DOUGLAS BRIAN FLIEDER (NPI# 1356368211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356368211 |
| Entity Type | Individual |
| Full Name | DOUGLAS BRIAN FLIEDER |
| Credential | M.D. |
| Practice Address |
333 Cottman Avenue Fox Chase Cancer Center Philadelphia PA 19111 |
| Mailing Address |
2450 W Hunting Park Ave Philadelphia PA 19129-1302 |
| Practice Telephone | 2157286900 |
| Practice Fax Number | 2157282899 |
| Mailing Telephone | 2157286900 |
| Mailing Fax Number | 2157282899 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2018-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MD424507 | PA | Other Service Providers |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD424507 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101944630001 | 05 |
| Street Address |
333 COTTMAN AVENUE FOX CHASE CANCER CENTER |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548251481 | Clifford Scott Perlis | Specialist | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2005-10-31 |
| 1568711505 | Lynn Chang | Radiology | 333 Cottman Avenue, Philadelphia, PA 19111 | 2012-09-06 |
| 1407158504 | Matthew John Faber | Physician Assistant | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2010-11-22 |
| 1194034413 | Tiffany Y Tam | Radiology | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2010-10-04 |
| 1801102298 | Kathleen Murphy | Nurse Practitioner | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2010-08-24 |
| 1548585284 | Sanjay Reddy | Surgery | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2010-04-06 |
| 1881921724 | Margaret Lord Crivello | Surgery | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2009-11-13 |
| 1811140171 | Joshua E. Meyer | Radiology | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2008-10-30 |
| 1023268141 | Theresa A. Brown | Registered Nurse | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111-2497 | 2008-09-25 |
| 1184884090 | Marijo Bilusic | Internal Medicine | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2008-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427619790 | Madeline Reganis | Pathology | 117 S. 11th Street, 204 Pavilion, Philadelphia, PA 19107-4949 | 2019-06-26 |
| 1043796048 | Zhimin Yuan | Pathology | 125 S 11th St Rm 204, Philadelphia, PA 19107-4949 | 2018-07-13 |
| 1255857223 | Azzam Hammad | Pathology | 245 N 15th St Rm 5110, Philadelphia, PA 19102-1101 | 2017-08-21 |
| 1366964397 | Unknown Sakshi | Pathology | 3509 N Broad St Ste 226a, Philadelphia, PA 19140-4105 | 2017-07-12 |
| 1124549712 | Bushra Nazir | Pathology | 3401 N Broad St Rm Nob248, Philadelphia, PA 19140-5103 | 2017-07-04 |
| 1073041513 | Nikolina Dioufa | Pathology | 3400 N Broad St Ste 840, Philadelphia, PA 19140-5104 | 2017-05-29 |
| 1073040598 | Yaobin Liu | Pathology | 245 N. 15th Street, Ms 435, Philadelphia, PA 19102 | 2017-05-15 |
| 1760915458 | Rosetta Genomics, Inc | Pathology | 3711 Market St Ste 740, Philadelphia, PA 19104-5535 | 2017-04-10 |
| 1629528740 | Jeremy Molligan | Pathology | 918 Spruce St, Apt 9, Philadelphia, PA 19107-6170 | 2016-10-12 |
| 1194067785 | Alvin Pierce Powell | Pathology | 428 W Upsal St, Philadelphia, PA 19119-3647 | 2013-03-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
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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.