KENNETH DEITCH (NPI# 1558300855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558300855 |
| Entity Type | Individual |
| Full Name | KENNETH DEITCH |
| Credential | DO |
| Practice Address |
101 E Olney Ave Suite 400 Phila PA 19120-2421 |
| Mailing Address |
5501 Old York Rd Phila PA 19141-3018 |
| Practice Telephone | 2154567000 |
| Practice Fax Number | 2152542599 |
| Mailing Telephone | 2154566679 |
| Mailing Fax Number | 2154568502 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2011-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | OS012659 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | TAX ID # | 232664784 | 01 |
| Street Address |
101 E OLNEY AVE SUITE 400 |
| City | PHILA |
| State | PA |
| Zip Code | 19120-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558316109 | Einstein Community Health Associates, Inc | Family Medicine | 101 E Olney Ave, Suite 400, Phila, PA 19120-2421 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364615 | Jane Clay Zakrzewski | Social Worker | Springfield Psychological, 1420 Walnut St. Suite 1500, Philadelphia, PA 19120 | 2019-03-12 |
| 1861964264 | Yi Ty Zhang | Nurse Practitioner | 101 E Olney Ave Ste C5, Philadelphia, PA 19120 | 2018-12-23 |
| 1447799770 | John Beecroft | Counselor | 4943 North 5th Street, Philadelphia, PA 19120 | 2017-02-20 |
| 1063869915 | Syed Naved Zahid | Dentist | 5675 Nth Front St., Philadelphia, PA 19120 | 2016-05-20 |
| 1447619838 | Danielle Green | Nurse Practitioner | 5846 North 4th St, Philadelphia, PA 19120 | 2016-02-15 |
| 1134544265 | Nt&t Corporation | Pharmacy | 439 West Chew Ave 1st F, Philadelphia, PA 19120 | 2014-02-26 |
| 1417234667 | Thomas Davis | Behavioral Analyst | 101 West Spencer Street, Philadelphia, PA 19120 | 2011-11-15 |
| 1619261682 | Advanced Family Dentistry, P.C. | Dentist | 6100-02 5th Street, Storefront, Philadelphia, PA 19120 | 2011-06-07 |
| 1346539061 | Capri N. Burt | Prosthetist | 5962 N. 3rd Street, Philadelphia, PA 19120 | 2011-04-04 |
| 1063719334 | James A. Brown | Prosthetist | 5962 N. 3rd St., Phila, PA 19120 | 2011-02-22 |
| Find all providers in zip 19120 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871776245 | Deborah Heeran Chun | Emergency Medicine | 10845 Lockart Rd, Phila, PA 19116-3133 | 2007-12-08 |
| 1629495189 | Edward Kim | Emergency Medicine | 111 S 11th St, Phila, PA 19107-4824 | 2014-03-23 |
| 1073833521 | Tung Nguyen | Emergency Medicine | 10800 Knights Rd, Phila, PA 19114-4200 | 2010-06-07 |
| 1831350925 | Arpita Shrivastava | Emergency Medicine | 5501 Old York Rd, Phila, PA 19141-3018 | 2008-06-20 |
| 1487812061 | Carrie-ann Begnaud | Emergency Medicine | 3998 Red Lion Rd, Phila, PA 19114-1436 | 2008-05-29 |
| 1083663777 | Peter Tsao | Emergency Medicine | 5501 Old York Rd, Phila, PA 19141-3018 | 2006-05-09 |
| 1447208939 | Nicole Abate | Emergency Medicine | 5501 Old York Rd, Phila, PA 19141-3018 | 2006-05-05 |
| 1497703961 | Andrew Kah Wai Chong | Emergency Medicine | 5501 Old York Rd, Phila, PA 19141-3018 | 2006-05-05 |
| 1912955410 | Adam Kendall Rowden | Emergency Medicine | 5501 Old York Rd, Phila, PA 19141-3018 | 2006-05-05 |
| 1366400491 | Steven Parrillo | Emergency Medicine | 5501 Old York Road, Phila, PA 19141 | 2006-05-01 |
| Find all providers in PHILA | ||||
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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.