NAZARETH PHYSICIAN SERVICES (NPI# 1518397116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518397116 |
| Entity Type | Organization |
| Organization Name | NAZARETH PHYSICIAN SERVICES |
| Other Organization Name | NAZARETH ONCOLOGY |
| Practice Address |
2701 Holme Ave Suite 302 Philadelphia PA 19152-2029 |
| Mailing Address |
1 W Elm St Suite 100 Conshohocken PA 19428-4108 |
| Practice Telephone | 6105675336 |
| Practice Fax Number | 6105676955 |
| Mailing Telephone | 6105676964 |
| Mailing Fax Number | 6105676955 |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2017-08-28 |
| Authorized Official Name | PHYLLIS HILKER (DIRECTOR) |
| Authorized Official Telephone | 6105675529 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE GROUP PTAN | 095918 | 01 |
| Other Name | Type Code |
|---|---|
| Nazareth Oncology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053838474 | Nazareth Physician Services | Internal Medicine | 2701 Holme Ave Ste 302, Phila, PA 19152-2029 | 2017-08-25 |
| 1346767944 | Nazareth Physician Services | Urology | 2701 Holme Ave Ste 101, Phila, PA 19152-2029 | 2017-08-24 |
| 1508382441 | Nazareth Physician Services | Psychologist | 2701 Holme Ave Ste 104, Phila, PA 19152-2029 | 2017-08-22 |
| 1619492394 | Nazareth Physician Services | Internal Medicine | 2701 Holme Ave Ofc Building, Phila, PA 19152-2029 | 2017-08-03 |
| 1306359997 | Nazareth Physician Services | Orthopaedic Surgery | 2701 Holme Ave, Phila, PA 19152-2029 | 2017-11-06 |
| 1326565920 | Nazareth Physician Services | Psychiatry & Neurology | 2701 Holme Ave Ste 104, Phila, PA 19152-2029 | 2017-08-24 |
| 1861918708 | Nazareth Physician Services | Obstetrics & Gynecology | 2701 Holme Ave Ste 305, Phila, PA 19152-2029 | 2017-08-22 |
| 1033634704 | Nazareth Physician Services | Internal Medicine | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2017-08-03 |
| Street Address |
2701 HOLME AVE SUITE 302 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871592436 | Lee Anthony Celio | Internal Medicine | 2701 Holme Ave, Suite 206, Philadelphia, PA 19152-2029 | 2005-07-17 |
| 1558892570 | Nazareth Physician Services, Inc. | Urology | 2701 Holme Ave, Suite 101, Philadelphia, PA 19152-2029 | 2017-03-22 |
| 1598112518 | Nazareth Physician Services Inc | Internal Medicine | 2701 Holme Ave, Suite 100, Philadelphia, PA 19152-2029 | 2016-05-19 |
| 1447671243 | Nazareth Physicians Services, Inc | Orthopaedic Surgery | 2701 Holme Ave, Suite 100, Philadelphia, PA 19152-2029 | 2013-12-20 |
| 1861827305 | Comprehensive Renal Care, PC | Internal Medicine | 2701 Holme Ave, Ste 203, Philadelphia, PA 19152-2029 | 2013-09-03 |
| 1255686150 | Nazareth Physician Services, Inc. | Internal Medicine | 2701 Holme Ave, Suite 105, Philadelphia, PA 19152-2029 | 2012-07-17 |
| 1215268818 | Yelena Mushiyakh | Internal Medicine | 2701 Holme Ave, Philadelphia, PA 19152-2029 | 2010-01-20 |
| 1629230305 | Shamin Vania | Internal Medicine | 2701 Holme Ave, Suite 205, Philadelphia, PA 19152-2029 | 2008-06-25 |
| 1164540944 | Diane Robinson | Obstetrics & Gynecology | 2701 Holme Ave, Suite 305, Philadelphia, PA 19152-2029 | 2007-03-27 |
| 1932250800 | James V. Mackell, Jr. M.d. | Orthopaedic Surgery | 2701 Holme Ave, Suite 204, Philadelphia, PA 19152-2029 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457513038 | Melissa A Wilson | Internal Medicine | 925 Chestnut St Fl 3, Philadelphia, PA 19107 | 2008-06-25 |
| 1780899120 | Dinah Essilfie | Internal Medicine | 7604 Central Ave, Jeanes Hospital, Friends Hall, Bmt Program, Philadelphia, PA 19111-2442 | 2007-05-11 |
| 1922076025 | Charles John Schneider | Internal Medicine | 3400 Civic Center Blvd Fl 3, Philadelphia, PA 19104-5127 | 2006-03-14 |
| 1023625878 | Nallely Hernandez | Internal Medicine | 333 Cottman Ave, Philadelphia, PA 19111-2497 | 2020-09-25 |
| 1568006070 | Stc Pediatrics LLC | Internal Medicine | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
| 1417430166 | Temple Faculty Practice Plan, Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-10 |
| 1154740058 | Emily Feld | Internal Medicine | 3400 Civic Center Blvd, Perelman Center South Pavilion, Room 10-134, Philadelphia, PA 19104 | 2014-04-08 |
| 1922340090 | Fern Merrideth Anari | Internal Medicine | 333 Cottman Ave, Philadelphia, PA 19111 | 2013-03-26 |
| 1932449717 | Jefferson University Physicians | Internal Medicine | 925 Chestnut St Ste 420, Philadelphia, PA 19107-4216 | 2013-02-15 |
| 1962741694 | Jonathan Chernoff | Internal Medicine | 333 Cottman Ave, W455, Philadelphia, PA 19111 | 2013-01-31 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
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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.