TOWER DREXEL ACADEMIC MEDICAL GROUP LLC (NPI# 1386281608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386281608 |
| Entity Type | Organization |
| Organization Name | TOWER DREXEL ACADEMIC MEDICAL GROUP LLC |
| Other Organization Name | PSYCHIATRY TOWER HEALTH MEDICAL GROUP RACE STREET |
| Practice Address |
1513 Race St Philadelphia PA 19102-1125 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 6107346049 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | GARY CONNER (EVP & CFO) |
| Authorized Official Telephone | 4846281324 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PSYCHIATRY TOWER HEALTH MEDICAL GROUP RACE STREET | Doing Business As Name - Organization |
| PSYCHIATRY TOWER HEALTH MEDICAL GROUPRACE STREET | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995938 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 3401 Market St Ste 105b, Philadelphia, PA 19104-3315 | 2019-10-29 |
| 1811530512 | Tower Drexel Academic Medical Group LLC | Psychologist | 1427 Vine St Fl 1, Philadelphia, PA 19102-1031 | 2019-10-25 |
| 1205479904 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St 8fl, Philadelphia, PA 19107-1507 | 2019-10-25 |
| 1407499148 | Tower Drexel Academic Medical Group LLC | Psychiatry & Neurology | 160 E Erie Ave Fl 2, Philadelphia, PA 19134-1011 | 2019-10-25 |
| 1215570916 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St Fl 6, Philadelphia, PA 19107-1519 | 2019-10-25 |
| 1003459702 | Tower Drexel Academic Medical Group LLC | Psychologist | 4700 Wissahickon Ave Ste C102, Philadelphia, PA 19144-4248 | 2019-10-25 |
| 1306479829 | Tower Drexel Academic Medical Group LLC | Family Medicine | 10 Shurs Ln Ste 206, Philadelphia, PA 19127-2123 | 2020-02-13 |
| 1346872116 | Tower Drexel Academic Medical Group LLC | Family Medicine | 219 N Broad St, 8th Fl, Philadelphia, PA 19107-1519 | 2020-02-10 |
| 1225660095 | Tower Drexel Academic Medical Group LLC | Family Medicine | 3401 Market St Ste 105a, Philadelphia, PA 19104-3315 | 2020-02-10 |
| 1144868084 | Tower Drexel Academic Medical Group LLC | Family Medicine | 10 Shurs Ln Ste 206, Philadelphia, PA 19127-2123 | 2019-12-11 |
| Street Address |
1513 RACE ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-1125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922085471 | Franklintown Rehabilitation Assoc, LLC | Physical Medicine & Rehabilitation | 1513 Race St, Philadelphia, PA 19102-1125 | 2005-12-27 |
| 1962022590 | Rachel Mcclelland | Physical Therapist | 1513 Race St, Philadelphia, PA 19102-1125 | 2020-04-23 |
| 1952712846 | Katherine Vojtko | Clinical Neuropsychologist | 1513 Race St, Philadelphia, PA 19102-1125 | 2014-05-13 |
| 1467730754 | Janice Brenda Schuld | Nurse Practitioner | 1513 Race St, Philadelphia, PA 19102-1125 | 2011-08-03 |
| 1982891388 | Nermine Tawadrous | Clinical Neuropsychologist | 1513 Race St, Philadelphia, PA 19102-1125 | 2007-09-29 |
| 1487845178 | Ben Russell Kenion | Specialist | 1513 Race St, Philadelphia, PA 19102-1125 | 2007-08-07 |
| 1689793648 | Brian T Kucer | Physical Medicine & Rehabilitation | 1513 Race St, Philadelphia, PA 19102-1125 | 2007-03-28 |
| 1326165747 | Magee Memorial Hospital for Convalescents | Psychologist | 1513 Race St, Philadelphia, PA 19102-1125 | 2007-03-22 |
| 1669500732 | Marc G Murphy | Psychologist | 1513 Race St, Philadelphia, PA 19102-1125 | 2007-03-01 |
| 1487664017 | Howard S Klein | Internal Medicine | 1513 Race St, Philadelphia, PA 19102-1125 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407499148 | Tower Drexel Academic Medical Group LLC | Psychiatry & Neurology | 160 E Erie Ave Fl 2, Philadelphia, PA 19134-1011 | 2019-10-25 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1073033874 | Sarah Miller | Psychiatry & Neurology | 100 E Lehigh Ave Ste 305b, Philadelphia, PA 19125-1012 | 2017-06-22 |
| 1659800175 | Michael William Pelekanos | Psychiatry & Neurology | 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 | 2017-06-08 |
| 1063940187 | Travis J Dichoso | Psychiatry & Neurology | 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2017-06-02 |
| 1104354778 | Julian Camilo Artunduaga | Psychiatry & Neurology | 100 E Lehigh Ave Bldg Suit105, Philadelphia, PA 19125-1012 | 2017-05-26 |
| 1538691340 | Lea Fowler Hecht | Psychiatry & Neurology | 3207 Baring St, Apt. 2, Philadelphia, PA 19104-2510 | 2017-03-30 |
| 1962941021 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 808 S Swanson St, Philadelphia, PA 19147-4330 | 2017-02-21 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1649620089 | Matthew Parker | Psychiatry & Neurology | 2040 Market St Apt 1121, Philadelphia, PA 19103-3369 | 2016-06-16 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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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.