GOOD SHEPHERD PENN PARTNERS (NPI# 1841659240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841659240 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD PENN PARTNERS |
| Practice Address |
3400 Spruce St 1 White Ot/pt Department Philadelphia PA 19104-4238 |
| Practice Telephone | 2156623260 |
| Mailing Telephone | 2156623260 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |
| Authorized Official Name | AMY LISA LIEZ (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 2679736868 |
| Authorized Official Credential | MS OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | OC013371 | PA | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629437009 | Good Shepherd Penn Partners | General Acute Care Hospital | 3400 Spruce St, 1 White Building, Philadelphia, PA 19104-4238 | 2016-02-15 |
| 1700282894 | Good Shepherd Penn Partners | General Acute Care Hospital | 3400 Spruce St, 1 White Building, Philadelphia, PA 19104-4238 | 2014-11-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GOOD SHEPHERD PENN PARTNERS SPECIALTY HOSPITAL AT RITTENHOUSE | 850 S 5th St, Allentown, PA 18103-3308 |
| Street Address |
3400 SPRUCE ST 1 WHITE OT/PT DEPARTMENT |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415966 | Samuel Isaiah Parry | Obstetrics & Gynecology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2005-05-24 |
| 1831790609 | Renate Marie Balitzky | Registered Nurse | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-11-06 |
| 1053911156 | Jordan Charles Templeton | Physician Assistant | 3400 Spruce St, Philadelphia, PA 19104-4274 | 2020-10-28 |
| 1992305304 | Alyssa N Volpe | Registered Nurse | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-27 |
| 1700486115 | Christina Haddow | Registered Nurse | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-27 |
| 1629677497 | Marissa Leigh Berlant | Physician Assistant | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-22 |
| 1811595523 | Kristen Gilgen | Anesthesiology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-14 |
| 1962014654 | Stacey Pham | Nurse Practitioner | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-08-23 |
| 1265040109 | Abdullah T Almuqate | Pathology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-07-16 |
| 1952928541 | Stefen Andrianus | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124269261 | Temple University Hospital | Rehabilitation Unit | 612 W Naomi St, Philadelphia, PA 19144-3711 | 2009-03-19 |
| 1730451899 | Prime Healthcare Services Roxborough LLC | Rehabilitation Unit | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | 2012-02-06 |
| 1043517899 | Pennsylvania Spine & Headache Center, PC | Rehabilitation Unit | 3 N 2nd St, Ste 3, Philadelphia, PA 19106-2208 | 2011-02-14 |
| 1750694055 | Thomas Jefferson University | Rehabilitation Unit | 3801 Conshohocken Ave, Philadelphia, PA 19131-5530 | 2010-07-15 |
| 1134321748 | Children's Hospital of Philadelphia | Rehabilitation Unit | 34th & Civic Center Blvd, Parc Business Services, Philadelphia, PA 19104-4306 | 2007-06-05 |
| 1033129606 | Thomas Jefferson University Hospitals Inc | Rehabilitation Unit | 111 S 11th St, 2210 Gibbon Building, Philadelphia, PA 19107-4824 | 2006-08-08 |
| 1285659300 | Solis Healthcare, Lp | Rehabilitation Unit | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | 2006-07-12 |
| 1467408120 | Jeanes Hospital | Rehabilitation Unit | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2006-05-25 |
| 1114995156 | The Pennsylvania Hospital of The University of Pennsylvania Health Sys | Rehabilitation Unit | 800 Spruce St, Philadelphia, PA 19107-6130 | 2006-03-08 |
| 1295706422 | Trustees of The University of Pennsylvania | Rehabilitation Unit | 1800 Lombard St, Philadelphia, PA 19146-8400 | 2006-01-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.