DR. GARY A. LINDENBAUM (NPI# 1548280803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548280803 |
| Entity Type | Individual |
| Full Name | DR. GARY A. LINDENBAUM |
| Credential | M.D. |
| Practice Address |
1100 Walnut St Mob, 5th Floor Philadelphia PA 19107-5563 |
| Mailing Address |
1100 Walnut St Suite 500 Philadelphia PA 19107-5563 |
| Practice Telephone | 2159556750 |
| Practice Fax Number | 2159238222 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2015-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD030541E | PA | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD030541E | PA | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD030541E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001243845 | 05 | |
| NJ | 0064271 | 05 |
| Street Address |
1100 WALNUT ST MOB, 5TH FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932193182 | Michael D Stillman | Internal Medicine | 1100 Walnut St, Suite 601, Philadelphia, PA 19107-5563 | 2005-09-02 |
| 1760968150 | Jessica Christina Russo | Genetic Counselor, MS | 1100 Walnut St, Philadelphia, PA 19107-5563 | 2018-07-18 |
| 1326481565 | Jonathan Pan | Internal Medicine | 1100 Walnut St, 3rd Floor, Philadelphia, PA 19107-5563 | 2013-04-08 |
| 1891030961 | Lori Pellegrino | Nurse Practitioner | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2012-11-30 |
| 1013281633 | Catherine Gill-preston | Nurse Practitioner | 1100 Walnut St, Mob 7th Floor, Philadelphia, PA 19107-5563 | 2012-02-29 |
| 1316225857 | Shawnna Cannaday | Nurse Practitioner | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2011-08-02 |
| 1003104274 | Anirudh Kohli | Surgery | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2011-07-21 |
| 1730486366 | Michael Pucci | Surgery | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2011-02-17 |
| 1801102223 | Matthew William Laporta | Surgery | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2010-08-23 |
| 1437393634 | Anne L. Rosenberg, M.d. | Specialist | 1100 Walnut St, Suite 303, Philadelphia, PA 19107-5563 | 2009-05-01 |
| Find all providers in the same location | ||||
| 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 Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629377262 | Filip Moshkovsky | Surgery | 51 N 39th St Ste 1, Philadelphia, PA 19104-2640 | 2011-03-22 |
| 1770895971 | Morgan Mcmonagle | Surgery | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2010-07-06 |
| 1558497644 | Aria Health Physician Services - Trauma | Surgery | 3998 Red Lion Rd, Trauma Department, Philadelphia, PA 19114-1436 | 2007-02-26 |
| 1154478774 | Bartholomew Joseph Tortella | Surgery | Broad and Vine Streets, Philadelphia, PA 19102-1121 | 2007-01-04 |
| 1093805855 | Richard K Burns | Surgery | 230 N Broad Street, Philadelphia, PA 19102 | 2006-10-13 |
| 1881799260 | Philadelphia Health & Education Corp | Surgery | 219 N Broad St, 8th Floor, Philadelphia, PA 19107-1519 | 2006-09-13 |
| 1184642712 | Gary Welch | Surgery | 3998 Red Lion Rd, Philadelphia, PA 19114-1436 | 2006-07-18 |
| 1215967682 | Mark J. Libassi | Surgery | 3998 Red Lion Rd, Suite 125, Philadelphia, PA 19114-1436 | 2006-07-03 |
| 1740219955 | Alfred R. Bogucki | Surgery | 3998 Red Lion Rd, Suite 211, Philadelphia, PA 19114-1445 | 2006-07-01 |
| 1104880970 | Alec C Beekley | Surgery | 1100 Walnut St, 5th Floor, Philadelphia, PA 19107-5563 | 2006-04-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.