TEMPLE FACULTY PRACTICE PLAN INC (NPI# 1649752684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649752684 |
| Entity Type | Organization |
| Organization Name | TEMPLE FACULTY PRACTICE PLAN INC |
| Other Organization Name | TEMPLE FACULTY SURGERY CRITICAL CARE ASSOCIATES |
| Practice Address |
3401 N Broad St Philadelphia PA 19140-5103 |
| Mailing Address |
2450 W Hunting Park Ave Philadelphia PA 19129-1302 |
| Practice Telephone | 2157073133 |
| Practice Fax Number | 2157073945 |
| Mailing Telephone | 2157073133 |
| Mailing Fax Number | 2157073945 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | TONYA WOODARD (DIRECTOR REVENUE CYCLE) |
| Authorized Official Telephone | 2157073911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Temple Faculty Surgery Critical Care Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801378740 | Temple Faculty Practice Plan Inc | Family Medicine | 3322 Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1497238448 | Temple Faculty Practice Plan Inc | Advanced Practice Midwife | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-14 |
| 1710469655 | Temple Faculty Practice Plan Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1629550561 | Temple Faculty Practice Plan Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1174005011 | Temple Faculty Practice Plan Inc | Surgery | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1073095915 | Temple Faculty Practice Plan Inc | Internal Medicine | 3322 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1548742489 | Temple Faculty Practice Plan Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1487136495 | Temple Faculty Practice Plan Inc | Family Medicine | 1700 N Broad St, Philadelphia, PA 19121-3429 | 2018-09-06 |
| 1841772878 | Temple Faculty Practice Plan Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-06 |
| 1194207134 | Temple Faculty Practice Plan Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| Street Address |
3401 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205133 | Shefali Agrawal | Specialist | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2005-06-15 |
| 1962018523 | Caroline Grace Kelly | Audiologist | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-09-18 |
| 1457965964 | Barbara Ohiaeri | Pharmacist | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-09-02 |
| 1710505904 | Cara Greenspan | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-07-14 | |
| 1013535756 | Srinivasa Prasad Venkata Kanuparthi | Neurological Surgery | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-07-09 |
| 1417575143 | Sakshi Gandhi | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-07-09 |
| 1801414594 | Azka Rahman | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-07-08 |
| 1417574658 | Anna-kaye Marie Brown | Anesthesiology | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-07-04 |
| 1285251405 | Shalonda Cook | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-07-03 |
| 1386261501 | Temidayo Aderibigbe | Orthopaedic Surgery | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
| 1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
| 1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
| 1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
| 1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
| 1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
| Find all providers in zip 19140 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205272127 | Lily Tung | Surgery | 51 N. 39th Street, Suite 120, Philadelphia, PA 19104 | 2013-05-18 |
| 1073741484 | Joseph S Fernandez-moure | Surgery | 51 N 39th St Rm 120, Philadelphia, PA 19104 | 2009-06-24 |
| 1952368136 | Jeremy Wynne Cannon | Surgery | 51 N 39th Street, Suite 120 Mob, Philadelphia, PA 19104 | 2006-04-29 |
| 1285609404 | Ehyal Shweiki | Surgery | 1100 Walnut Street, Mob, 5th Floor, Philadelphia, PA 19107-5563 | 2006-02-21 |
| 1275921298 | University of Penn-medical Group | Surgery | 51 N 39th St, Mob Suite 120, Philadelphia, PA 19104-2640 | 2014-12-29 |
| 1497168827 | Dane Scantling | Surgery | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2014-06-03 |
| 1144480153 | Shariq Syed Raza | Surgery | 3509 N Broad St, Gme Office, 2nd Fl, Boyer Pavilion, Temple Univ Hosp, Philadelphia, PA 19140-4105 | 2008-06-12 |
| 1528263829 | Qiong Yang | Surgery | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2007-06-18 |
| 1184780546 | Mark J Seamon | Surgery | 51 N 39th St, Mob 1st Floor, Suite 120, Philadelphia, PA 19104 | 2006-12-29 |
| 1205937331 | James S. Eakins | Surgery | Broad and Vine Streets, Philadelphia, PA 19102 | 2006-09-25 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
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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.