NAZARETH PHYSICIAN SERVICES INC (NPI# 1699726844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699726844 |
| Entity Type | Organization |
| Organization Name | NAZARETH PHYSICIAN SERVICES INC |
| Practice Address |
2701 Holme Ave Suite 205 Philadelphia PA 19152-2029 |
| Mailing Address |
1 W Elm St Suite 100 Conshohocken PA 19428-2007 |
| Practice Telephone | 2155431026 |
| Practice Fax Number | 2153381250 |
| Mailing Telephone | 6105676967 |
| Mailing Fax Number | 6105676170 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2016-12-07 |
| Authorized Official Name | LANCE CASTLE (SIR DIR PHYSICIAN BILLING) |
| Authorized Official Telephone | 6105675520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | IBC# | 2457876000 | 01 |
| PA | HIGHMARK BLUE SHIELD | NA1775677 | 01 |
| PA | 1014655140002 | 05 | |
| PA | AETNA OFFICE # | 425807 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
| 1265682082 | Nazareth Physician Services Inc | Internal Medicine | 3461 Cottman Ave, Philadelphia, PA 19149-1605 | 2008-09-29 |
| 1659568533 | Nazareth Physician Services Inc | Internal Medicine | 2614 Woodward St, Philadelphia, PA 19152-1334 | 2007-09-25 |
| 1457382053 | Nazareth Physician Services Inc | Internal Medicine | 1407 Rhawn Street, Philadelphia, PA 19111 | 2006-07-05 |
| 1356377550 | Nazareth Physician Services Inc | Family Medicine | 7044 Torresdale Ave, Philadelphia, PA 19135-1915 | 2006-06-23 |
| 1497312656 | Nazareth Physician Services Inc | Internal Medicine | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2019-05-23 |
| 1861917544 | Nazareth Physician Services Inc | Social Worker | 1407 Rhawn St, Philadelphia, PA 19111 | 2017-08-03 |
| 1598112518 | Nazareth Physician Services Inc | Internal Medicine | 2701 Holme Ave, Suite 100, Philadelphia, PA 19152-2029 | 2016-05-19 |
| 1538190137 | Nazareth Physician Services Inc | Family Medicine | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2006-07-05 |
| Street Address |
2701 HOLME AVE SUITE 205 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871592436 | Lee Anthony Celio | Internal Medicine | 2701 Holme Ave, Suite 206, Philadelphia, PA 19152-2029 | 2005-07-17 |
| 1558892570 | Nazareth Physician Services, Inc. | Urology | 2701 Holme Ave, Suite 101, Philadelphia, PA 19152-2029 | 2017-03-22 |
| 1598112518 | Nazareth Physician Services Inc | Internal Medicine | 2701 Holme Ave, Suite 100, Philadelphia, PA 19152-2029 | 2016-05-19 |
| 1447671243 | Nazareth Physicians Services, Inc | Orthopaedic Surgery | 2701 Holme Ave, Suite 100, Philadelphia, PA 19152-2029 | 2013-12-20 |
| 1518397116 | Nazareth Physician Services | Radiology | 2701 Holme Ave, Suite 302, Philadelphia, PA 19152-2029 | 2013-11-18 |
| 1861827305 | Comprehensive Renal Care, PC | Internal Medicine | 2701 Holme Ave, Ste 203, Philadelphia, PA 19152-2029 | 2013-09-03 |
| 1255686150 | Nazareth Physician Services, Inc. | Internal Medicine | 2701 Holme Ave, Suite 105, Philadelphia, PA 19152-2029 | 2012-07-17 |
| 1215268818 | Yelena Mushiyakh | Internal Medicine | 2701 Holme Ave, Philadelphia, PA 19152-2029 | 2010-01-20 |
| 1629230305 | Shamin Vania | Internal Medicine | 2701 Holme Ave, Suite 205, Philadelphia, PA 19152-2029 | 2008-06-25 |
| 1164540944 | Diane Robinson | Obstetrics & Gynecology | 2701 Holme Ave, Suite 305, Philadelphia, PA 19152-2029 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1720630650 | Broad Street Professional Medical Services LLC | Surgery | 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1124670922 | Broad Street Medical LLC | Surgery | 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1336515956 | Aria Health Physician Services | Surgery | 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 | 2015-08-18 |
| 1154447175 | Robert Singh | Surgery | 1900 Market St, Suite 115, Philadelphia, PA 19103-3527 | 2007-03-21 |
| 1770511578 | John Warren Robertson IIi | Surgery | 1940 E Walnut Lane, Philadelphia, PA 19138 | 2006-06-29 |
| 1851917959 | Ann Yufa | Surgery | 5501 Old York Rd Ste 1, Philadelphia, PA 19141-3098 | 2020-06-24 |
| 1205497104 | Alexander Lam | Surgery | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2019-06-23 |
| 1396228508 | Temple Faculty Practice Plan, Inc | Surgery | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-13 |
| 1578053492 | Ziad Al Adas | Surgery | 3400 Spruce St, 4th Floor Maloney Building, Philadelphia, PA 19104-4238 | 2018-05-16 |
| 1235665308 | Christopher Blackstock | Surgery | 3400 Spruce St, Dept of Surgery, 4th Floor Maloney, Philadelphia, PA 19104-4238 | 2017-05-10 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
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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.