TASHA KOUVATSOS


Address: 211 S 9th St, Suite 600, Philadelphia, PA 19107-6810
Phone: 2159551925

TASHA KOUVATSOS (NPI# 1487888103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487888103
Entity Type Individual
Full Name TASHA KOUVATSOS
Credential M.D.
Practice Address 211 S 9th St
Suite 600
Philadelphia
PA 19107-6810
Practice Telephone 2159551925
Practice Fax Number 2159283160
Mailing Telephone 2159551925
Mailing Fax Number 2159283160
Enumeration Date 2009-05-08
Last Update Date 2015-09-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
MD446082 PA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0472743 05

Office Location

Street Address 211 S 9TH ST
SUITE 600
City PHILADELPHIA
State PA
Zip Code 19107-6810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346245073 Michele Meltzer Internal Medicine 211 S 9th St, Suite 600, Philadelphia, PA 19107-6810 2005-06-17
1598292849 Shirin Jaggi Student in an Organized Health Care Education/Training Program 211 S 9th St, Philadelphia, PA 19107-6810 2017-05-17
1881048346 Monica Crawford Dietitian, Registered 211 S 9th St, Suite 600, Philadelphia, PA 19107-6810 2016-04-20
1194136077 Deepika Nandiraju Internal Medicine 211 S 9th St, Philadelphia, PA 19107-6810 2014-05-14
1356752141 Olga Philip Nurse Practitioner 211 S 9th St, Suite 600, Philadelphia, PA 19107-6810 2014-05-14
1245657899 Chelsea Rakszawski Dietitian, Registered 211 S 9th St, Suite 402, Philadelphia, PA 19107-6810 2014-03-20
1770907214 Catherine Elisabeth Gill Dietitian, Registered 211 S 9th St, Suite 600, Philadelphia, PA 19107-6810 2014-02-04
1164785374 Zhanna Fast Internal Medicine 211 S 9th St, Suite 401, Philadelphia, PA 19107-6810 2012-06-21
1427323195 Jennifer Lynn Cruz Nurse Practitioner 211 S 9th St, Suite 300, Philadelphia, PA 19107-6810 2012-03-14
1083918197 Michelle M. Porter Dietitian, Registered 211 S 9th St, 6th Floor Walnut Towers, Philadelphia, PA 19107-6810 2011-01-04
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275824443 Jessica Rose Wilson Internal Medicine 3400 Civic Center Blvd Ste 400, Philadelphia, PA 19104-5127 2011-04-22
1558558304 Lubna M Zuberi Internal Medicine 211 S 9th St Ste 600, Philadelphia, PA 19107-6810 2007-09-26
1740323211 Judith S Carroll Internal Medicine 1601 Borbeck Ave, Philadelphia, PA 19111-3512 2007-02-15
1821064015 Andrew R Quint Internal Medicine 4510 Frankford Ave, Philadelphia, PA 19124-3602 2006-02-27
1063483469 Claresa S Levetan Internal Medicine 2130 Spring Garden Street, Philadelphia, PA 19130 2006-02-01
1609358563 Temple Faculty Practice Plan, Inc Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5103 2018-09-06
1194207134 Temple Faculty Practice Plan Inc Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5103 2018-09-06
1760990741 Lori Ann Maloney Internal Medicine 3737 Market St, 3rd Fl, Philadelphia, PA 19104-9905 2018-01-12
1457862443 Methodist Associates In Healthcare, Inc Internal Medicine 2130 Spring Garden Street, 1st Floor, Philadelphia, PA 19130-3502 2017-10-17
1821521212 Chandriya Chandran Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2017-04-04
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Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

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.

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