JEFFERSON UNIVERSITY PHYSICIANS (NPI# 1710151972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710151972 |
| Entity Type | Organization |
| Organization Name | JEFFERSON UNIVERSITY PHYSICIANS |
| Other Organization Name | PULMONARY MEDICINE |
| Practice Address |
833 Chestnut St Suite 630 Philadelphia PA 19107-4414 |
| Practice Telephone | 2159550800 |
| Mailing Telephone | 2159550800 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | JOHN OGUNKEYE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2159552562 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | INDEPENDENCE BLUE CROSS | 0206438000 | 01 |
| PA | KEYSTONE MERCY | 1004675 | 01 |
| PA | KEYSTONE MERCY | 30026155 | 01 |
| NJ | 6771203 | 05 | |
| PA | HIGHMARK BLUE SHIELD | 421048 | 01 |
| PA | AETNA | 476548 | 01 |
| Other Name | Type Code |
|---|---|
| Pulmonary Medicine | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487819900 | Jefferson University Physicians | Special Hospital | 900 Walnut Street, Jefferson Hospital for Neuroscience, Philadelphia, PA 19107 | 2008-07-24 |
| 1467626689 | Jefferson University Physicians | Radiology | 111 S 11th St Ste G3390, Philadelphia, PA 19107-4824 | 2008-04-18 |
| 1952860975 | Jefferson University Physicians | Allergy & Immunology | 1015 Chestnut St Ste 1300, Philadelphia, PA 19107-4313 | 2019-03-19 |
| 1306333695 | Jefferson University Physicians | Obstetrics & Gynecology | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2018-04-23 |
| 1033564315 | Jefferson University Physicians | Dentist | 833 Chestnut St, Suite 630, Philadelphia, PA 19107-4414 | 2016-04-25 |
| 1487030763 | Jefferson University Physicians | Internal Medicine | 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 | 2015-08-10 |
| 1609250604 | Jefferson University Physicians | Internal Medicine | 833 Chestnut St, Suite 630, Philadelphia, PA 19107-4414 | 2015-07-20 |
| 1376932616 | Jefferson University Physicians | Internal Medicine | 225 E City Ave, Suite 109, Bala Cynwyd, PA 19004-1704 | 2015-01-09 |
| 1407270903 | Jefferson University Physicians | Internal Medicine | 834 Walnut St, Suite 110, Philadelphia, PA 19107-5109 | 2014-02-05 |
| 1932449717 | Jefferson University Physicians | Internal Medicine | 925 Chestnut St Ste 420, Philadelphia, PA 19107-4216 | 2013-02-15 |
| Street Address |
833 CHESTNUT ST SUITE 630 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310821 | Akhil K Das | Urology | 833 Chestnut St, Suite 703, Philadelphia, PA 19107-4414 | 2005-07-14 |
| 1285263228 | Melissa Lily Chiu | Physical Therapist | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2020-04-02 |
| 1639707995 | Hannah Nelkin Facey | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2020-03-31 |
| 1043846991 | David C Peters | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2020-03-22 |
| 1598320699 | Danielle Gould Tsevat | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2019-05-03 |
| 1467015024 | Victoria Adedoja Adewale | Obstetrics & Gynecology | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2019-04-19 |
| 1447712484 | Michael Bozzi | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2019-04-01 |
| 1578046603 | Jessica Blair Dijulio | Dermatology | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2018-09-14 |
| 1063990802 | Lisa Marie Burkholder | Social Worker | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2018-08-03 |
| 1255829123 | Olivia Marie Seecof | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2018-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700260163 | Richard Kenneth Murray | Internal Medicine | 809 N Mount Pleasant Rd, Philadelphia, PA 19119-3303 | 2015-07-16 |
| 1578850426 | Judith Kathleen Greenacre | Internal Medicine | 1810 Rittenhouse Sq Apt 708, Philadelphia, PA 19103-5813 | 2011-06-29 |
| 1780889345 | Mohammad A. Sayeed, M.d. | Internal Medicine | 1633 W Girard Ave, Philadelphia, PA 19130-1614 | 2007-06-15 |
| 1942211198 | Jesse Roman | Internal Medicine | 834 Walnut St Ste 650, Philadelphia, PA 19107-5109 | 2006-08-11 |
| 1689600504 | Maria Antoniou | Internal Medicine | 3624 Market St, 2nd Floor, Philadelphia, PA 19104-2614 | 2006-06-23 |
| 1952358509 | Anita Genny Ko | Internal Medicine | 10 Shurs Ln, Philadelphia, PA 19127-2123 | 2006-05-28 |
| 1376515965 | Maria Mercedes Crespo | Internal Medicine | 3400 Civic Center Blvd Fl 1, Philadelphia, PA 19104-5161 | 2006-02-07 |
| 1700863628 | Michael Baram | Internal Medicine | 834 Walnut Street Suite 650, Philadelphia, PA 19107-5595 | 2005-12-30 |
| 1740278704 | Namrata Patel | Internal Medicine | 3600 Spruce St, 8th Floor, Philadelphia, PA 19104 | 2005-10-12 |
| 1396746764 | Frank D Caporusso | Internal Medicine | 1843 S Broad St, Philadelphia, PA 19148-2115 | 2005-08-09 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.