AUDREY LEE DAGGAN (NPI# 1730323825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730323825 |
| Entity Type | Individual |
| Full Name | AUDREY LEE DAGGAN |
| Credential | MD |
| Practice Address |
800 Walnut St 9th Fl Philadelphia PA 19107 |
| Mailing Address |
800 Walnut St 9th Fl Philadelphia PA 19107-5176 |
| Practice Telephone | 2158295027 |
| Practice Fax Number | 2158296391 |
| Mailing Telephone | 2158295027 |
| Mailing Fax Number | 2158296391 |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2019-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD444850 | PA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
269724 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 55th St, Brooklyn, NY 11220 | 7186307000 |
| Street Address |
800 WALNUT ST 9TH FL |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558369686 | Robert S Rudenstein | Internal Medicine | 800 Walnut St, 16th Floor, Philadelphia, PA 19107-5176 | 2005-07-12 |
| 1538788377 | Linda Gallagher | Dietitian, Registered | 800 Walnut St, Philadelphia, PA 19107-5176 | 2020-04-12 |
| 1215563937 | Kristin Hecker | Nurse Practitioner | 800 Walnut St, Philadelphia, PA 19107-5176 | 2020-03-13 |
| 1457997991 | Stephanie Ann Masluk | Nurse Practitioner | 800 Walnut St, Philadelphia, PA 19107-5176 | 2019-11-19 |
| 1578004693 | Kristen J Borzomati | Nurse Practitioner | 800 Walnut St, 20th Floor, Philadelphia, PA 19107-5176 | 2017-03-09 |
| 1699127936 | Catherine Tierney | Clinical Nurse Specialist | 800 Walnut St, 19th Fl, Philadelphia, PA 19107-5109 | 2016-07-11 |
| 1265802953 | Kalia C. Cole-avery | Nurse Practitioner | 800 Walnut St, 14th Floor, Philadelphia, PA 19107-5176 | 2015-10-07 |
| 1356748024 | Stephanie Williams | Physician Assistant | 800 Walnut St, Fl 20, Philadelphia, PA 19107-5176 | 2014-11-24 |
| 1114320314 | Elizabeth Grodanz | Nurse Practitioner | 800 Walnut St, 20th Floor, Philadelphia, PA 19107-5176 | 2014-10-01 |
| 1003247719 | Katherine Schmidt | Nurse Practitioner | 800 Walnut St, 11th Floor, Philadelphia, PA 19107-5176 | 2013-12-05 |
| 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.