ELLIE KELEPOURIS (NPI# 1790773547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790773547 |
| Entity Type | Individual |
| Full Name | ELLIE KELEPOURIS |
| Other Name | ELLIE TZARNAS |
| Credential | MD |
| Practice Address |
216 N. Broad St. 5th Floor Philadelphia PA 19102 |
| Mailing Address |
1601 Cherry St. Suite 11511 Philadelphia PA 19102 |
| Practice Telephone | 2157621147 |
| Practice Fax Number | 2157621904 |
| Mailing Telephone | 2152557822 |
| Mailing Fax Number | 2152557825 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2018-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD038124L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0008593700002 | 05 |
| Street Address |
216 N. BROAD ST. 5TH FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1578124038 | Ali Arif | Internal Medicine | 245 N 15th St Ste 6144, Philadelphia, PA 19102-1101 | 2019-06-25 |
| 1710344171 | Nina Stuccio | Internal Medicine | 410 S Front St Unit 215, Philadelphia, PA 19147-1708 | 2016-01-15 |
| 1497068613 | Anupama Nair | Internal Medicine | 1324 Locust St, Apt 205 The Arts Condominium, Philadelphia, PA 19107 | 2010-07-16 |
| 1972739621 | Mortimer M Civan | Internal Medicine | A303 Richards Building, 3700 Hamilton Walk, Dept. of Physiology, Univ. of Pennsylvania, Philadelphia, PA 19104-6085 | 2009-06-09 |
| 1790795391 | Arthur Robert Olshan | Internal Medicine | 205 N Broad St Ste 600, Philadelphia, PA 19107-1555 | 2006-08-08 |
| 1407817745 | Theodora K. Bernardini | Internal Medicine | 4453 Castor Ave, Suite B, Philadelphia, PA 19124-3846 | 2006-03-28 |
| 1902874670 | Eric J Bloom | Internal Medicine | 5501 Old York Road, Moss 4th Floor, Sley Building, Einstein Nephrology Associates, Philadelphia, PA 19141 | 2006-03-09 |
| 1821071473 | Edward R. Jones | Internal Medicine | 10 E Moreland Ave, Suite 100, Philadelphia, PA 19118-3541 | 2005-11-28 |
| 1366425092 | Peter Fumo | Internal Medicine | 10 E Moreland Ave Ste 100, Philadelphia, PA 19118-3562 | 2005-11-28 |
| 1124027727 | Joel D Glickman | Internal Medicine | 3400 Civic Center Blvd, 1st Floor, Suite 300 S, Philadelphia, PA 19104-4306 | 2005-07-18 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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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.