MARIA PELLECCHIA (NPI# 1366455024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366455024 |
| Entity Type | Individual |
| Full Name | MARIA PELLECCHIA |
| Credential | D.O. |
| Practice Address |
1700 N Broad St Philadelphia PA 19121-3429 |
| Mailing Address |
2450 W Hunting Park Ave Philadelphia PA 19129-1302 |
| Practice Telephone | 2152042679 |
| Practice Fax Number | 2152041784 |
| Mailing Telephone | 2152042679 |
| Mailing Fax Number | 2152041784 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2018-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 05009959-L | PA | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | OS009959L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001855105002 | 05 |
| Street Address |
1700 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19121-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558344135 | Laura Margaret Martin | Family Medicine | 1700 N Broad St, Philadelphia, PA 19121 | 2005-11-28 |
| 1487136495 | Temple Faculty Practice Plan Inc | Family Medicine | 1700 N Broad St, Philadelphia, PA 19121-3429 | 2018-09-06 |
| 1053624627 | Evelyn D Shober | Family Medicine | 1700 N Broad St, Philadelphia, PA 19121 | 2010-07-23 |
| 1659514610 | Lori Clements | Family Medicine | 1700 N Broad St, Philadelphia, PA 19121 | 2009-04-07 |
| 1669681821 | Nasreen Malik | Family Medicine | 1700 N Broad St, Philadelphia, PA 19121-3429 | 2007-05-22 |
| 1336356807 | Mark Steven Salzer | Psychologist | 1700 N Broad St, Suite 304, Philadelphia, PA 19122 | 2007-05-16 |
| 1013137892 | Nancy Bernadette Andresen | Family Medicine | 1700 N Broad St, Philadelphia, PA 19121 | 2007-04-26 |
| 1063636181 | Dorrit Hale Sterner | Family Medicine | 1700 N Broad St, Philadelphia, PA 19121 | 2007-04-12 |
| 1871635854 | Jeanne L Bernosky | Family Medicine | 1700 N Broad St, Philadelphia, PA 19121 | 2007-02-13 |
| 1225188998 | Michael David Brown | Family Medicine | 1700 N Broad St, Philadelphia, PA 19121-3429 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975445 | Shaun Shields | Specialist/Technologist | 1814 N. Broad Street, Philadelphia, PA 19121 | 2020-02-27 |
| 1225682503 | Ebony Qiana Morrison | Technician | 2202 Ridge Avenue, 2nd Floor Rm 203, Philadelphia, PA 19121 | 2019-07-25 |
| 1003398462 | Lyn Morrissa Meyerhoff | Specialist/Technologist | 1800 N. Broad Street, Philadelphia, PA 19121 | 2018-09-03 |
| 1356853576 | George E Kinsler | Pharmacist | 1941 N 24th St, Phila, PA 19121 | 2017-10-27 |
| 1205358652 | Perfect Love & Care LLC | Home Health | 1812 North Croskey Street, Philadelphia, PA 19121 | 2017-07-07 |
| 1427405257 | Rite-care Pharmacy Inc. | Pharmacy | 2213 Ridge Ave., Philadelphia, PA 19121 | 2016-05-23 |
| 1356735831 | Eguono Eduvie | Psychiatry & Neurology | 1700 N.broad St., 2nd Foor, Philadelphia, PA 19121 | 2015-03-24 |
| 1285986828 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St., Philadelphia, PA 19121 | 2012-10-05 |
| 1568764470 | Young Scholars Frederick Douglass Charter School | Local Education Agency (LEA) | 2118 W Norris St, Philadelphia, PA 19121 | 2010-11-29 |
| 1730408683 | Pamela Lewis | Registered Nurse | Serenity Court, 1221 N. 19th St., Philadelphia, PA 19121 | 2010-05-18 |
| Find all providers in zip 19121 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027557 | Tal Avigal Lee | Obstetrics & Gynecology | 1109 Green St Apt 11, Philadelphia, PA 19123-3326 | 2020-06-10 |
| 1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
| 1477011401 | Diane D. Harrison | Obstetrics & Gynecology | 236 Philip Pl, Philadelphia, PA 19106-3902 | 2019-03-08 |
| 1720570963 | Tiffany Fernandes Gee | Obstetrics & Gynecology | 3401 N Broad St Fl 7, Philadelphia, PA 19140-5189 | 2018-06-04 |
| 1881114742 | Andrea Jasmine Leung | Obstetrics & Gynecology | 5501 Old York Rd # 1-1616, Philadelphia, PA 19141-3018 | 2017-06-22 |
| 1548798093 | Dimitrios Nasioudis | Obstetrics & Gynecology | 3400 Spruce Street, 1 West Gates, Hellen O. Dickens Center for Women's Health, Philadelphia, PA 19104-3123 | 2017-05-30 |
| 1811449697 | West Cayuga Medicine PC | Obstetrics & Gynecology | 257 W Cayuga St, Philadelphia, PA 19140-2439 | 2016-10-27 |
| 1447631536 | Clinton Veselis | Obstetrics & Gynecology | 3401 N Broad St Dept Of, Philadelphia, PA 19140 | 2015-06-15 |
| 1811378979 | Nishanth Sidduri | Obstetrics & Gynecology | 400 W Allegheny Ave Ste 5b, Philadelphia, PA 19133-3614 | 2015-06-15 |
| 1396158820 | Elizabeth Carey Banks | Obstetrics & Gynecology | 800 Walnut St Fl 12, Philadelphia, PA 19107-5176 | 2014-06-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19121 |
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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.