STC PEDIATRICS LLC


Address: 160 E Erie Ave, Philadelphia, PA 19134-1011
Phone: 2154275202

STC PEDIATRICS LLC (NPI# 1639713076) 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) 1639713076
Entity Type Organization
Organization Name STC PEDIATRICS LLC
Other Organization Name ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES NEONATOLOGY - E. ERIE AVENUE
Practice Address 160 E Erie Ave
Philadelphia
PA 19134-1011
Mailing Address Po Box 13579
Reading
PA 19612-3579
Practice Telephone 2154275202
Mailing Telephone 6107436049
Enumeration Date 2019-10-29
Last Update Date 2019-12-17
Authorized Official Name GARY CONNER (VP AND CFO)
Authorized Official Telephone 4846288181
Is Organization Subpart N

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES NEONATOLOGY - E. ERIE AVENUE Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912516279 Stc Pediatrics LLC Pediatrics 3601 A St Fl Family, Philadelphia, PA 19134-1043 2020-07-23
1932722881 Stc Pediatrics LLC Orthopaedic Surgery 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 2020-05-27
1649806217 Stc Pediatrics LLC Pediatrics 160 E Erie Ave Fl 3, Philadelphia, PA 19134-1011 2020-03-16
1033753439 Stc Pediatrics LLC Pediatrics 500 York Rd Ste 250, Jenkintown, PA 19046-2870 2019-10-30
1861036279 Stc Pediatrics LLC Pediatrics 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 2019-10-30
1639713944 Stc Pediatrics LLC Pediatrics 1201 Langhorne Newtown Rd Ste 401, Langhorne, PA 19047-1201 2019-10-30
1548804909 Stc Pediatrics LLC Psychiatry & Neurology 100 Kings Way E Ste C, Sewell, NJ 08080-2238 2019-10-29
1962046474 Stc Pediatrics LLC Pediatrics 301 Oxford Valley Rd Ste 1201, Yardley, PA 19067-7706 2019-10-29
1508466913 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-10-27
1548867476 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-10-05

Office Location

Street Address 160 E ERIE AVE
City PHILADELPHIA
State PA
Zip Code 19134-1011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114919040 Gabriel Hauser Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2005-08-17
1932700150 Alexandria Nicole Torrisi Physician Assistant 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-11-04
1508466913 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-10-27
1548867476 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-10-05
1760009450 Cassandra Anne Pantano Nurse Practitioner 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-06-29
1366068488 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-06-24
1992326789 Kerby Zeisloft Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-05-03
1467073353 Neil Himanshu Patel Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-05-01
1629699665 Rose B Bayer Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-04-30
1972124931 Neha Jadhav Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-04-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871137208 My Philadelphia Pharmacy Inc Pharmacy 2901 E Thompson St, Front Store, Philadelphia, PA 19134 2019-10-29
1588125793 Bret Johnson Student in an Organized Health Care Education/Training Program Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 2019-03-29
1053881672 Ana Y Almanzar Psychologist 3513 North Water Street, Philadelphia, PA 19134 2018-11-27
1861974206 Stephanie C Curtis Registered Nurse St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 2018-09-01
1700371978 Kristi Ford Nurse Practitioner 160 E Erie Ave # 21542, Philadelphia, PA 19134 2018-06-28
1700370178 Natalie Martinez Case Manager/Care Coordinator 3528 I St Ste 1, Philadelphia, PA 19134 2018-06-19
1205352309 Personal Injury Clinic PC Chiropractor 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 2017-08-21
1306376280 Port Richmond Counseling Practices Clinic/Center 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 2017-06-14
1760864441 Jason Roy Toews Pediatrics 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 2015-06-18
1376933291 David Tanney Yusavitz Nurse Practitioner 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 2015-01-30
Find all providers in zip 19134

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
1639204225 Kirstie R Marcello Pediatrics 111 South 11th Street, 7th Floor College Building, Philadelphia, PA 19107 2007-02-22
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
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 19134

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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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