MARISA A. CIUPPA


Address: 2301 S Broad St, 1st Floor, Philadelphia, PA 19148-3542
Phone: 2159529323

MARISA A. CIUPPA (NPI# 1386199982) 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) 1386199982
Entity Type Individual
Full Name MARISA A. CIUPPA
Credential CRNA
Practice Address 2301 S Broad St
1st Floor
Philadelphia
PA 19148-3542
Practice Telephone 2159529323
Practice Fax Number 2159521246
Mailing Telephone 2159529323
Enumeration Date 2016-08-24
Last Update Date 2017-03-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered RN616927 PA Physician Assistants & Advanced Practice Nursing Providers
N 367500000X Nurse Anesthetist, Certified Registered L1-0044487 DE Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 103230277 05
DE 1386199982 05

Office Location

Street Address 2301 S BROAD ST
1ST FLOOR
City PHILADELPHIA
State PA
Zip Code 19148-3542

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134124621 Deborah A Serba Nurse Anesthetist, Certified Registered 2301 S Broad St, Philadelphia, PA 19148-3542 2005-06-20
1215584859 Mary Ann Heller Nurse Practitioner 2301 S Broad St, Philadelphia, PA 19148-3542 2019-08-19
1093279499 Katelyn Alice Jesukiewicz Nurse Practitioner 2301 S Broad St, Philadelphia, PA 19148-3542 2019-01-30
1972088292 Lindsey Anne Wolf Registered Nurse 2301 S Broad St, Philadelphia, PA 19148-3542 2018-10-02
1346732005 Candace Cantwell-foy Registered Nurse 2301 S Broad St, Philadelphia, PA 19148-3542 2018-05-30
1871957324 Tejal Ulhas Naik Internal Medicine 2301 S Broad St, Philadelphia, PA 19148-3542 2016-04-11
1902267230 Methodist Associates In Healthcare, Inc. Psychiatry & Neurology 2301 S Broad St, Philadelphia, PA 19148-3542 2016-03-15
1669831996 Jeffex, Inc. Pharmacy 2301 S Broad St, 1st Floor, Philadelphia, PA 19148-3542 2016-02-15
1033575352 Methodist Associates In Healthcare, Inc. Family Medicine 2301 S Broad St, Philadelphia, PA 19148-3542 2016-01-04
1386028454 Tara Jean Levin Dietitian, Registered 2301 S Broad St, Philadelphia, PA 19148-3542 2015-07-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831759232 Be Well With Beth LLC Dietitian, Registered 1901 S. 9th Street, Bok Building, Room 508, Philadelphia, PA 19148 2019-06-18
1942798186 Beth Auguste Dietitian, Registered 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 2018-04-24
1457866576 Wholehearted Homecare In Home Supportive Care 2555 S Jessup St, Philadelphia, PA 19148 2017-12-12
1326557331 Jannick Vicky Vielleuse Physical Therapist 1208 Tasker Street, 2nd Floor, Philadelphia, PA 19148 2017-09-21
1225556137 Jamitia Camil Wilson-knight Counselor 2542 S Marshall, Phila, PA 19148 2017-08-31
1437676855 Elease Lee Pharmacist 2036 S 3rd Street, Philadelphia, PA 19148 2017-08-25
1598216483 Thy Vu Physician Assistant 2623 S Mildred St, Philadelphia, PA 19148 2016-10-17
1356723019 Meeta Chawla Dentist 1851 S Christopher Columbus Blvd, Philadelphia, PA 19148 2015-06-18
1013317882 Damian R Bereza Pharmacist 2017-2023 South Broad St, Philadelphia, PA 19148 2014-08-29
1396144390 Rite Aid Corporation Pharmacy 2017-2023 S Broad St, Philadelphia, PA 19148 2014-08-15
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164029906 Phuoc Nguyen Nurse Anesthetist, Certified Registered Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 2020-10-05
1356964159 Michelle Copija Nurse Anesthetist, Certified Registered Society Hill Anesthesia Consultants, P.C., 301 S. 8th St Suite 2l, Philadelphia, PA 19106 2020-05-27
1730678012 Christina Martindale Nurse Anesthetist, Certified Registered 917 S 15th Street, Philadelphia, PA 19146 2018-05-02
1184139248 Sean Hanna Nurse Anesthetist, Certified Registered 736 Pine St Unit C, Philadelphia, PA 19106-4005 2017-12-11
1669851655 Amy Hardenbergh Nurse Anesthetist, Certified Registered 325 Chestnut Street, Suite 210, Society Hill Anesthesia Consultants, Philadelphia, PA 19106 2015-05-22
1174900591 Gregory J Nordick Nurse Anesthetist, Certified Registered 1035 Lombard St # 10, Philadelphia, PA 19147-1262 2015-05-05
1003200809 Joseph Clair Nurse Anesthetist, Certified Registered 1719 Spruce St Apt 4, Philadelphia, PA 19103-6135 2015-03-19
1033521406 Anne Patricia Gibson Nurse Anesthetist, Certified Registered 1222 Arch St, Apt. # 508, Philadelphia, PA 19107-2816 2014-05-20
1326480484 Anne James Anithottam Nurse Anesthetist, Certified Registered 9770 Susan Rd, Philadelphia, PA 19115-2928 2013-07-17
1598002008 Greg Pedegana Nurse Anesthetist, Certified Registered 785 N Judson St, Philadelphia, PA 19130-2507 2013-01-04
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City PHILADELPHIA
Zip Code 19148

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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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