MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA (NPI# 1437130705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437130705 |
| Entity Type | Organization |
| Organization Name | MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA |
| Practice Address |
1503 Lansdowne Avenue Suite 2000 Philadelphia PA 19143-1900 |
| Mailing Address |
1 W Elm St Suite 100 Conshohocken PA 19428-4108 |
| Practice Telephone | 6102373646 |
| Practice Fax Number | 6102374261 |
| Mailing Telephone | 6105676967 |
| Mailing Fax Number | 6105676170 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2018-01-30 |
| Authorized Official Name | PHYLLIS HILKER (V.P. FINANCE) |
| Authorized Official Telephone | 6105676967 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HEALTHPARTNERS | 025024 | 01 |
| PA | AMERICHOICE | G0007408 | 01 |
| PA | KHPE | 0114720000 | 01 |
| PA | KMHP | 30001873 | 01 |
| PA | AMERICHOICE | G0006731 | 01 |
| PA | HIGHMARK BLUE SHIELD | 372921 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861486698 | Mercy Catholic Medical Center of Southeastern Pa | General Acute Care Hospital | 501 S 54th St, Philadelphia, PA 19143-1900 | 2005-09-08 |
| 1801057617 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 501 S 54th St, Philadelphia, PA 19143-1900 | 2008-06-24 |
| 1700904802 | Mercy Catholic Medical Center of Southeastern Pa | General Acute Care Hospital | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2007-03-27 |
| 1730207267 | Mercy Catholic Medical Center of Southeastern Pa | General Acute Care Hospital | 501 S 54th St, Philadelphia, PA 19143-1900 | 2007-03-26 |
| 1962520502 | Mercy Catholic Medical Center of Southeastern Pa | Case Management | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2007-03-26 |
| 1063553709 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 501 S 54th St, Philadelphia, PA 19143-1900 | 2007-02-08 |
| 1083754352 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 501 S 54th St, Philadelphia, PA 19143-1900 | 2007-02-07 |
| 1568502656 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2007-02-07 |
| 1043350168 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 501 S 54th St, Philadelphia, PA 19143-1900 | 2007-02-07 |
| 1699815811 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2007-02-07 |
| Street Address |
1503 LANSDOWNE AVENUE SUITE 2000 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19143-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554142 | Trusted Hands Care Professionals LLC | In Home Supportive Care | 1130 South Paxon Street, Philadelphia, PA 19143 | 2020-06-26 |
| 1477189140 | Kareemah Anjail Abdullah | Counselor | 5307 Chelen Ave, Philadelphia, PA 19143 | 2020-03-13 |
| 1336604024 | Mohamed Keita | Non-emergency Medical Transport (VAN) | 5030 Warrington Avenue, Philadelphia, PA 19143 | 2019-02-06 |
| 1366924011 | Whitney Tamika Carter | Specialist/Technologist | 5526 Ridgewood St, Philadelphia, PA 19143 | 2018-08-29 |
| 1639662190 | Mattew Muchnick | Physical Therapist | 4730 Hazel Ave 2r, Philadelphia, PA 19143 | 2018-06-10 |
| 1750883062 | Optimal Support for Everyday Lives | Case Management | 5800 Springfield Avenue, Philadelphia, PA 19143 | 2018-03-02 |
| 1205352671 | New Visions Case Management & Consulting, LLC | Social Worker | 726 S 55th Street, Philadelphia, PA 19143 | 2017-08-17 |
| 1104342583 | Mercy Management of Southeastern Pennsylvania | Orthopaedic Surgery | 501 S 54th St Ste 28, Phila, PA 19143 | 2017-08-17 |
| 1093238388 | Blessed Hands Home Care Agency L.L.C. | Home Health | 433 S. 57th Street, Phila, PA 19143 | 2017-07-19 |
| 1891216529 | Ashley Seiver | Occupational Therapist | 923 S. 46th Street, Philadelphia, PA 19143 | 2017-07-03 |
| Find all providers in zip 19143 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1427674407 | Jun Song | Internal Medicine | 3401 N Broad St Ste 801, Philadelphia, PA 19140-5103 | 2020-06-24 |
| 1932725264 | Aaron Leo Yazdian | Internal Medicine | 1335 South St Apt A, Philadelphia, PA 19147-1841 | 2020-06-23 |
| 1144846387 | Rishabh Khatri | Internal Medicine | 322 N Broad St Apt 1523, Philadelphia, PA 19102-1122 | 2020-06-23 |
| 1215564521 | Insight Home Physicians, PC | Internal Medicine | 7806 Cresheim Rd, Philadelphia, PA 19118-4003 | 2020-03-25 |
| 1457995938 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 3401 Market St Ste 105b, Philadelphia, PA 19104-3315 | 2019-10-29 |
| 1205479904 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St 8fl, Philadelphia, PA 19107-1507 | 2019-10-25 |
| 1700439056 | Alvaro Goncalves Mendes Neto | Internal Medicine | 5501 Old York Rd # 363, Philadelphia, PA 19141-3018 | 2019-07-16 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1114587672 | Stephen Michael Pokrywa | Internal Medicine | Drexel University Com, Internal Medicine Residency, 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102-1178 | 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 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19143 |
Please comment or provide details below to improve the information on MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA.
| 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.