NAZARETH PHYSICIAN SERVICES INC (NPI# 1598112518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598112518 |
| Entity Type | Organization |
| Organization Name | NAZARETH PHYSICIAN SERVICES INC |
| Other Organization Name | MERCY CARDIOLOGY AT NAZ 100 |
| Practice Address |
2701 Holme Ave Suite 100 Philadelphia PA 19152-2029 |
| Mailing Address |
1 W Elm St Suite 200 Conshohocken PA 19428-4108 |
| Practice Telephone | 2153323972 |
| Practice Fax Number | 2153313784 |
| Mailing Telephone | 6105676964 |
| Mailing Fax Number | 6105675420 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2017-04-20 |
| Authorized Official Name | AIMEE BRENNAN (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 6105676964 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAZARETH PHYSICIAN SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1014655140001 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Cardiology at Naz 100 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
| 1265682082 | Nazareth Physician Services Inc | Internal Medicine | 3461 Cottman Ave, Philadelphia, PA 19149-1605 | 2008-09-29 |
| 1659568533 | Nazareth Physician Services Inc | Internal Medicine | 2614 Woodward St, Philadelphia, PA 19152-1334 | 2007-09-25 |
| 1457382053 | Nazareth Physician Services Inc | Internal Medicine | 1407 Rhawn Street, Philadelphia, PA 19111 | 2006-07-05 |
| 1356377550 | Nazareth Physician Services Inc | Family Medicine | 7044 Torresdale Ave, Philadelphia, PA 19135-1915 | 2006-06-23 |
| 1497312656 | Nazareth Physician Services Inc | Internal Medicine | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2019-05-23 |
| 1861917544 | Nazareth Physician Services Inc | Social Worker | 1407 Rhawn St, Philadelphia, PA 19111 | 2017-08-03 |
| 1538190137 | Nazareth Physician Services Inc | Family Medicine | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2006-07-05 |
| 1699726844 | Nazareth Physician Services Inc | Obstetrics & Gynecology | 2701 Holme Ave, Suite 205, Philadelphia, PA 19152-2029 | 2006-05-12 |
| Street Address |
2701 HOLME AVE SUITE 100 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871592436 | Lee Anthony Celio | Internal Medicine | 2701 Holme Ave, Suite 206, Philadelphia, PA 19152-2029 | 2005-07-17 |
| 1558892570 | Nazareth Physician Services, Inc. | Urology | 2701 Holme Ave, Suite 101, Philadelphia, PA 19152-2029 | 2017-03-22 |
| 1447671243 | Nazareth Physicians Services, Inc | Orthopaedic Surgery | 2701 Holme Ave, Suite 100, Philadelphia, PA 19152-2029 | 2013-12-20 |
| 1518397116 | Nazareth Physician Services | Radiology | 2701 Holme Ave, Suite 302, Philadelphia, PA 19152-2029 | 2013-11-18 |
| 1861827305 | Comprehensive Renal Care, PC | Internal Medicine | 2701 Holme Ave, Ste 203, Philadelphia, PA 19152-2029 | 2013-09-03 |
| 1255686150 | Nazareth Physician Services, Inc. | Internal Medicine | 2701 Holme Ave, Suite 105, Philadelphia, PA 19152-2029 | 2012-07-17 |
| 1215268818 | Yelena Mushiyakh | Internal Medicine | 2701 Holme Ave, Philadelphia, PA 19152-2029 | 2010-01-20 |
| 1629230305 | Shamin Vania | Internal Medicine | 2701 Holme Ave, Suite 205, Philadelphia, PA 19152-2029 | 2008-06-25 |
| 1164540944 | Diane Robinson | Obstetrics & Gynecology | 2701 Holme Ave, Suite 305, Philadelphia, PA 19152-2029 | 2007-03-27 |
| 1932250800 | James V. Mackell, Jr. M.d. | Orthopaedic Surgery | 2701 Holme Ave, Suite 204, Philadelphia, PA 19152-2029 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1780198754 | William Sigmund | Internal Medicine | 608 Spruce St, Philadelphia, PA 19106-4114 | 2017-11-28 |
| 1982128690 | Mercy Management of Sepa | Internal Medicine | 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1346651130 | Chukwunweike Nwosu | Internal Medicine | 219 North Broad Street, Arnold T Berman Building, Philadelphia, PA 19107-3720 | 2014-05-14 |
| 1053736611 | Mary Osbakken | Internal Medicine | 29 W Walnut Ln, Philadelphia, PA 19144-2609 | 2014-02-19 |
| 1275969131 | Vohra Post Acute Care Physicians of The Northeast Pa | Internal Medicine | 8400 Bustleton Ave Ste 9, Philadelphia, PA 19152-1918 | 2013-09-23 |
| 1194169730 | Edward Sawyer Cooper | Internal Medicine | 6710 Lincoln Drive, Philadelphia, PA 19119 | 2013-04-25 |
| 1720322969 | Robert Alan Keisman | Internal Medicine | 300 Spring Garden St, Philadelphia, PA 19123-2932 | 2012-11-10 |
| 1497058390 | Urban Health Initiatives, Inc. | Internal Medicine | 1408 S. Broad Street, Philadelphia, PA 19146-4808 | 2010-12-15 |
| 1104133354 | Rajendra N Seth Md Associates | Internal Medicine | 5901 Summerdale Ave, Philadelphia, PA 19149-3626 | 2010-09-09 |
| 1194040436 | Paul Nicolas Fiorilli | Internal Medicine | 3400 Civic Center Blvd Fl 11, Philadelphia, PA 19104-5159 | 2010-03-30 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
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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.