JOSHUA BALOGUN MEDICAL CENTER (NPI# 1588836118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588836118 |
Entity Type | Organization |
Organization Name | JOSHUA BALOGUN MEDICAL CENTER |
Practice Address |
5044 Spruce Street Philadelphia PA 19139-4148 |
Practice Telephone | 2154744410 |
Mailing Telephone | 2154744410 |
Enumeration Date | 2008-03-24 |
Last Update Date | 2011-01-25 |
Authorized Official Name | HENRY ISRAEL BALOGUN (CHAIRMAN/CEO) |
Authorized Official Telephone | 2157048223 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
Street Address |
5044 SPRUCE STREET |
City | PHILADELPHIA |
State | PA |
Zip Code | 19139-4148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306262456 | Mednet Healthcare Systems, Inc. | Internal Medicine | 5044 Spruce Street, Philadelphia, PA 19139 | 2014-03-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
Find all providers in zip 19139 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164067450 | Whitney Guthrie | Psychologist | 2716 South St Ofc 5241, Philadelphia, PA 19146-2305 | 2019-11-11 |
1841849460 | Colleen Mary Harker | Psychologist | 1518 Walnut St Ste 1506, Philadelphia, PA 19102-3408 | 2019-09-06 |
1326536749 | Rebecca Kanine | Psychologist | 2716 South St Fl 8, Philadelphia, PA 19146-2305 | 2018-05-01 |
1033630116 | Jami F Young | Psychologist | 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 | 2017-06-29 |
1386042679 | Jann Glider | Psychologist | 6811 Quincy St, Philadelphia, PA 19119-2663 | 2014-12-18 |
1871756486 | West Philadelphia Community Mental Health Consortium Inc. | Psychologist | 2020 Pennsylvania Ave, Philadelphia, PA 19130-3832 | 2008-07-03 |
1154531002 | Chiara Linda Nuzzo | Psychologist | 7219 Devon St, Philadelphia, PA 19119-1709 | 2007-05-22 |
1881219152 | Jill Mara Plevinsky | Psychologist | 3440 Market St, Philadelphia, PA 19104-3325 | 2020-06-12 |
1568085223 | Jamie Novak Shoop | Psychologist | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-05-28 |
1649801903 | Matthew Daniel Lerner | Psychologist | 3440 Market St, Philadelphia, PA 19104-3325 | 2020-01-27 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19139 |
Please comment or provide details below to improve the information on JOSHUA BALOGUN MEDICAL CENTER.
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.