TEMPLE FACULTY PRACTICE PLAN INC (NPI# 1710469655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710469655 |
| Entity Type | Organization |
| Organization Name | TEMPLE FACULTY PRACTICE PLAN INC |
| Other Organization Name | TEMPLE FACULTY INFECTIOUS DISEASE ASSOCIATES |
| Practice Address |
3401 N Broad St Philadelphia PA 19140-5103 |
| Mailing Address |
2450 W Hunting Park Ave Philadelphia PA 19129-1302 |
| Practice Telephone | 2157073807 |
| Practice Fax Number | 2157074144 |
| Mailing Telephone | 2157073807 |
| Mailing Fax Number | 2157074414 |
| 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 | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Temple Faculty Infectious Disease 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 |
| 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 |
| 1649752684 | Temple Faculty Practice Plan Inc | Surgery | 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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1801281340 | Erica Weinstein | Internal Medicine | 3801 Filbert St Ste 103a, Philadelphia, PA 19104 | 2015-04-01 |
| 1457761082 | Qi Quan Leong | Internal Medicine | 501 S 54th St Ste 128, Philadelphia, PA 19143 | 2014-05-05 |
| 1891912648 | Michael Zdenek David | Internal Medicine | 3400 Spruce St Ste E, Philadelphia, PA 19104-4223 | 2007-04-20 |
| 1871628594 | Felicia Maude Toby Lewis | Internal Medicine | 500 S Broad St Fl 2, Philadelphia, PA 19146-1613 | 2007-02-22 |
| 1265571152 | Karam C Mounzer | Internal Medicine | 1233 Locust St Fl 4, Philadelphia, PA 19107-5459 | 2007-02-06 |
| 1457413445 | Blair C Weikert | Internal Medicine | 3400 Spruce S.t, Philadelphia, PA 19104-4206 | 2006-12-15 |
| 1306904941 | Ronald Asper | Internal Medicine | 1304 W Ritner St, Philadelphia, PA 19148-3525 | 2006-12-05 |
| 1326075243 | John Stern | Internal Medicine | 301 South 8th Street, Duncan Bldg Ste 1b, Philadelphia, PA 19106 | 2006-06-27 |
| 1124055058 | Lisa Spacek | Internal Medicine | 1015 Chestnut St Ste 1020, Philadelphia, PA 19107-4310 | 2006-06-27 |
| 1720014962 | Jay R Kostman | Internal Medicine | 1207 Chestnut St Fl 3, Philadelphia, PA 19107-4131 | 2006-06-22 |
| 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.