KONSTANTIN BERESTNEV (NPI# 1407912348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407912348 |
| Entity Type | Individual |
| Full Name | KONSTANTIN BERESTNEV |
| Credential | MD |
| Practice Address |
3400 Spruce St 1 Maloney Building Philadelphia PA 19104-4206 |
| Practice Telephone | 2156623957 |
| Mailing Telephone | 2156623957 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
MT189326 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
3400 SPRUCE ST 1 MALONEY BUILDING |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415966 | Samuel Isaiah Parry | Obstetrics & Gynecology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2005-05-24 |
| 1831790609 | Renate Marie Balitzky | Registered Nurse | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-11-06 |
| 1053911156 | Jordan Charles Templeton | Physician Assistant | 3400 Spruce St, Philadelphia, PA 19104-4274 | 2020-10-28 |
| 1992305304 | Alyssa N Volpe | Registered Nurse | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-27 |
| 1700486115 | Christina Haddow | Registered Nurse | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-27 |
| 1629677497 | Marissa Leigh Berlant | Physician Assistant | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-22 |
| 1811595523 | Kristen Gilgen | Anesthesiology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-14 |
| 1962014654 | Stacey Pham | Nurse Practitioner | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-08-23 |
| 1265040109 | Abdullah T Almuqate | Pathology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-07-16 |
| 1952928541 | Stefen Andrianus | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790983633 | Ann E. Kuhnen | Preventive Medicine | 1 Franklin Plz, Fp1605, Philadelphia, PA 19102-1225 | 2007-07-03 |
| 1477884690 | Claudine Holt | Preventive Medicine | 2301 E Allegheny Ave, Suite 150, Philadelphia, PA 19134-4427 | 2010-01-28 |
| 1851457709 | Ramon J Terrazas | Preventive Medicine | 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 19104-4206 | 2006-12-28 |
| 1447231964 | Poune Saberi | Preventive Medicine | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877234 | Healthstat Health Center Bell & Evans Plant 2 | Preventive Medicine | 2929 Us 22, Fredericksburg, PA 17026 | 2020-10-06 |
| 1154954345 | Healthstat Onsite Clinic Brubacher | Preventive Medicine | 815 Reading Road, Bowmansville, PA 17519 | 2020-02-17 |
| 1336772821 | Healthstat Onsite Clinic Bell & Evans | Preventive Medicine | 2972 State Route 22, Fredericksburg, PA 17026-9354 | 2020-02-13 |
| 1538546494 | Chinyere Nkemdirim Omeogu | Preventive Medicine | 1001 City Ave Unit Ed1029, Wynnewood, PA 19096-3917 | 2015-04-29 |
| 1013267673 | Healthstat Arkansas/pace Ind.- Airo | Preventive Medicine | 1004 Industrial Blvd., Loyalhanna, PA 15661 | 2012-09-11 |
| 1477793347 | Michael P. Kuniak | Preventive Medicine | 814 Pittsburgh-mckeesport Blvd, Bmpc - Bettis Laboratory - Medical Services, West Mifflin, PA 15122 | 2009-03-04 |
| 1114177854 | Carla Jane Huitt | Preventive Medicine | 138 Carey Ln, Gettysburg, PA 17325-8386 | 2008-09-30 |
| 1083896302 | Jeffrey Edware Burtaine | Preventive Medicine | 575 S. 9th Street, Suite 7, Lehighton, PA 18235 | 2007-11-28 |
| 1538352851 | M Reza Raji | Preventive Medicine | 540 Mayer St, Medical Dept., Bridgeville, PA 15017-2709 | 2007-08-21 |
| 1790986321 | Francine Sari Katz | Preventive Medicine | 1343 Barrowdale Rd, Rydal, PA 19046-2417 | 2007-05-30 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.