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).
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 |
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 |
Street Address |
3400 CIVIC CENTER BLVD 2ND FL |
City | PHILADELPHIA |
State | PA |
Zip Code | 19104 |
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 |
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 | 207RA0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Advanced Heart Failure and Transplant Cardiology |
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] |
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 |
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 |
City | PHILADELPHIA |
Zip Code | 19104 |
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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.