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).
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 |
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 |
Street Address |
800 WASHINGTON AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19147-4717 |
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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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 |
Find all providers in zip 19147 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
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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 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19147 |
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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.