JESSICA INTRAVIA (NPI# 1548670755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548670755 |
| Entity Type | Individual |
| Full Name | JESSICA INTRAVIA |
| Credential | M.D. |
| Practice Address |
1015 Walnut St Ste 620 Philadelphia PA 19107 |
| Mailing Address |
834 Chestnut St Ste G114 Philadelphia PA 19107-5114 |
| Practice Telephone | 2159556864 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
MD464417 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 N State St, Dept of Orthopaedic Surgery, Gnh 3900, Los Angeles, CA 900331029 | 3232267346 |
| Street Address |
1015 WALNUT ST STE 620 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619597127 | Andre Edwin Turnquest | Student in an Organized Health Care Education/Training Program | 1015 Walnut St Ste 620, Philadelphia, PA 19107-5005 | 2020-04-24 |
| 1770103921 | Ellika Marjan Salari | Surgery | 1015 Walnut St Ste 620, Philadelphia, PA 19107-5005 | 2020-04-17 |
| 1023637238 | Kathleen Mary Jarrell | Student in an Organized Health Care Education/Training Program | 1015 Walnut St Ste 620, Philadelphia, PA 19107-5005 | 2020-04-09 |
| 1639798788 | Fari Mame Penda Fall | Student in an Organized Health Care Education/Training Program | 1015 Walnut St Ste 620, Philadelphia, PA 19107-5005 | 2020-04-09 |
| 1457970667 | Parthik D Patel | Student in an Organized Health Care Education/Training Program | 1015 Walnut St Ste 620, Philadelphia, PA 19107-5005 | 2020-04-09 |
| 1912526138 | Emily Lynn Isch | Student in an Organized Health Care Education/Training Program | 1015 Walnut St Ste 620, Philadelphia, PA 19107-5005 | 2020-04-09 |
| 1609495829 | Hamza Rshaidat | Surgery | 1015 Walnut St Ste 620, Philadelphia, PA 19107-5005 | 2020-04-09 |
| 1518586536 | Gregg Ilan Khodorov | Student in an Organized Health Care Education/Training Program | 1015 Walnut St Ste 620, Philadelphia, PA 19107-5005 | 2020-04-09 |
| 1346807450 | Micaela Langille Collins | Surgery | 1015 Walnut St Ste 620, Philadelphia, PA 19107-5005 | 2019-05-23 |
| 1023675527 | Victor Ivan Rivera | Student in an Organized Health Care Education/Training Program | 1015 Walnut St Ste 620, Philadelphia, PA 19107-5005 | 2019-05-21 |
| 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 | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811458656 | Einstein Practice Plan Inc | Orthopaedic Surgery | 9880 Bustleton Ave Ste 220, Philadelphia, PA 19115-2143 | 2019-03-26 |
| 1578874715 | Nikolas H. Kazmers | Orthopaedic Surgery | 3400 Spruce, Philadelphia, PA 19104 | 2010-06-22 |
| 1558565044 | Gregg Gabriel Martyak | Orthopaedic Surgery | 1015 Walnut St Ste 801, Philadelphia, PA 19107-5005 | 2007-06-11 |
| 1710092192 | Todd Marc Kelman | Orthopaedic Surgery | 4190 City Ave Ste 503, Philadelphia, PA 19131-1634 | 2006-08-19 |
| 1962817148 | Hannah H Lee | Orthopaedic Surgery | 3737 Market St Fl 6, Philadelphia, PA 19104-5545 | 2014-06-25 |
| 1770926529 | Jacob Eli Tulipan | Orthopaedic Surgery | 925 Chestnut St, 5th Floor, Philadelphia, PA 19107 | 2013-04-11 |
| 1922329572 | Stephen Andrew Refsland | Orthopaedic Surgery | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2010-06-17 |
| 1497998561 | Hesham Mahmoud Abdelfattah | Orthopaedic Surgery | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2009-04-19 |
| 1730281270 | Orthopaedic Hand Surgery and Rehabilitation PC | Orthopaedic Surgery | 4190 City Ave Ste 503, Philadelphia, PA 19131-1634 | 2006-09-04 |
| 1124049093 | Stuart L Trager, M.d., P.C. | Orthopaedic Surgery | 301 South 8th Street, Suite 2-c, Philadelphia, PA 19106 | 2006-07-23 |
| 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.