STUART BARRY PRENNER


Address: 3400 Civic Center Blvd, 2nd Fl, Philadelphia, PA 19104
Phone: 2156154949

STUART BARRY PRENNER (NPI# 1336431584) 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) 1336431584
Entity Type Individual
Full Name STUART BARRY PRENNER
Credential MD
Practice Address 3400 Civic Center Blvd
2nd Fl
Philadelphia
PA 19104
Mailing Address 3400 Civic Center Blvd
2nd Fl
Philadelphia
PA 19104-5127
Practice Telephone 2156154949
Mailing Telephone 2156154949
Enumeration Date 2011-05-06
Last Update Date 2019-11-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
MD449392 PA Allopathic & Osteopathic Physicians
Y 207RA0001X Internal Medicine
Specialization: Advanced Heart Failure and Transplant Cardiology
MD449392 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 3400 CIVIC CENTER BLVD
2ND FL
City PHILADELPHIA
State PA
Zip Code 19104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124027727 Joel D Glickman Internal Medicine 3400 Civic Center Blvd, 1st Floor, Suite 300 S, Philadelphia, PA 19104-4306 2005-07-18
1841891058 Abigail Brooke Horowitz Nurse Practitioner 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-11-04
1073129532 Samuel Kovell Physician Assistant 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-09-21
1306451695 Farzad Nourollah-zadeh Oral Medicinist 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-09-13
1609492917 Mosetta Harris Nurse Practitioner 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-06-23
1063032530 Monique Maria Tee Internal Medicine 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-04-24
1609495290 Katharine Freeman Michel Student in an Organized Health Care Education/Training Program 3400 Civic Center Blvd, 3rd Floor West Pavilion, Philadelphia, PA 19104 2020-04-13
1609495498 Taha Samir Ghouleh Student in an Organized Health Care Education/Training Program 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-04-11
1952930554 Danielle Marie Lamarra Nurse Practitioner 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-04-06
1982232658 Jasmine Hwang Student in an Organized Health Care Education/Training Program 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-03-30
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 207RA0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Advanced Heart Failure and Transplant Cardiology

Taxonomy Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679108559 Sarah Jane Miranda Internal Medicine 925 Chestnut St, Philadelphia, PA 19107-4216 2020-03-11
1144736620 Sriram Rao Internal Medicine 3400 Civic Center Blvd, 11-162 PCam, Philadelphia, PA 19104-5127 2017-12-20
1275897746 Michael V Genuardi Internal Medicine 3400 Civic Center Blvd, 2 East, Philadelphia, PA 19104-5127 2012-06-29
1770637357 Hansie Marie Mathelier Internal Medicine 51 N 39th St, 2c, Philadelphia, PA 19104 2007-01-22
1821077355 Robert W Pattillo Internal Medicine 51 N 39th St, 4 Hvp, Philadelphia, PA 19104-2640 2006-01-12
1558350447 Temple University of The Commonwealth System of Higher Education Internal Medicine 3509 N Broad St, Philadelphia, PA 19140-4105 2005-10-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245855592 Wellspan Medical Group Internal Medicine 1575 Bannister St Ste 7, York, PA 17404-4946 2020-06-12
1760793210 The Heart Group of Lancaster General Health Internal Medicine 217 Harrisburg Ave, Lancaster, PA 17603-2962 2010-06-30

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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