MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA (NPI# 1699815811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699815811 |
| Entity Type | Organization |
| Organization Name | MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA |
| Other Organization Name | MERCY FITZGERALD HOSPITAL SHORT PROCEDURE UNIT |
| Practice Address |
1500 Lansdowne Ave Darby PA 19023-1200 |
| Mailing Address |
1 W Elm St Suite 100 Conshohocken PA 19428-2007 |
| Practice Telephone | 6102374000 |
| Mailing Telephone | 6105676000 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | MR. DOUGLAS C. SMITH (VICE PRESIDENT) |
| Authorized Official Telephone | 6105676601 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mercy Fitzgerald Hospital Short Procedure Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437130705 | Mercy Catholic Medical Center of Southeastern Pa | Psychiatry & Neurology | 1503 Lansdowne Avenue, Suite 2000, Philadelphia, PA 19143-1900 | 2005-11-14 |
| 1861486698 | Mercy Catholic Medical Center of Southeastern Pa | General Acute Care Hospital | 501 S 54th St, Philadelphia, PA 19143-1900 | 2005-09-08 |
| 1801057617 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 501 S 54th St, Philadelphia, PA 19143-1900 | 2008-06-24 |
| 1700904802 | Mercy Catholic Medical Center of Southeastern Pa | General Acute Care Hospital | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2007-03-27 |
| 1730207267 | Mercy Catholic Medical Center of Southeastern Pa | General Acute Care Hospital | 501 S 54th St, Philadelphia, PA 19143-1900 | 2007-03-26 |
| 1962520502 | Mercy Catholic Medical Center of Southeastern Pa | Case Management | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2007-03-26 |
| 1063553709 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 501 S 54th St, Philadelphia, PA 19143-1900 | 2007-02-08 |
| 1083754352 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 501 S 54th St, Philadelphia, PA 19143-1900 | 2007-02-07 |
| 1568502656 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2007-02-07 |
| 1043350168 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 501 S 54th St, Philadelphia, PA 19143-1900 | 2007-02-07 |
| Street Address |
1500 LANSDOWNE AVE |
| City | DARBY |
| State | PA |
| Zip Code | 19023-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682427 | William J Weir | Nurse Anesthetist, Certified Registered | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2005-07-07 |
| 1194333682 | Akhil Jain | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Mercy Catholic Medical Center, Darby, PA 19023 | 2020-07-21 |
| 1336757996 | Abhigna Uday Kumar Kulkarni | Internal Medicine | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-07-20 |
| 1194333161 | Manila Sharma | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023 | 2020-07-16 |
| 1336767656 | Venkata Durga Navyam Kagita | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-07-13 |
| 1457979833 | Rea Harxhi | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-07-11 |
| 1952929804 | Mahmoud M Shalaby | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-07-08 |
| 1790302305 | Asad Raza Syed | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-06-30 |
| 1265059976 | David William Temme Jr. | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-06-29 |
| 1740806348 | Utsav Aiya | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113348 | Ibrahim Abdulkadir Ahmed | Student in an Organized Health Care Education/Training Program | Mercy Catholic Medical Center, 1500 Lansdowne Avenue, Darby, PA 19023 | 2020-07-31 |
| 1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
| 1003476813 | Nicole Tomkowich | Student in an Organized Health Care Education/Training Program | 500 Lansdowne Avenue, Darby, PA 19023 | 2019-06-14 |
| 1497220131 | Margaret Kathleen Halloran | Nurse Practitioner | 1501 Lansdowne Ave Mob, 1st Floor, Darby, PA 19023 | 2018-10-09 |
| 1427428705 | Peter Goanue | Counselor | 207 North 2nd Street, Darby, PA 19023 | 2015-09-30 |
| 1518363696 | Trucompanion Transportation Service | Non-emergency Medical Transport (VAN) | 100 N 6th Street Apt 2, Darby, PA 19023 | 2014-11-17 |
| 1366872269 | Chirman Beatty | Licensed Practical Nurse | 400 S. 5th St Apt A9, Darby, PA 19023 | 2013-11-14 |
| 1639514151 | Advanced Nursing Care Inc | Nursing Care | 217 Clifton Avenue, Suite # 8, Collingdale, PA 19023 | 2013-05-10 |
| 1114277191 | Ayesha Farooq | Dentist | 14 Macdave Blvd, Gentle Dental, Collingdale, PA 19023 | 2012-09-17 |
| 1366736787 | Gi Medical Associates | Internal Medicine | 320 Macdade Blvd., Collingdale, PA 19023 | 2011-06-02 |
| Find all providers in zip 19023 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1518575778 | Eye Surgery of The Main Line, LLC | Clinic/Center | 333 E City Avenue, Two Bala Plaza, Bala Cynwyd, PA 19004-1501 | 2020-07-14 |
| 1053934919 | Doylestown Surgery Center, LLC | Clinic/Center | 593 West State Street, Doylestown, PA 18901 | 2020-05-26 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1508400920 | Nazareth Endoscopy Center, LLC | Clinic/Center | 2401 Northampton St Ste 220, Easton, PA 18045-2764 | 2019-10-29 |
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1841759040 | Beaver Valley Ambulatory Surgery Center, LLC | Clinic/Center | 79 Wagner Road, Suite 101, Monaca, PA 15061-2489 | 2019-03-18 |
| 1669931861 | Urology Health Surgery Center, LLC | Clinic/Center | 1974 Sproul Rd Ste 104, Broomall, PA 19008-3402 | 2019-03-18 |
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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.