DR. KIRSTIE R MARCELLO


Address: 111 South 11th Street, 7th Floor College Building, Philadelphia, PA 19107
Phone: 2159556523

DR. KIRSTIE R MARCELLO (NPI# 1639204225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639204225
Entity Type Individual
Full Name DR. KIRSTIE R MARCELLO
Credential MD
Practice Address 111 South 11th Street
7th Floor College Building
Philadelphia
PA 19107
Mailing Address 150 New Jersey Ave
Collingswood
NJ 08108-1610
Practice Telephone 2159556523
Enumeration Date 2007-02-22
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
MT182361 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 111 SOUTH 11TH STREET
7TH FLOOR COLLEGE BUILDING
City PHILADELPHIA
State PA
Zip Code 19107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124680426 Jeffrey Hu Radiology 111 South 11th Street, Suite 2170 Gibbon, Philadelphia, PA 19107 2019-07-08
1194173781 Benjamin Aaron Greenberger Student in an Organized Health Care Education/Training Program 111 South 11th Street, Bodine Center G301, Philadelphia, PA 19107-4824 2016-05-25
1295146777 Brittany Anne Simone Radiology 111 South 11th Street, Bodine Center G301, Philadelphia, PA 19107-4824 2014-05-18
1447678602 Maryann Strong Nurse Practitioner 111 South 11th Street, Philadelphia, PA 19107 2014-04-03
1134457377 Andrea Marie Heise Nurse Practitioner 111 South 11th Street, Gibbon Building, Philadelphia, PA 19107 2009-11-30
1275739641 Ryan Clark Murray Otolaryngology 111 South 11th Street, Suite 2170, Philadelphia, PA 19107-5096 2007-06-22
1861612202 Myann Tran Occupational Therapist 111 South 11th Street, Philadelphia, PA 19107 2007-04-26
1407974470 Gregory John De Cardona Anesthesiology 111 South 11th Street, Suite 8490 Gibbon, Philadelphia, PA 19107-5096 2007-03-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
Find all providers in zip 19107

Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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/certification
- 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568656981 Mario Zichella Jr. Pediatrics 1025 Walnut Street, Suite 700, Philadelphia, PA 19107-3121 2007-08-29
1235333774 Andrea Freeman Duncan Pediatrics 3401 Civic Center Blvd Fl 2, Philadelphia, PA 19104-4319 2007-06-11
1831302603 Folasade Ibironke Kehinde Pediatrics 160 E Erie Ave Dept Of, Philadelphia, PA 19134-1011 2007-05-08
1134286677 Yanick Mary Vibert Pediatrics 230 North Broad Street, Mailstop 492, 10th Floor South Tower Neonatology Office, Philadelphia, PA 19102 2007-01-03
1164476842 Karen Fritz Pediatrics St. Christopher's Hospital Erie Ave and Front St, Div of Neonatology, Philadelphia, PA 19131 2006-05-19
1043274376 Daniel Henry Conway Pediatrics Front St and Erie Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 2006-04-13
1720623200 Stc Pediatrics LLC Pediatrics 3401 N Broad St, Philadelphia, PA 19140-5103 2019-11-08
1639713076 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-10-29
1750863619 Temple Faculty Practice Plan, Inc Pediatrics 3401 N Broad St, Philadelphia, PA 19140-5103 2018-09-06
1659803526 Oluwatobi Adegboyega Pediatrics 833 Chestnut St Ste 1210, Philadelphia, PA 19107-4428 2017-03-30
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

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.

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