CHILDREN'S HOSPITAL OF PHILADELPHIA (NPI# 1629168232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629168232 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOSPITAL OF PHILADELPHIA |
| Other Organization Name | CARE NETWORK SOUTH PHILADELPHIA |
| Practice Address |
1930 South Broad Street 2nd Floor Philadelphia PA 19145 |
| Mailing Address |
1930 South Broad Street Philadelphia PA 19145 |
| Practice Telephone | 2154675870 |
| Practice Fax Number | 2154675873 |
| Mailing Telephone | 2154675870 |
| Mailing Fax Number | 2154675873 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-09-29 |
| Authorized Official Name | THOMAS TODOROW (VP FIANANCE) |
| Authorized Official Telephone | 2674266940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007709910013 | 05 |
| Other Name | Type Code |
|---|---|
| Care Network South Philadelphia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403694 | Children's Hospital of Philadelphia | Dietitian, Registered | 817 E Baltimore Pike Ste A, Kennett Square, PA 19348-1929 | 2020-10-06 |
| 1558913582 | Children's Hospital of Philadelphia | Dietitian, Registered | 821 Bethlehem Pike Ste A, Erdenheim, PA 19038-8121 | 2019-07-10 |
| 1639640600 | Children's Hospital of Philadelphia | Pediatrics | 3401 Civic Center Blvd Rm 7471, Philadelphia, PA 19104-4319 | 2018-12-17 |
| 1417188111 | Children's Hospital of Philadelphia | General Acute Care Hospital | 2300 Pine St Apt 4a, Philadelphia, PA 19103-6468 | 2009-07-30 |
| 1306090113 | Children's Hospital of Philadelphia | General Acute Care Hospital | 34th & Civic Center Bldvd, Philadelphia, PA 19104 | 2008-11-06 |
| 1659459063 | Children's Hospital of Philadelphia | Home Health | 3000 Horizon Dr, King of Prussia, PA 19406-2626 | 2006-11-02 |
| 1639259583 | Children's Hospital of Philadelphia | Pediatrics | 770 Miles Road, Suite 1, West Chester, PA 19380-4400 | 2006-10-16 |
| 1902986995 | Children's Hospital of Philadelphia | Pediatrics | 2 Industrial Blvd Ste 100, Paoli, PA 19301-1645 | 2006-10-16 |
| 1336229517 | Children's Hospital of Philadelphia | Pediatrics | 633 West Lancaster Avenue, Bryn Mawr, PA 19010 | 2006-10-16 |
| 1568552933 | Children's Hospital of Philadelphia | Pediatrics | 2000 Sproul Road, Suite 206, Broomall, PA 19008 | 2006-10-13 |
| Street Address |
1930 SOUTH BROAD STREET 2ND FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821444209 | Fox Subacute At South Philadelphia LLC | Skilled Nursing Facility | 1930 South Broad Street, Philadelphia, PA 19145 | 2016-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
| 1821519752 | John A Takacs Dmd | Clinic/Center | 1707w Passyunk Ave, Philadelphia, PA 19145 | 2017-06-30 |
| 1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
| 1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| 1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
| 1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| Find all providers in zip 19145 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1447818729 | Elizabeth Edmondston Tarr | Pediatrics | 3401 Civic Center Blvd Fl 9nw55, Philadelphia, PA 19104-4319 | 2019-06-03 |
| 1245799337 | Jerry Martin Kaplan | Pediatrics | 2421 Fairmount Ave, Philadelphia, PA 19130-2517 | 2019-03-18 |
| 1992299861 | Gayathri Prabhakar | Pediatrics | 3401 Civic Center Blvd 9nw, Rm 55, Philadelphia, PA 19104-4319 | 2018-06-14 |
| 1992298004 | Daniel Rappoport | Pediatrics | 3401 Civic Center Boulevard, 9nw, Room 55, Philadelphia, PA 19104-4399 | 2018-06-13 |
| 1376069567 | Childrens Hospital of Philadelphia | Pediatrics | 3401 Civic Center Blvd Fl 4, Philadelphia, PA 19104-4319 | 2017-08-18 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1891225694 | Joshua Hruby Sperling | Pediatrics | 3401 Civic Center Boulevard 9nw, Room 55, The Children's Hospital of Philadelphia, Philadelphia, PA 19104-4399 | 2017-06-14 |
| 1124558911 | Salvatore Charles Rametta | Pediatrics | 3401 Civic Center Boulevard Building 9nw Room 55, Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2017-06-14 |
| 1922536952 | Alyssa Coffin | Pediatrics | 3401 Civic Center Blvd Fl 9nw, Philadelphia, PA 19104-4319 | 2017-06-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19145 |
Please comment or provide details below to improve the information on CHILDREN'S HOSPITAL OF PHILADELPHIA.
| 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.