HORACE M DELISSER (NPI# 1578577094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578577094 |
| Entity Type | Individual |
| Full Name | HORACE M DELISSER |
| Credential | MD |
| Practice Address |
3400 Spruce Street 3 Ravdin Building, Suite F Philadelphia PA 19104-4206 |
| Practice Telephone | 2156623202 |
| Practice Fax Number | 2153498432 |
| Mailing Telephone | 2156623202 |
| Mailing Fax Number | 2153498432 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD038549E | PA | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD038549E | PA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD038549E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0011935000001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306357256 | Horace Michael Delisser Jr. | Physician Assistant | 150 Delsea Dr Ste B, Sewell, NJ 08080-9478 | 2017-10-18 |
| Street Address |
3400 SPRUCE STREET 3 RAVDIN BUILDING, SUITE F |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620296 | Anne M Foley | Nurse Practitioner | 3400 Spruce Street, 4 Silverstein, Philadelphia, PA 19104-4206 | 2005-06-23 |
| 1063023349 | Judith Christina Rivera | Nurse Practitioner | 3400 Spruce Street, Cicu F11, Philadelphia, PA 19104-4238 | 2020-08-11 |
| 1457970451 | Tyler J York | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 4 Maloney - Surgery Education Office, Philadelphia, PA 19104 | 2020-04-10 |
| 1811532088 | Madeleine Liu Rutledge | Nurse Practitioner | 3400 Spruce Street, Dulles 6, Philadelphia, PA 19104 | 2019-11-12 |
| 1497397160 | Brittany Nichol Moses | Physician Assistant | 3400 Spruce Street, Rhoads 5, Philadelphia, PA 19104 | 2019-10-14 |
| 1477106011 | Courtney Condit | Genetic Counselor, MS | 3400 Spruce Street, 5 Silverstein, Suite 5100, Philadelphia, PA 19104 | 2019-07-23 |
| 1275096745 | Dallas Argueso | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-04-10 |
| 1720548837 | Alisha Jamil | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-24 |
| 1023578507 | Erin Killingsworth Mcminn | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 1 West Gates, Philadelphia, PA 19104 | 2019-03-21 |
| 1932669694 | Rosa Speranza | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 1 W. Gates, Philadelphia, PA 19104 | 2019-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588180673 | Critical Care Medicine Services LLC | Internal Medicine | 1930 S Broad St Unit 12, Philadelphia, PA 19145-2328 | 2017-08-21 |
| 1811316672 | Christopher Mcgrath | Internal Medicine | 834 Walnut St Ste 605, Philadelphia, PA 19107-5109 | 2014-04-09 |
| 1528323755 | Kartik Ramakrishna | Internal Medicine | 245 N 15th St # Ms 107, Philadelphia, PA 19102-1198 | 2012-07-13 |
| 1639342439 | Nilam Suryakant Mangalmurti | Internal Medicine | 3615 Civic Center Blvd Ste 1015f, Abramson Research Building, Philadelphia, PA 19104-4318 | 2008-04-12 |
| 1457564049 | Methodist Associates In Healthcare, Inc. | Internal Medicine | 2301 South Broad Street, Philadelphia, PA 19148 | 2007-05-08 |
| 1871670943 | Jaber M Monla-hassan | Internal Medicine | 5401 Old York Rd Ste 300, Philadelphia, PA 19141-3045 | 2006-11-01 |
| 1407880578 | Michael W Sims | Internal Medicine | 39th & Market Street, Philadelphia, PA 19104 | 2006-07-11 |
| 1578590089 | Alan Steinbach | Internal Medicine | 3257 Memphis St, Philadelphia, PA 19134-4408 | 2006-06-28 |
| 1962486357 | Mani S Kavuru | Internal Medicine | 834 Walnut St, Suite 650, Philadelphia, PA 19107-5109 | 2005-11-30 |
| 1457356917 | Jeffrey Brian Hoag | Internal Medicine | 219 N Broad St, 9th Floor, Philadelphia, PA 19107-1519 | 2005-06-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.