DR. JUDITH PROPHETE (NPI# 1477731974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477731974 |
| Entity Type | Individual |
| Full Name | DR. JUDITH PROPHETE |
| Other Name | JUDITH COMEAU SAMUEL |
| Credential | M.D. |
| Practice Address |
5000 Parkside Ave Philadelphia PA 19131-4714 |
| Practice Telephone | 7329795810 |
| Mailing Telephone | 7329795810 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
MD 043080E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 725985 | 05 |
| Street Address |
5000 PARKSIDE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131-4714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831313535 | Merakey Parkside Recovery | Family Medicine | 5000 Parkside Ave, Philadelphia, PA 19131-4714 | 2007-04-12 |
| 1720390933 | Delaware Valley Community Health, Inc. | Clinic/Center | 5000 Parkside Ave, Suite 100, Philadelphia, PA 19131-4714 | 2010-07-06 |
| 1508064668 | Raymond Scott Bobb | Anesthesiology | 5000 Parkside Ave, Philadelphia, PA 19131-4714 | 2007-07-10 |
| 1710109608 | Aviva Fohrer | Family Medicine | 5000 Parkside Ave, Philadelphia, PA 19131-4714 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| Find all providers in zip 19131 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503038 | Philly Newlife Suboxone Clinics | Family Medicine | 3477 Saint Vincent St, Philadelphia, PA 19149-1628 | 2017-12-11 |
| 1740570886 | Germantown Pain Management & Physical Therapy | Family Medicine | 6334 Germantown Ave, Philadelphia, PA 19144-1935 | 2011-04-11 |
| 1629201314 | Cottman & Castor Pain Management | Family Medicine | 1934 Cottman Ave, Philadelphia, PA 19111-3817 | 2009-08-27 |
| 1992948038 | Frankford Medical and Pain Management LLC | Family Medicine | 4911 Frankford Ave, Philadelphia, PA 19124-2617 | 2009-04-17 |
| 1861921389 | Vine Street Medical and Associates | Family Medicine | 6323 Vine St, Philadelphia, PA 19139-1032 | 2017-06-08 |
| 1033309497 | Sylvia Alfreda Webster | Family Medicine | 112 N Broad St, Rm 821, Philadelphia, PA 19102-1510 | 2007-07-31 |
| 1710109608 | Aviva Fohrer | Family Medicine | 5000 Parkside Ave, Philadelphia, PA 19131-4714 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851958763 | Hope Recovery Services LLC | Family Medicine | 200 Mcknight Park Dr Ste 201, Pittsburgh, PA 15237-6507 | 2019-05-27 |
| 1992281125 | Aurora Recovery Services, LLC | Family Medicine | 993 Brodhead Rd Ste 201, Moon Twp, PA 15108 | 2018-07-11 |
| 1447609565 | Recovery Care LLC | Family Medicine | 2057 State Route 130 # 3, Jeannette, PA 15644-3801 | 2016-06-09 |
| 1366806358 | Victory Life Health Services | Family Medicine | 95 E High St Ste 104, Waynesburg, PA 15370-1853 | 2016-04-06 |
| 1154662062 | William Francis Hushion I | Family Medicine | 1066 Putnam Blvd, Wallingford, PA 19086-6747 | 2013-03-04 |
| 1649584459 | Meridian Recovery Services Inc | Family Medicine | 2626 Sigsbee St, Erie, PA 16508-1721 | 2010-08-04 |
| 1265754998 | Amc Health | Family Medicine | 2626 Sigsbee Street, Erie, PA 16508-1808 | 2010-02-22 |
| 1144460544 | James Lee Ferguson Jr. | Family Medicine | 100 Highpoint Dr, Suite 102, Chalfont, PA 18914-3926 | 2009-02-24 |
| 1356597850 | Rudolph Edward Merick | Family Medicine | 24 Beech Hills Rd, Jeannette, PA 15644-6601 | 2008-08-15 |
| 1538328927 | Staci Botwin Mulcahy | Family Medicine | 310 Stoke Park Rd, Bethlehem, PA 18017-9429 | 2008-06-02 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19131 |
Please comment or provide details below to improve the information on DR. JUDITH PROPHETE.
| 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.