MARC A EXILUS (NPI# 1588149587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588149587 |
| Entity Type | Individual |
| Full Name | MARC A EXILUS |
| Practice Address |
1315 Windrim Ave Philadelphia PA 19141-2710 |
| Mailing Address |
1922 Goodnaw St Philadelphia PA 19115-4721 |
| Practice Telephone | 2154553900 |
| Mailing Telephone | 6103244097 |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN602850 | PA | Nursing Service Providers |
| Street Address |
1315 WINDRIM AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620130 | Abayomi O Ige | Psychiatry & Neurology | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2005-06-23 |
| 1952934762 | Korrima Horton | Counselor | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2020-02-20 |
| 1861039505 | Alexandra E Wasserman | Marriage & Family Therapist | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2019-12-02 |
| 1316596604 | Annise G Mcgriff | Counselor | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2019-09-09 |
| 1497303846 | Kathryn D Ewers | Marriage & Family Therapist | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2019-08-29 |
| 1598229247 | Steven Syvick | Counselor | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2019-01-28 |
| 1770057275 | Corey Solomon Dweck | Counselor | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2019-01-17 |
| 1699249482 | Michael Sean Hogan | Counselor | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2019-01-15 |
| 1407327760 | Kathryn Fowler | Social Worker | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2018-12-16 |
| 1447746672 | Adijat Mustapha | Psychologist | 1315 Windrim Ave, Philadelphia, PA 19141-2710 | 2018-07-11 |
| 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 | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912427527 | Rachel Monica Reis | Registered Nurse | 255 S 17th St Ste 2304, Philadelphia, PA 19103-6223 | 2017-06-24 |
| 1669772513 | Jusufu Sulaiman Gottor | Registered Nurse | Broad and Vine Street, 11th Floor, Philadelphia, PA 19102 | 2010-10-26 |
| 1215032909 | Arlene D Houldin | Registered Nurse | 420 Service Dr, Philadelphia, PA 19104-4210 | 2006-09-14 |
| 1346344538 | Joanne Dutill Zimmerman | Registered Nurse | University & Woodland Avenues, Room 120 Clinical Addition, Philadelphia, PA 19104 | 2006-09-11 |
| 1073526406 | Linda Louise Horn | Registered Nurse | 618 Leverington Ave, Philadelphia, PA 19128-2606 | 2006-08-15 |
| 1417963836 | Laureen Mary Tavolaro-ryley | Registered Nurse | 1427 S Broad St, Philadelphia, PA 19147-4919 | 2006-07-31 |
| 1255963047 | Kathleen Cuffy | Registered Nurse | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2020-02-10 |
| 1689160970 | Jessica Bright Jester | Registered Nurse | 4641 Roosevelt Boulevard, Orleans Building, Philadelphia, PA 19124 | 2018-07-10 |
| 1063841716 | Rasheeda Tillman | Registered Nurse | 4803 Woodland Ave, Philadelphia, PA 19143-4433 | 2013-11-04 |
| 1972750040 | Nancy P Hanrahan | Registered Nurse | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2008-08-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
Please comment or provide details below to improve the information on MARC A EXILUS.
| 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.