DR. JEFFREY R GREENSPAN (NPI# 1356376479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356376479 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY R GREENSPAN |
| Credential | D.O. |
| Practice Address |
9501 Roosevelt Blvd Suite 103 Philadelphia PA 19114-1025 |
| Practice Telephone | 2156719900 |
| Practice Fax Number | 2156719110 |
| Mailing Telephone | 2156719900 |
| Mailing Fax Number | 2156719110 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
OS005516L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0105249601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780602847 | Jeffrey S Greenspan | Emergency Medicine | 860 E 86th St, Indianapolis, IN 46240-6859 | 2006-07-17 |
| Street Address |
9501 ROOSEVELT BLVD SUITE 103 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19114-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405936 | Anthony Brandimarto | Internal Medicine | 9501 Roosevelt Blvd, Ste 501, Philadelphia, PA 19114-1030 | 2005-05-24 |
| 1508403569 | Galyna Vorokhib | Nurse Practitioner | 9501 Roosevelt Blvd, Philadelphia, PA 19114-1025 | 2019-12-09 |
| 1003301920 | Johanna Marie Farinella | Nurse Practitioner | 9501 Roosevelt Blvd, Philadelphia, PA 19114-1025 | 2018-06-22 |
| 1487190096 | Allen Shapiro | Dentist | 9501 Roosevelt Blvd, Ste 409, Philadelphia, PA 19114-1025 | 2017-01-07 |
| 1124560081 | Aria Health Physician Services | Internal Medicine | 9501 Roosevelt Blvd, Suite 400, Philadelphia, PA 19114-1025 | 2016-11-09 |
| 1285187260 | Marianna Diloyan | Registered Nurse | 9501 Roosevelt Blvd, Suite 206, Philadelphia, PA 19114-1025 | 2016-07-26 |
| 1487009312 | Dr. Allen P. Shapiro Dds.ltd | Clinic/Center | 9501 Roosevelt Blvd, Suite 409, Philadelphia, PA 19114-1025 | 2016-04-28 |
| 1568880334 | Barry B Abraham Md LLC | Dermatology | 9501 Roosevelt Blvd, Suite 506, Philadelphia, PA 19114-1030 | 2014-03-31 |
| 1023388196 | Oasis Oral Surgery LLC | Dentist | 9501 Roosevelt Blvd, Suite 101, Philadelphia, PA 19114-1025 | 2012-01-06 |
| 1891928214 | Brian Shapiro | Dentist | 9501 Roosevelt Blvd, Suite 409, Philadelphia, PA 19114-1025 | 2009-09-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1215419080 | Thomas Patrick Gallagher | Specialist/Technologist | 2708 Ruth Way, Philadelphia, PA 19114 | 2018-08-29 |
| 1558840223 | Alexis Wenger | Early Intervention Provider Agency | 3810 Aubrey Ave, Phila, PA 19114 | 2018-08-13 |
| 1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
| 1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
| 1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
| 1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
| 1801338686 | April Neuls | Physical Therapy Assistant | 4213 Lackland Place, Philadelphia, PA 19114 | 2016-11-10 |
| 1114317583 | Siji Cyriac | Physical Therapist | 9501 State Road, Philadelphia, PA 19114 | 2015-01-23 |
| Find all providers in zip 19114 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013150796 | Richard Mao Wu | Internal Medicine | 132 S. 10th Street, Main Bldg, Ste 430, Philadelphia, PA 19107 | 2009-04-11 |
| 1811148430 | Kian Makipour | Internal Medicine | 3401 North Broad St, Philadelphia, PA 19130 | 2008-10-01 |
| 1982865127 | Shivan Jatin Mehta | Internal Medicine | 423 Guardian Dr, Blockley Hall 1137, Philadelphia, PA 19104-4865 | 2008-06-20 |
| 1730204355 | Rahul Anand Nathwani | Internal Medicine | 132 S 10th St Ste 480, Philadelphia, PA 19107-5244 | 2007-03-20 |
| 1386729705 | Blake Gastroenterology Associates, LLC | Internal Medicine | 6827-31 Germantown Ave, Philadelphia, PA 19119-2113 | 2006-10-25 |
| 1942393830 | John Patrick Lynch | Internal Medicine | 415 Curie Blvd, 600 Crb, Philadelphia, PA 19104-4306 | 2006-10-02 |
| 1962428433 | Keith Joseph Buhl | Internal Medicine | 1403 Rhawn Street, Philadelphia, PA 19111-2430 | 2006-07-15 |
| 1366476020 | Michael J Rosner | Internal Medicine | 4242 Cottman Ave, Philadelphia, PA 19135-1118 | 2006-07-10 |
| 1558300152 | Xiaoli Ma | Internal Medicine | 121 N 9th St, Philadelphia, PA 19107-2410 | 2006-06-06 |
| 1275571945 | Oleg Volchonok | Internal Medicine | 11400 Bustleton Ave, Philadelphia, PA 19116-2815 | 2006-06-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19114 |
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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.