JUSTIN CHURA (NPI# 1518033125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518033125 |
| Entity Type | Individual |
| Full Name | JUSTIN CHURA |
| Credential | M.D. |
| Practice Address |
1331 E Wyoming Ave Philadelphia PA 19124-3808 |
| Mailing Address |
One Medical Center Blvd Suite 441 Chester PA 19013-3902 |
| Practice Telephone | 2155377400 |
| Practice Fax Number | 2155377826 |
| Mailing Telephone | 6108769640 |
| Mailing Fax Number | 6108761881 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2019-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD419760 | PA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 46694 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GA MEDICAL LICENSE | 082625 | 01 |
| PA | 101961586 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Celebrate Life Pkwy, Newnan, GA 302658001 | 7704006000 |
| Street Address |
1331 E WYOMING AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19124-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893303 | Jacqueline Sweeney | Nurse Practitioner | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2018-12-28 |
| 1477025096 | Renee Pieroth | Dietitian, Registered | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2018-12-20 |
| 1184109399 | Stephanie Maria Einstein | Nurse Practitioner | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2018-10-03 |
| 1346735149 | Kamorin Samson | Dietitian, Registered | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2018-06-25 |
| 1962802819 | Jennifer Lynn Jones | Physician Assistant | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2014-08-28 |
| 1649607284 | Audrey Lynn Shaw | Physician Assistant | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-09-27 |
| 1427481209 | Rocco Michael Bianco IIi | Registered Nurse | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-08-15 |
| 1912349556 | Catherine Kirby Lee | Registered Nurse | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-07-24 |
| 1932547742 | Xiao Yang | Internal Medicine | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-06-13 |
| 1083052435 | Carol F Roth | Social Worker | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749308 | William Mark Hanna Sr. | Pharmacist | 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 | 2019-09-17 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1548731391 | Sierra Pinkney | Registered Nurse | 1615 Granite St, Philadelphia, PA 19124 | 2018-12-05 |
| 1922507987 | Xavier Sergio Henriquez | Counselor | 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 | 2018-02-06 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1952843732 | Patrick Grugan | Social Worker | Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 | 2016-11-10 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1851769327 | Aleka Kostouros | Social Worker | Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 | 2015-09-14 |
| 1407230378 | Sara Bachani | Psychiatry & Neurology | 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 | 2015-07-10 |
| 1215327051 | Alyssa Renee Kirk | Counselor | 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 | 2015-02-02 |
| Find all providers in zip 19124 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027557 | Tal Avigal Lee | Obstetrics & Gynecology | 1109 Green St Apt 11, Philadelphia, PA 19123-3326 | 2020-06-10 |
| 1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
| 1477011401 | Diane D. Harrison | Obstetrics & Gynecology | 236 Philip Pl, Philadelphia, PA 19106-3902 | 2019-03-08 |
| 1720570963 | Tiffany Fernandes Gee | Obstetrics & Gynecology | 3401 N Broad St Fl 7, Philadelphia, PA 19140-5189 | 2018-06-04 |
| 1881114742 | Andrea Jasmine Leung | Obstetrics & Gynecology | 5501 Old York Rd # 1-1616, Philadelphia, PA 19141-3018 | 2017-06-22 |
| 1548798093 | Dimitrios Nasioudis | Obstetrics & Gynecology | 3400 Spruce Street, 1 West Gates, Hellen O. Dickens Center for Women's Health, Philadelphia, PA 19104-3123 | 2017-05-30 |
| 1811449697 | West Cayuga Medicine PC | Obstetrics & Gynecology | 257 W Cayuga St, Philadelphia, PA 19140-2439 | 2016-10-27 |
| 1447631536 | Clinton Veselis | Obstetrics & Gynecology | 3401 N Broad St Dept Of, Philadelphia, PA 19140 | 2015-06-15 |
| 1811378979 | Nishanth Sidduri | Obstetrics & Gynecology | 400 W Allegheny Ave Ste 5b, Philadelphia, PA 19133-3614 | 2015-06-15 |
| 1396158820 | Elizabeth Carey Banks | Obstetrics & Gynecology | 800 Walnut St Fl 12, Philadelphia, PA 19107-5176 | 2014-06-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19124 |
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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.