PHILADELPHIA GASTROENTEROLOGY GROUP, P.C.


Address: 525 Jamestown St, Suite 101, Philadelphia, PA 19128-1751
Phone: 2154631483

PHILADELPHIA GASTROENTEROLOGY GROUP, P.C. (NPI# 1801826177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801826177
Entity Type Organization
Organization Name PHILADELPHIA GASTROENTEROLOGY GROUP, P.C.
Practice Address 525 Jamestown St
Suite 101
Philadelphia
PA 19128-1751
Practice Telephone 2154631483
Practice Fax Number 2154839185
Mailing Telephone 2154631483
Mailing Fax Number 2154839185
Enumeration Date 2006-07-03
Last Update Date 2017-02-14
Authorized Official Name ANNAMARIE ANDREWS (OFFICE MANAGER)
Authorized Official Telephone 2154631483
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 000893827-0001 05
NJ 0055417 05

Office Location

Street Address 525 JAMESTOWN ST
SUITE 101
City PHILADELPHIA
State PA
Zip Code 19128-1751

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396745394 Bruce Bart Garber Urology 525 Jamestown St, Suite 108, Philadelphia, PA 19128-1751 2005-08-01
1558878546 Sonja Lynn Julian Physician Assistant 525 Jamestown St, Philadelphia, PA 19128-1751 2017-12-29
1740671767 Advanced Dermatology of Pennsylvania, PC Dermatology 525 Jamestown St, Suite 206, Philadelphia, PA 19128-1751 2015-02-12
1205246287 Premier Orthopaedic and Sports Medicine Associates, Ltd Durable Medical Equipment & Medical Supplies 525 Jamestown St, Suite 105, Philadelphia, PA 19128-1751 2014-04-30
1316098635 Temple Physicians Inc. Family Medicine 525 Jamestown St, Suite 201, Philadelphia, PA 19128-1751 2007-01-15
1154491629 Bloom Eye Associates, Ltd. Ophthalmology 525 Jamestown St, Suite 207, Philadelphia, PA 19128-1751 2006-11-09
1780766436 Lawrence Bloom Ophthalmology 525 Jamestown St, Ste. 207, Philadelphia, PA 19128-1751 2006-10-20
1588686968 Amy Barbara Smith Physician Assistant 525 Jamestown St, Suite 206, Philadelphia, PA 19128-1751 2006-07-24
1013946995 Harold J. Milstein, M.d., P.C. Dermatology 525 Jamestown St, Suite 206, Philadelphia, PA 19128-1751 2006-07-02
1528027554 Suzanne Jennifer Pesce Ophthalmology 525 Jamestown St, Suite 207, Philadelphia, PA 19128-1751 2006-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851877179 Andrew Mermelstein Podiatrist 5800 Roxborough Avenue, Philadelphia, PA 19128 2018-07-19
1811499361 Ursula Wacyk Social Worker 6122 Ridge Avenue, Philadelphia, PW 19128 2018-03-01
1417478454 Chelsea Lynn Roberts Physician Assistant 707 Autumn River Run, Philadelphia, PA 19128 2017-06-29
1174060503 Melody Ann Piranian Nurse Practitioner Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 2017-01-24
1154874410 Meghan Smith Pharmacist 5927-59 Ridge Ave, Philadelphia, PA 19128 2016-08-03
1356797880 Jenna Angelo Registered Nurse 457 Spring Lane, Philadelphia, PA 19128 2016-05-13
1689049843 Newcourtland Senior Centers Clinic/Center 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 2015-12-14
1235519331 Merin Wexler Social Worker 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 2015-06-03
1457754335 Sarah De Simone Specialist/Technologist 318 Fountain Street, Philadelphia, PA 19128 2014-10-06
1609280049 Sylvia Russianoff Counselor 128 Rochelle Avenue, Philadelphia, PA 19128 2014-06-13
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013150796 Richard Mao Wu Internal Medicine 132 S. 10th Street, Main Bldg, Ste 430, Philadelphia, PA 19107 2009-04-11
1811148430 Kian Makipour Internal Medicine 3401 North Broad St, Philadelphia, PA 19130 2008-10-01
1982865127 Shivan Jatin Mehta Internal Medicine 423 Guardian Dr, Blockley Hall 1137, Philadelphia, PA 19104-4865 2008-06-20
1730204355 Rahul Anand Nathwani Internal Medicine 132 S 10th St Ste 480, Philadelphia, PA 19107-5244 2007-03-20
1386729705 Blake Gastroenterology Associates, LLC Internal Medicine 6827-31 Germantown Ave, Philadelphia, PA 19119-2113 2006-10-25
1942393830 John Patrick Lynch Internal Medicine 415 Curie Blvd, 600 Crb, Philadelphia, PA 19104-4306 2006-10-02
1962428433 Keith Joseph Buhl Internal Medicine 1403 Rhawn Street, Philadelphia, PA 19111-2430 2006-07-15
1366476020 Michael J Rosner Internal Medicine 4242 Cottman Ave, Philadelphia, PA 19135-1118 2006-07-10
1558300152 Xiaoli Ma Internal Medicine 121 N 9th St, Philadelphia, PA 19107-2410 2006-06-06
1275571945 Oleg Volchonok Internal Medicine 11400 Bustleton Ave, Philadelphia, PA 19116-2815 2006-06-03
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City PHILADELPHIA
Zip Code 19128

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Dataset Information

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.

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