CHOP CLINICAL ASSOCIATES (NPI# 1336253046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336253046 |
| Entity Type | Organization |
| Organization Name | CHOP CLINICAL ASSOCIATES |
| Practice Address |
34th & Civic Center Blvd. Parc Business Office Philadelphia PA 19104 |
| Practice Telephone | 2674265722 |
| Practice Fax Number | 2674266325 |
| Mailing Telephone | 2674265722 |
| Mailing Fax Number | 2674266325 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DIERDRA YOUNG (DIRECTOR, BUSINESS OFFICE) |
| Authorized Official Telephone | 2674265722 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 60008 | 05 | |
| PA | PRUDENTIAL HEALTH CARE | 23-1352166-081 | 01 |
| PA | KEYSTONE HEALTH PLAN EAST | 393303 | 01 |
| PA | HORIZON BLUE CROSS | 393303 | 01 |
| PA | IBC | 0001166000 | 01 |
| PA | AETNA/US HEALTHCARE | 0001426 | 01 |
| PA | 4204301 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487807020 | Chop Clinical Associates | Clinic/Center | 34th & Civic Center Blvd, Parc Business Services, Philadelphia, PA 19104-4306 | 2008-10-28 |
| 1831386739 | Chop Clinical Associates | Clinic/Center | 34th & Civic Center Blvd., Parc Business Services, Philadelphia, PA 19104-4306 | 2007-09-25 |
| 1316133424 | Chop Clinical Associates | Clinic/Center | 34th & Civic Center Blvd, Parc Business Services, Philadelphia, PA 19104-4306 | 2007-09-21 |
| 1972695740 | Chop Clinical Associates | Psychiatry & Neurology | 4009 Black Horse Pike, Mays Landing, NJ 08330-3133 | 2006-09-29 |
| Street Address |
34TH & CIVIC CENTER BLVD. PARC BUSINESS OFFICE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770512345 | Carmen I Baccarini | Pediatrics | 34th & Civic Center Blvd., Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2006-07-03 |
| 1548511629 | Elizabeth A Deguzman | Clinical Nurse Specialist | 34th & Civic Center Blvd., Ste 110, Philadelphia, PA 19104 | 2012-09-28 |
| 1831357714 | Jumi Yi | Pediatrics | 34th & Civic Center Blvd., Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2008-05-28 |
| 1831386739 | Chop Clinical Associates | Clinic/Center | 34th & Civic Center Blvd., Parc Business Services, Philadelphia, PA 19104-4306 | 2007-09-25 |
| 1821295288 | Nana Akua Asafu-agyei | Pediatrics | 34th & Civic Center Blvd., Children's Hospital of Philadelphia, Philadelphia, PA 19104-4399 | 2007-06-29 |
| 1164628178 | Karen E. Larsen | Nurse Practitioner | 34th & Civic Center Blvd., Urology Dept., Wood Center, Philadelphia, PA 19104-4399 | 2007-06-26 |
| 1992886949 | Phillip B Storm | Neurological Surgery | 34th & Civic Center Blvd., Philadelphia, PA 19104-4306 | 2006-10-18 |
| 1508946781 | Susan K. Ogle | Registered Nurse | 34th & Civic Center Blvd., Philadelphia, PA 19104 | 2006-10-16 |
| 1639199912 | Janet L Beausoleil | Pediatrics | 34th & Civic Center Blvd., Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2006-07-20 |
| 1548288582 | Fraz A Ismat | Internal Medicine | 34th & Civic Center Blvd., Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2006-07-18 |
| Find all providers in the same location | ||||
| 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 Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1225505936 | Tower Health Urgent Care, LLC | Clinic/Center | 2231 Bryn Mawr Ave, Philadelphia, PA 19131-2508 | 2018-10-31 |
| 1295274272 | The Medical Offices of Occupational Health Resources P C | Clinic/Center | 8000 Essington Ave, Terminal A East 2nd Floor, Philadelphia, PA 19153-9998 | 2017-02-23 |
| 1366870842 | Drexel University | Clinic/Center | 1601 Cherry St Fl 2, Parkway Health & Wellness Ms21041, Philadelphia, PA 19102-1306 | 2013-10-21 |
| 1407897903 | Zoya Berenson Md PC-greater Ne Medical Group | Clinic/Center | 10890 Bustleton Ave, Suite 103, Philadelphia, PA 19116-3313 | 2006-06-08 |
| 1881649721 | Penn Executive Diagnostic Center, Inc. | Clinic/Center | 1801 Market St, Suite 200, Philadelphia, PA 19103-1628 | 2006-05-22 |
| 1497389969 | Dynamic Injury Solutions, LLC | Clinic/Center | 2487 Grant Ave, Philadelphia, PA 19114-1004 | 2020-02-24 |
| 1538793013 | Dynamic Injury Solutions, LLC | Clinic/Center | 1938 S Columbus Blvd, Philadelphia, PA 19148-2802 | 2020-02-24 |
| 1639730823 | Dynamic Injury Solutions, LLC | Clinic/Center | 841 E Allegheny Ave, Philadelphia, PA 19134-2401 | 2019-06-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on CHOP CLINICAL ASSOCIATES.
| 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.