DR. JOHN T DEBARDELEBEN IV (NPI# 1548523566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548523566 |
| Entity Type | Individual |
| Full Name | DR. JOHN T DEBARDELEBEN IV |
| Credential | MD |
| Practice Address |
5501 Old York Road Albert Einstein Medical Center Philadelphia PA 19141 |
| Practice Telephone | 8002202362 |
| Mailing Telephone | 8002202362 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MT202279 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
5501 OLD YORK ROAD ALBERT EINSTEIN MEDICAL CENTER |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124000278 | Mark Scott Morginstin | Internal Medicine | 5501 Old York Road, Albert Einstein Medical Center, Philadelphia, PA 19141 | 2005-11-15 |
| 1144846809 | Natalie Anne Gonzalez | Pediatrics | 5501 Old York Road, Philadelphia, PA 19141-3098 | 2020-06-18 |
| 1043835549 | Neysha Patel | Student in an Organized Health Care Education/Training Program | 5501 Old York Road, Albert Einstein Medical Center, Philadelphia, PA 19141 | 2020-06-10 |
| 1386269926 | Annemarie Joyce Daecher | Emergency Medicine | 5501 Old York Road, Korman Ground, B-9, Rm# 7, Philadelphia, PA 19141 | 2020-06-09 |
| 1225675945 | Ardel Jose Romero Pabon | Internal Medicine | 5501 Old York Road, Internal Medicine Residency Program, Philadelphia, PA 19141 | 2019-12-02 |
| 1942862610 | Sarah Khan | Pediatrics | 5501 Old York Road, Philadelphia, PA 19141 | 2019-07-02 |
| 1598327546 | Victoria Kirsten Kneller | Emergency Medicine | 5501 Old York Road, Philadelphia, PA 19141 | 2019-06-30 |
| 1104487941 | Melissa Liza Yu | Emergency Medicine | 5501 Old York Road, Philadelphia, PA 19141 | 2019-06-24 |
| 1568022374 | Kyaw Naing | Student in an Organized Health Care Education/Training Program | 5501 Old York Road, Philadelphia, PA 19141 | 2019-06-14 |
| 1033670153 | Jung Hyun Yun | Radiology | 5501 Old York Road, Philadelphia, PA 19141 | 2019-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
| 1033649975 | Dinh-huy Do Nguyen | Radiology | 5501 Old York Rd Ste 363, Philadelphia, PA 19141-3018 | 2017-06-13 |
| 1467809418 | Jeffrey Burgess | Radiology | 1215 Spruce St Apt 201, Philadelphia, PA 19107-5620 | 2016-05-19 |
| 1649632399 | Myron Blumberg | Radiology | 317 S 22nd St, Philadelphia, PA 19103-6528 | 2016-03-22 |
| 1144633074 | Daniel Robert Wahl | Radiology | 3400 Spruce Street - 1 Silverstein, Department of Radiology / Abdominal Imaging, Philadelphia, PA 19104 | 2014-06-09 |
| 1235564337 | Ron Benjamin | Radiology | 2055 E Fletcher St, Philadelphia, PA 19125 | 2013-09-08 |
| 1831454867 | Ryan Michael Bonshock | Radiology | 4220 Market St Fl 2, Philadelphia, PA 19104-3007 | 2012-07-05 |
| 1730498601 | Robert A Perkins Jr. | Radiology | 132 S 10th St Ste 1099j, Philadelphia, PA 19107-5244 | 2010-09-27 |
| 1457677007 | Michael Richard Acord | Radiology | 3401 Civic Blvd, Division of Radiology, Philadelphia, PA 19104 | 2010-04-07 |
| 1780918375 | Mollie Mcginley | Radiology | 1835 Arch St, Apartment 305, Philadelphia, PA 19103-2712 | 2009-09-29 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
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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.