LEON E CLARKE (NPI# 1295717221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295717221 |
| Entity Type | Individual |
| Full Name | LEON E CLARKE |
| Credential | MD |
| Practice Address |
501 S 54th St Suite 537 Philadelphia PA 19143-1900 |
| Mailing Address |
1 W Elm St Conshohocken PA 19428-2007 |
| Practice Telephone | 2157489653 |
| Practice Fax Number | 2157489346 |
| Mailing Telephone | 6105676964 |
| Mailing Fax Number | 6105676170 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2008-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD018475 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0007978850003 | 05 | |
| PA | BLUE SHIELD | 1542222 | 01 |
| PA | AETNA PPO | 4597364 | 01 |
| PA | KEYSTONE HEALTH PLAN EAST | 0052011000 | 01 |
| PA | KEYSTONE MERCY | 30002018 | 01 |
| PA | AETNA HMO | 3032802 | 01 |
| Street Address |
501 S 54TH ST SUITE 537 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19143-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861486698 | Mercy Catholic Medical Center of Southeastern Pa | General Acute Care Hospital | 501 S 54th St, Philadelphia, PA 19143-1900 | 2005-09-08 |
| 1598322604 | Zena Lee Harrison | Dietitian, Registered | 501 S 54th St, Philadelphia, PA 19143-1900 | 2019-05-23 |
| 1346709326 | Lienhuong Thi Nguyen | Occupational Therapist | 501 S 54th St, Philadelphia, PA 19143-1900 | 2019-03-18 |
| 1659844199 | Brenda Johnson | Nurse Practitioner | 501 S 54th St, Philadelphia, PA 19143-1900 | 2019-01-08 |
| 1518481225 | Mercy Management of Sepa | Internal Medicine | 501 S 54th St, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1689024143 | Surjeet Singh Dheer | Hospitalist | 501 S 54th St, Philadelphia, PA 19143-1900 | 2016-06-15 |
| 1659726420 | Greggory Wilhoite | Emergency Medicine | 501 S 54th St, Philadelphia, PA 19143-1900 | 2016-04-29 |
| 1154796928 | Amanda Meehan | Nurse Practitioner | 501 S 54th St, Philadelphia, PA 19143-1900 | 2015-12-04 |
| 1699158352 | Yik Han Chan | Dietitian, Registered | 501 S 54th St, Philadelphia, PA 19143-1900 | 2015-06-30 |
| 1932532504 | Melissa Wing | Registered Nurse | 501 S 54th St, Philadelphia, PA 19143-1900 | 2013-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554142 | Trusted Hands Care Professionals LLC | In Home Supportive Care | 1130 South Paxon Street, Philadelphia, PA 19143 | 2020-06-26 |
| 1477189140 | Kareemah Anjail Abdullah | Counselor | 5307 Chelen Ave, Philadelphia, PA 19143 | 2020-03-13 |
| 1336604024 | Mohamed Keita | Non-emergency Medical Transport (VAN) | 5030 Warrington Avenue, Philadelphia, PA 19143 | 2019-02-06 |
| 1366924011 | Whitney Tamika Carter | Specialist/Technologist | 5526 Ridgewood St, Philadelphia, PA 19143 | 2018-08-29 |
| 1639662190 | Mattew Muchnick | Physical Therapist | 4730 Hazel Ave 2r, Philadelphia, PA 19143 | 2018-06-10 |
| 1750883062 | Optimal Support for Everyday Lives | Case Management | 5800 Springfield Avenue, Philadelphia, PA 19143 | 2018-03-02 |
| 1205352671 | New Visions Case Management & Consulting, LLC | Social Worker | 726 S 55th Street, Philadelphia, PA 19143 | 2017-08-17 |
| 1104342583 | Mercy Management of Southeastern Pennsylvania | Orthopaedic Surgery | 501 S 54th St Ste 28, Phila, PA 19143 | 2017-08-17 |
| 1093238388 | Blessed Hands Home Care Agency L.L.C. | Home Health | 433 S. 57th Street, Phila, PA 19143 | 2017-07-19 |
| 1891216529 | Ashley Seiver | Occupational Therapist | 923 S. 46th Street, Philadelphia, PA 19143 | 2017-07-03 |
| Find all providers in zip 19143 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| 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. |
| 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 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19143 |
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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.