MOLLY FITZSIMMONS DECOCK (NPI# 1336307420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336307420 |
| Entity Type | Individual |
| Full Name | MOLLY FITZSIMMONS DECOCK |
| Credential | CRNP |
| Practice Address |
800 Spruce St 2 Preston Philadelphia PA 19107-6130 |
| Mailing Address |
407 Cypress St Philadelphia PA 19106-4200 |
| Practice Telephone | 2158293301 |
| Practice Fax Number | 2158297211 |
| Mailing Telephone | 2675199975 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
SP009245 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 SPRUCE ST 2 PRESTON |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-6130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851399869 | Ira Jay Bleiweiss | Pathology | 800 Spruce St, Philadelphia, PA 19107-6130 | 2005-07-13 |
| 1245837848 | Brett Kenneth Irving | Internal Medicine | 800 Spruce St, Philadelphia, PA 19107-6192 | 2020-10-06 |
| 1558977223 | Mercy Chinemerem Anyanwu | Internal Medicine | 800 Spruce St, Philadelphia, PA 19107-6192 | 2020-09-18 |
| 1477161362 | Jessica Grierson Bauer | Internal Medicine | 800 Spruce St, Philadelphia, PA 19107-6130 | 2020-07-16 |
| 1649891961 | Marianne Riordan | Student in an Organized Health Care Education/Training Program | 800 Spruce St, Philadelphia, PA 19107-6192 | 2020-04-27 |
| 1700406923 | Joseph Burke | Registered Nurse | 800 Spruce St, Philadelphia, PA 19107-6130 | 2020-04-17 |
| 1447879002 | Elaine Hong Hatch | Student in an Organized Health Care Education/Training Program | 800 Spruce St, Philadelphia, PA 19107-6192 | 2020-04-14 |
| 1154940757 | Jason Michael Homza | Student in an Organized Health Care Education/Training Program | 800 Spruce St, Philadelphia, PA 19107-6192 | 2020-04-14 |
| 1659990182 | Preya Shah | Student in an Organized Health Care Education/Training Program | 800 Spruce St, Philadelphia, PA 19107-6130 | 2020-04-14 |
| 1306465802 | Emma Braun | Student in an Organized Health Care Education/Training Program | 800 Spruce St, Philadelphia, PA 19107-6130 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558303610 | Beth Ann Schaeber | Nurse Practitioner | 34 Street and Civic Center Boulevard, Philadelphia, PA 19104 | 2006-06-12 |
| 1558997171 | Leigh Anne Dos Santos | Nurse Practitioner | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-03-15 |
| 1255961389 | Kathryn Taylor Van Hoose | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-01-16 |
| 1134686934 | Jayme Millie Mech | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2019-02-27 |
| 1689140105 | Nadine Spigel | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2018-10-23 |
| 1346687019 | Seon Mi Jeong | Nurse Practitioner | 34th Street and Civic Center Boulevard, Philadelphia, PA 19104-4399 | 2013-06-04 |
| 1386088151 | Melissa Powell | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2013-04-24 |
| 1437496734 | Ema Catherine Urbanski | Nurse Practitioner | 34th Street and Civic Center Boulevard, Philadelphia, PA 19104 | 2013-01-08 |
| 1740552983 | Jessica Ann Barber | Nurse Practitioner | 34th St and Civic Center Blvd, Philadelphia, PA 19104-4399 | 2012-02-03 |
| 1992099105 | Vanessa Patrice Lowery | Nurse Practitioner | Erie Ave and Front Street, Philadelphia, PA 19134 | 2011-06-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on MOLLY FITZSIMMONS DECOCK.
| 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.