |
| Organization Name | MERCY MANAGEMENT OF SEPA |
| Other Organization Name | MMSEPA F PCP PROVIDENCE OFFICE |
| Practice Address |
925 Providence Rd Ste 8/9 Secane PA 19018-2920 |
| Mailing Address |
1 W Elm St Conshohocken PA 19428-4108 |
| Practice Telephone | 6103941234 |
| Practice Fax Number | 6102844811 |
| Mailing Telephone | 6105676964 |
| Mailing Fax Number | 6105675420 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | AMIEE BRENNAN (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 6105676964 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MMSEPA F PCP Providence Office | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
| 1447776729 | Mercy Management of Sepa | Internal Medicine | 1501 Lansdowne Ave Ste 302, Darby, PA 19023-1333 | 2017-08-17 |
| 1255857538 | Mercy Management of Sepa | Internal Medicine | 1501 Lansdowne Ave Ste 305, Darby, PA 19023-1333 | 2017-08-17 |
| 1427573492 | Mercy Management of Sepa | Neurological Surgery | 2701 Holme Ave Ste 305, Phila, PA 19152-2029 | 2017-08-10 |
| 1972027688 | Mercy Management of Sepa | Family Medicine | 501 S 54th St Ste 26, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1982128690 | Mercy Management of Sepa | Internal Medicine | 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1598289209 | Mercy Management of Sepa | Family Medicine | 2821 Island Ave Ste De, Philadelphia, PA 19153-2300 | 2017-08-03 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1740704667 | Mercy Management of Sepa | Family Medicine | 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 | 2017-08-02 |
| 1831189612 | Mercy Management of Sepa | Internal Medicine | 5630 Chestnut St, Philadelphia, PA 19139-3232 | 2005-10-24 |
| Street Address |
925 PROVIDENCE RD STE 8/9 |
| City | SECANE |
| State | PA |
| Zip Code | 19018-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639738222 | Rajan Jain | Dentist | 523 South Oak Ave, Aldan, PA 19018 | 2019-06-07 |
| 1649620659 | Melissa Sheekey | Counselor | 23 Windsor Ln, Clifton Heights, PA 19018 | 2016-06-21 |
| 1366804676 | John Kwon | Pharmacist | 5300 Baltimore Pike, Clifton Heights, PA 19018 | 2016-03-25 |
| 1174996060 | Danielle Perfetti | Pharmacist | 233 Fairview Ave, Clifton Heights, PA 19018 | 2015-11-02 |
| 1801124870 | Dipty Mangla | Anesthesiology | 776 E Providence Rd, Apartment D 309, Aldan, PA 19018 | 2009-12-02 |
| 1063635670 | Dr Morris A Levin Assoc Inc | Family Medicine | 201 N Bishop Avenue, Clifton Heights, PA 19018 | 2007-04-11 |
| 1629198825 | Vincent Camillo Pepe | Dentist | 5349 Brittany Drive, Clifton Heights, PA 19018 | 2007-03-30 |
| 1407988843 | Michael James Gagliardo | Family Medicine | 201 West Brook Dr, Clifton Heights, PA 19018 | 2007-03-12 |
| 1265443584 | Bezarel M Banadda | Internal Medicine | 770 E Providence Road, Suite 112, Aldan, PA 19018 | 2006-08-11 |
| 1891703864 | Anthony M Mechell Jr. | Dentist | 600 Ashland Ave, Secane, PA 19018 | 2006-08-04 |
| Find all providers in zip 19018 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442878 | Hallie Szymanski | Family Medicine | 3481 Frye Ave, Finleyville, PA 15332-1305 | 2020-09-19 |
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1497369813 | Christina Socash | Family Medicine | 11335 Neiger Rd, Girard, PA 16417-9130 | 2020-09-02 |
| 1902410673 | Geisinger Clinic | Family Medicine | 20 Diana Ln, West Hazleton, PA 18202-1210 | 2020-09-01 |
| 1457964603 | Cynthia Rainey Raposas | Family Medicine | 3552 Woodside Rd, Hollidaysburg, PA 16648-5258 | 2020-08-27 |
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649882275 | Blair Regenerative Medicine LLC | Family Medicine | 201 Hospital Dr Ste 2, Everett, PA 15537-7019 | 2020-08-17 |
| 1447861521 | Mature Resources Foundation | Family Medicine | 28944 Frenchville Karthaus Hwy, Frenchville, PA 16836-8834 | 2020-08-12 |
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
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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.