CARL ALEC ALSUP (NPI# 1801183678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801183678 |
Entity Type | Individual |
Full Name | CARL ALEC ALSUP |
Credential | M.D. |
Practice Address |
1020 Sansom St Ste 239 Thompson Building Philadelphia PA 19107-5002 |
Mailing Address |
1020 Sansom St Ste 239 Thompson Bulding Philadelphia PA 19107-5002 |
Practice Telephone | 2159559579 |
Enumeration Date | 2011-06-30 |
Last Update Date | 2015-08-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MD455222 | PA | Allopathic & Osteopathic Physicians |
Street Address |
1020 SANSOM ST STE 239 THOMPSON BUILDING |
City | PHILADELPHIA |
State | PA |
Zip Code | 19107-5002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194761965 | Jennifer White | Emergency Medicine | 1020 Sansom St Ste 239, Philadelphia, PA 19107-5002 | 2006-06-21 |
1629501457 | Titus Chu | Emergency Medicine | 1020 Sansom St Ste 239, Philadelphia, PA 19107-5002 | 2017-04-08 |
1154853547 | Jared Edward Kilpatrick | Emergency Medicine | 1020 Sansom St Ste 239, Philadelphia, PA 19107-5002 | 2017-04-03 |
1316479025 | Nupur Nischal | Emergency Medicine | 1020 Sansom St Ste 239, Philadelphia, PA 19107-5002 | 2017-03-31 |
1922539063 | Raymond Feuga | Emergency Medicine | 1020 Sansom St Ste 239, Philadelphia, PA 19107-5002 | 2017-03-21 |
1447791868 | Meryl Abrams Ponce | Emergency Medicine | 1020 Sansom St Ste 239, Philadelphia, PA 19107-5002 | 2017-03-17 |
1316398126 | Efrat Rosenzweig Kean | Emergency Medicine | 1020 Sansom St Ste 239, Philadelphia, PA 19107-5002 | 2016-06-23 |
1285081893 | Megan Crossman | Emergency Medicine | 1020 Sansom St Ste 239, Philadelphia, PA 19107-5002 | 2016-05-24 |
1750735445 | Tracy Alison Brader | Emergency Medicine | 1020 Sansom St Ste 239, Philadelphia, PA 19107-5002 | 2016-04-19 |
1669834669 | Sari Lahham | Emergency Medicine | 1020 Sansom St Ste 239, Philadelphia, PA 19107-5002 | 2016-03-28 |
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 | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477711190 | Brian J Clohessy | Emergency Medicine | Red Lion and Knights Road, Frankford Hospital, Philadelphia, PA 19114 | 2008-05-29 |
1720272818 | Maggie Beams | Emergency Medicine | 1218 Walnut St Apt 1003, Philadelphia, PA 19107-5446 | 2007-08-31 |
1114525367 | Madison Brannon | Emergency Medicine | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-10 |
1114542263 | Sean Paul Paul Schlosser | Emergency Medicine | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2020-06-15 |
1164915682 | Matthew Berger | Emergency Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-06-09 |
1447789565 | Jackie Mae Anderson | Emergency Medicine | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2017-06-12 |
1710367974 | Jean-gabriel Coignet | Emergency Medicine | 5501 Old York Rd Ste 1, Philadelphia, PA 19141-3098 | 2015-06-03 |
1619315090 | Emily M Hatke | Emergency Medicine | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2013-06-07 |
1093095887 | Matthew William Hammond | Emergency Medicine | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2011-08-24 |
1649434846 | Matthew Jones | Emergency Medicine | 1400 Broad St, Department of Emergency Medicine, Philadelphia, PA 19107 | 2008-07-16 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19107 |
Please comment or provide details below to improve the information on CARL ALEC ALSUP.
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.