TOWER DREXEL ACADEMIC MEDICAL GROUP LLC (NPI# 1407492333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407492333 |
| Entity Type | Organization |
| Organization Name | TOWER DREXEL ACADEMIC MEDICAL GROUP LLC |
| Practice Address |
219 N Broad St Fl 9 Philadelphia PA 19107-1506 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 6107436049 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Authorized Official Name | GARY CONNER (VP CEO) |
| Authorized Official Telephone | 4846288181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Gastroenterology Tower Health Medical Group Broad 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 |
219 N BROAD ST FL 9 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740335603 | Drexel University | Internal Medicine | 219 N Broad St Fl 9, Philadelphia, PA 19107-1506 | 2007-01-23 |
| 1366086845 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St Fl 9, Philadelphia, PA 19107-1506 | 2019-10-29 |
| 1497398192 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St Fl 9, Philadelphia, PA 19107-1506 | 2019-10-25 |
| 1609376748 | Shaylyn Lynch | Nutritionist | 219 N Broad St Fl 9, Philadelphia, PA 19107-1506 | 2018-02-15 |
| 1265691216 | Soumya D Chakravarty | Internal Medicine | 219 N Broad St Fl 9, Philadelphia, PA 19107-1506 | 2008-06-05 |
| 1942482971 | Safia Anwar Pasha Siddiqui | Internal Medicine | 219 N Broad St Fl 9, Philadelphia, PA 19107 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| 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 | 19107 |
Please comment or provide details below to improve the information on TOWER DREXEL ACADEMIC MEDICAL GROUP LLC.
| 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.