ANDREA WOLL (NPI# 1790732683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790732683 |
| Entity Type | Individual |
| Full Name | ANDREA WOLL |
| Credential | MD |
| Practice Address |
4510 Frankford Ave Phila PA 19124-3602 |
| Mailing Address |
432 N 6th St Phila PA 19123-4004 |
| Practice Telephone | 2157441302 |
| Mailing Telephone | 2159252400 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2010-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS004713 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 002235900 | 05 |
| Street Address |
4510 FRANKFORD AVE |
| City | PHILA |
| State | PA |
| Zip Code | 19124-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871795633 | Jacqueline Wheeler-coleman | Preventive Medicine | 4510 Frankford Ave, Phila, PA 19124-3602 | 2007-06-04 |
| 1639223241 | Reem Fadl | Dentist | 4510 Frankford Ave, Phila, PA 19124-3602 | 2007-01-22 |
| 1861401515 | Winifred Connerton | Advanced Practice Midwife | 4510 Frankford Ave, Phila, PA 19124-3602 | 2006-08-05 |
| 1871502559 | Shubha Narayan | Pediatrics | 4510 Frankford Ave, Phila, PA 19124-3602 | 2006-08-05 |
| 1316987514 | Gpha Al Assist Frankford | Counselor | 4510 Frankford Ave, Phila, PA 19124-3602 | 2006-06-07 |
| 1306886452 | Alan V Lee | Internal Medicine | 4510 Frankford Ave, Phila, PA 19124-3602 | 2006-06-07 |
| 1437199700 | Vincenza Snow | Internal Medicine | 4510 Frankford Ave, Phila, PA 19124-3602 | 2006-06-07 |
| 1649210840 | Scott Travor | Pediatrics | 4510 Frankford Ave, Phila, PA 19124-3602 | 2006-06-07 |
| 1962459859 | Janet E Young | Internal Medicine | 4510 Frankford Ave, Phila, PA 19124-3602 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749308 | William Mark Hanna Sr. | Pharmacist | 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 | 2019-09-17 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1548731391 | Sierra Pinkney | Registered Nurse | 1615 Granite St, Philadelphia, PA 19124 | 2018-12-05 |
| 1922507987 | Xavier Sergio Henriquez | Counselor | 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 | 2018-02-06 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1952843732 | Patrick Grugan | Social Worker | Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 | 2016-11-10 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1851769327 | Aleka Kostouros | Social Worker | Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 | 2015-09-14 |
| 1407230378 | Sara Bachani | Psychiatry & Neurology | 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 | 2015-07-10 |
| 1215327051 | Alyssa Renee Kirk | Counselor | 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 | 2015-02-02 |
| Find all providers in zip 19124 | ||||
| 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 |
|---|---|---|---|---|
| 1568854594 | Michael A Minni | Family Medicine | 701 E Cathedral Rd Ste 11, Phila, PA 19128-2128 | 2015-02-27 |
| 1639496391 | Temple Physicians Inc | Family Medicine | 2726 Holme Ave, Phila, PA 19152-3011 | 2010-04-21 |
| 1811160088 | Peter A Arcuri Do PC | Family Medicine | 6447 Buist Ave, Phila, PA 19142-3118 | 2008-04-09 |
| 1306966361 | Howard R Levy | Family Medicine | 5965 Chester Ave, Phila, PA 19143-5517 | 2007-03-30 |
| 1932232899 | Joseph M Lichtman | Family Medicine | 514 S 4th Street, Phila, PA 19147 | 2007-03-13 |
| 1326195850 | Elizabeth B Hughes | Family Medicine | 2044 Pine St, Phila, PA 19103-6536 | 2007-01-05 |
| 1821152315 | Stuart Cobert Baer | Family Medicine | 4600 Cottman Ave, Phila, PA 19135 | 2006-12-20 |
| 1831265529 | Leslie Bankoff | Family Medicine | 4041 Lancaster Ave, Phila, PA 19104 | 2006-11-27 |
| 1174696397 | Sky Medical Associates, P.C. | Family Medicine | 5801 Chew Ave, Floor 1, Phila, PA 19138-1727 | 2006-11-16 |
| 1245341247 | Kantilal J. Shah | Family Medicine | 2701 N Broad St, Phila, PA 19132-2743 | 2006-08-31 |
| Find all providers in PHILA | ||||
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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.