DR. PAMELA A CRILLEY


Address: 230 N Broad Street, Ms 412, Philadelphia, PA 19107
Phone: 2157627735

DR. PAMELA A CRILLEY (NPI# 1538116041) 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) 1538116041
Entity Type Individual
Full Name DR. PAMELA A CRILLEY
Credential DO
Practice Address 230 N Broad Street
Ms 412
Philadelphia
PA 19107
Mailing Address 1601 Cherry St
Suite 11511
Philadelphia
PA 19102-1320
Practice Telephone 2157627735
Practice Fax Number 2157624877
Mailing Telephone 2152557822
Mailing Fax Number 2152557825
Enumeration Date 2006-05-28
Last Update Date 2016-05-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
0S004378L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 1025078 05
DEA AC1582572 01

Office Location

Street Address 230 N BROAD STREET
MS 412
City PHILADELPHIA
State PA
Zip Code 19107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942720040 Daniel Witkiewicz Emergency Medicine 230 N Broad Street, Philadelphia, PA 19102 2017-06-21
1326457896 Kathryn Newton Psychiatry & Neurology 230 N Broad Street, Philadelphia, PA 19102 2014-08-08
1376712315 Tun Tin Htaik Radiology 230 N Broad Street, Philadelphia, PA 19102-1102 2008-02-25
1093805855 Richard K Burns Surgery 230 N Broad Street, Philadelphia, PA 19102 2006-10-13
1700826674 Kristine M Ward Internal Medicine 230 N Broad Street, Ms 412, Philadelphia, PA 19107 2006-06-07
1619916129 David L Topolsky Internal Medicine 230 N Broad Street, Philadelphia, PA 19107 2006-06-06

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
Find all providers in zip 19107

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760947840 Russell Eugene Kaufman Internal Medicine 700 Glengarry Rd, Philadelphia, PA 19118-4111 2019-02-04
1891204921 Ahmed Mostafa Internal Medicine Hahnemann University Hospital, 230 N. Broad St., Philadelphia, PA 19102 2017-09-20
1780077735 Arnon I Dreyfuss Internal Medicine 239 Delancey St, Philadelphia, PA 19106-4318 2015-03-16
1215240932 Hayley Michelle Knollman Internal Medicine 3400 Civic Center Blvd Fl 10, Philadelphia, PA 19104-5158 2010-07-22
1134455207 Justine V. Cohen Internal Medicine 230 W Washington Sq Fl 2, Philadelphia, PA 19106-3500 2009-10-26
1528393899 Madiha Atif Gilani Internal Medicine 834 Chestnut St., Suit 320, Ben Franklin House, Philadelphia, PA 19107 2009-10-05
1609057660 Temple Physicians Inc. Internal Medicine 7500 Central Ave Ste 110, Philadelphia, PA 19111-2430 2007-11-19
1366500613 Curtis A Alloy Do PC Internal Medicine 2221 S Broad St, Philadelphia, PA 19148 2006-12-05
1326159021 Rodwige J Desnoyers Internal Medicine 925 Chestunut Street, Suite 320a, Philadelphia, PA 19107 2006-08-31
1770514499 Donna J Glover Internal Medicine Two Franklin Town Blvd, Suite #100, Philadelphia, PA 19103 2006-07-05
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19107

Improve Information

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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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