UNIVERSITY OF PENN - MEDICAL GROUP (NPI# 1659488351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659488351 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF PENN - MEDICAL GROUP |
| Practice Address |
3737 Market St 3rd Floor Philadelphia PA 19104-5545 |
| Mailing Address |
3624 Market St Suite 560w Philadelphia PA 19104-2614 |
| Practice Telephone | 2156622775 |
| Practice Fax Number | 2156155055 |
| Mailing Telephone | 2156622286 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2014-12-16 |
| Authorized Official Name | ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2156627583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
PA | Allopathic & Osteopathic Physicians | |
| Y | 207K00000X | Allergy & Immunology | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HEALTHNET | 0002Y20116 | 01 |
| PA | HEALTHPARTNERS | 06631 | 01 |
| PA | 0006610360 | 05 | |
| PA | KEYSTONE | 145644000 | 01 |
| PA | AETNA | 496665 | 01 |
| PA | RR MEDICARE | CA0235 | 01 |
| PA | MERCY | 1008657 | 01 |
| PA | NJ-MEDICAID | 5464404 | 01 |
| PA | BLUE SHIELD | 043057 | 01 |
| PA | MAMSI | 273538 | 01 |
| PA | AMERICHOICE | G00108940 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720553001 | University of Penn - Medical Group | Internal Medicine | 4923 Stanton Ogletown Rd, Newark, DE 19713-2081 | 2018-10-12 |
| 1114481504 | University of Penn - Medical Group | Clinic/Center | 1800 Lombard St Ste 206, Philadelphia, PA 19146-1414 | 2019-01-30 |
| 1053447151 | University of Penn - Medical Group | Internal Medicine | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2007-02-26 |
| 1194829739 | University of Penn - Medical Group | Psychologist | 3400 Spruce St, 11 Gates, Philadelphia, PA 19104-4206 | 2006-09-12 |
| 1568579266 | University of Penn - Medical Group | Internal Medicine | 3400 Spruce St, 1 Maloney, Philadelphia, PA 19104-4206 | 2006-08-25 |
| 1477660173 | University of Penn - Medical Group | Internal Medicine | 3400 Spruce St, 3 Dulles Building, Philadelphia, PA 19104-4206 | 2006-08-25 |
| 1003923707 | University of Penn - Medical Group | Internal Medicine | 3400 Spruce St, 3 Ravdin, Suite F, Pulmonary & Critical Care, Philadelphia, PA 19104-4206 | 2006-08-25 |
| 1912014614 | University of Penn - Medical Group | Internal Medicine | 3400 Spruce St, One Maloney, Philadelphia, PA 19104-4206 | 2006-08-25 |
| 1629181912 | University of Penn - Medical Group | Internal Medicine | 3400 Spruce St, 210 White Building, Philadelphia, PA 19104-4206 | 2006-08-17 |
| 1497767495 | University of Penn - Medical Group | Internal Medicine | 3615 Chestnut St, Ralston-penn Center, Philadelphia, PA 19104-2612 | 2006-08-12 |
| Street Address |
3737 MARKET ST 3RD FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-5545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124011473 | Sami L Khella | Psychiatry & Neurology | 3737 Market St, 8th Floor, Philadelphia, PA 19104-5545 | 2005-08-23 |
| 1750988077 | Alexander Govshievich | Student in an Organized Health Care Education/Training Program | 3737 Market St, Philadelphia, PA 19104-5545 | 2020-10-09 |
| 1144858887 | Aymen Alqazzaz | Student in an Organized Health Care Education/Training Program | 3737 Market St, Philadelphia, PA 19104-5545 | 2020-03-30 |
| 1437787058 | Ashleigh N Bush | Student in an Organized Health Care Education/Training Program | 3737 Market St, Philadelphia, PA 19104-5545 | 2020-03-30 |
| 1790313302 | Kathleen Collins | Student in an Organized Health Care Education/Training Program | 3737 Market St, Philadelphia, PA 19104-5545 | 2020-03-30 |
| 1497383277 | Mitchell James Hallman | Student in an Organized Health Care Education/Training Program | 3737 Market St, Philadelphia, PA 19104-5545 | 2020-03-29 |
| 1003378688 | Kelsey Young | Student in an Organized Health Care Education/Training Program | 3737 Market St, Philadelphia, PA 19104-5545 | 2019-04-03 |
| 1205397031 | Kendall Mieko Masada | Student in an Organized Health Care Education/Training Program | 3737 Market St, Philadelphia, PA 19104-5545 | 2019-03-26 |
| 1770043374 | Jayme Mendelsohn | Family Medicine | 3737 Market St, Philadelphia, PA 19104-5545 | 2019-03-21 |
| 1487111373 | Christopher Hvisdas | Pharmacist | 3737 Market St, Philadelphia, PA 19104-5545 | 2019-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467716803 | Anar Askarovna Dossumbekova | Allergy & Immunology | 2137 Welsh Rd Ste 2b, Philadelphia, PA 19115-4963 | 2012-06-29 |
| 1164798146 | Scott Feldman | Allergy & Immunology | 51 N 39th St Fl 8, Philadelphia, PA 19104-2640 | 2012-03-23 |
| 1558643007 | Kuan-hsiang Gary Huang | Allergy & Immunology | 5501 Old York Rd Bldg 300, Philadelphia, PA 19141-3018 | 2011-09-11 |
| 1205827490 | James Corry | Allergy & Immunology | 3550 Market St Fl 3, Children's Hospital of Philadelphia - Allergy & Immun, Philadelphia, PA 19104-3365 | 2005-11-04 |
| 1902896988 | Raquel B Empedrad | Allergy & Immunology | 205 N Broad St, Suite 300, Philadelphia, PA 19107-1554 | 2005-10-21 |
| 1942846761 | Stc Opco LLC | Allergy & Immunology | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1952860975 | Jefferson University Physicians | Allergy & Immunology | 1015 Chestnut St Ste 1300, Philadelphia, PA 19107-4313 | 2019-03-19 |
| 1417440587 | Stanislaw Jozef Gabryszewski | Allergy & Immunology | 3401 Civic Center Blvd, 9nw Room 55, Philadelphia, PA 19104 | 2018-06-12 |
| 1366814899 | Methodist Associates In Healthcare of New Jersey, P.C. | Allergy & Immunology | 833 Chestnut St, Suite 630, Philadelphia, PA 19107-4414 | 2015-10-23 |
| 1982961843 | Rahul Datta | Allergy & Immunology | 3500 Civic Center Blvd, Philadelphia, PA 19104 | 2012-04-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.