DR. DIEDRA ELENA AMENDOLA MCCAFFERTY


Address: 800 Washington Ave, Philadelphia, PA 19147-4717
Phone: 2153395100

DR. DIEDRA ELENA AMENDOLA MCCAFFERTY (NPI# 1720211196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720211196
Entity Type Individual
Full Name DR. DIEDRA ELENA AMENDOLA MCCAFFERTY
Credential D.O.
Practice Address 800 Washington Ave
Philadelphia
PA 19147-4717
Mailing Address 432 N 6th St
Philadelphia
PA 19123-4004
Practice Telephone 2153395100
Practice Fax Number 2154546814
Mailing Telephone 2159252400
Mailing Fax Number 2159259162
Enumeration Date 2009-09-01
Last Update Date 2016-04-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine OS016486 PA Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine UO 2270 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 800 WASHINGTON AVE
City PHILADELPHIA
State PA
Zip Code 19147-4717

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952384208 Ena M. Cade Pediatrics 800 Washington Ave, Philadelphia, PA 19147-4717 2005-11-21
1700425584 Monika Katherine Wasik Nurse Practitioner 800 Washington Ave, Philadelphia, PA 19147-4717 2019-12-27
1326686528 Emily Anderson Nurse Practitioner 800 Washington Ave, Philadelphia, PA 19147-4717 2019-12-18
1366908170 Linyue Peng Dietitian, Registered 800 Washington Ave, Philadelphia, PA 19147-4717 2019-02-17
1245705748 Jared Carter-davis Nurse Practitioner 800 Washington Ave, Philadelphia, PA 19147-4717 2018-10-10
1962936542 Heidi Anne Hershberger-esh Nurse Practitioner 800 Washington Ave, Philadelphia, PA 19147-4717 2017-04-20
1467995936 Amanda Vanpelt Nurse Practitioner 800 Washington Ave, Philadelphia, PA 19147-4717 2016-11-30
1639446495 Jasmine Perez Advanced Practice Midwife 800 Washington Ave, Philadelphia, PA 19147-4717 2011-11-22
1891712618 Bonnie L. Van Uitert Internal Medicine 800 Washington Ave, Philadelphia, PA 19147-4717 2006-07-16
1417902362 Greater Philadelphia Health Action Inc. Family Medicine 800 Washington Ave, Philadelphia, PA 19147-4717 2006-05-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508336181 Jamica Cropper-pam Counselor 401 S 2nd St. Suite 301, Philadelphia, PA 19147 2018-11-27
1598234411 Halina Dziewolska Behavioral Analyst 535 Queen Street, Philadelphia, PA 19147 2018-11-20
1972072908 City Dental LLC Clinic/Center 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 2018-11-20
1487120218 Christopher Michael Rosado Behavioral Analyst 1218-20 South 8th St, 1, Philadelphia, PA 19147 2018-10-19
1891271722 Candice Millard Dietitian, Registered 419 S 8th St Apt 1b, Philadelphia, PA 19147 2018-07-13
1669998217 Julianne Leonarda Wiebalk Counselor 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 2017-08-16
1396269247 Sara Parente Social Worker 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 2017-08-02
1609398445 Nikele Riek Social Worker 1348 Bainbridge Street, Philadelphia, PA 19147 2017-07-13
1023556875 Bralow Medical Group General Practice 834 South St., Philadelphia, PA 19147 2017-02-01
1194196105 Ann Courto Dietitian, Registered 1140 Cross Street, Philadelphia, PA 19147 2015-10-16
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619587227 Cmp Medical LLC Family Medicine 3626 Sears St, Philadelphia, PA 19146-3217 2020-08-07
1225648140 Action Health Centers Inc Family Medicine 1006 W Lehigh Ave Ste 200, Philadelphia, PA 19133-1640 2020-08-05
1285289876 Visiting Doctors Inc Family Medicine 2338 S Broad St Ste 1, Philadelphia, PA 19145-4450 2019-08-09
1770137218 Health Care At Northeast Philadelphia LLC Family Medicine 3353 Cottman Avenue, Philadelphia, PA 19149-1603 2019-08-01
1679131585 Aria Health Physician Services Family Medicine 3998 Red Lion Rd Ste 204, Philadelphia, PA 19114-1440 2019-06-05
1689232597 Aria Health Physician Services Family Medicine 5000 Frankford Ave Ste 1, Philadelphia, PA 19124-2620 2019-06-05
1174096432 Temple University of The Commonwealth System of Higher Education Family Medicine 2300 W Master St Ste 109b, Philadelphia, PA 19121-4739 2019-01-09
1679043152 Prevention Point Philadelphia Family Medicine 2913-15 Kensington Ave, Philadelphia, PA 19134-3016 2018-11-28
1700362266 Wes Corporation Family Medicine 5000 N 13th St, Philadelphia, PA 19141-3533 2018-07-17
1376046508 Philly Medical and Rehab Associates Family Medicine 6401 Rising Sun Ave, Philadelphia, PA 19111-5228 2018-03-14
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Competitor

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City PHILADELPHIA
Zip Code 19147

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Dataset Information

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.

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