TOWER DREXEL ACADEMIC MEDICAL GROUP LLC (NPI# 1841833548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841833548 |
Entity Type | Organization |
Organization Name | TOWER DREXEL ACADEMIC MEDICAL GROUP LLC |
Other Organization Name | FAMILY MEDICINE TOWER HEALTH MEDICAL GROUP MANAYUNK |
Practice Address |
10 Shurs Ln Ste 203 Philadelphia PA 19127-2123 |
Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
Practice Telephone | 2154821234 |
Enumeration Date | 2019-10-25 |
Last Update Date | 2020-10-21 |
Authorized Official Name | GARY CONNER (EVP & CFO) |
Authorized Official Telephone | 4846281324 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Family Medicine Tower Health Medical Group Manayunk | Doing Business As Name - Organization |
Family Medicine Tower health medical Group- Shurs Lane | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
10 Shurs Ln Ste 206, Philadelphia, PA 191272123 | 6107436049 | |
110 W Wissahickon Ave, Flourtown, PA 190311802 | 2154821234 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457995938 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 3401 Market St Ste 105b, Philadelphia, PA 19104-3315 | 2019-10-29 |
1811530512 | Tower Drexel Academic Medical Group LLC | Psychologist | 1427 Vine St Fl 1, Philadelphia, PA 19102-1031 | 2019-10-25 |
1205479904 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St 8fl, Philadelphia, PA 19107-1507 | 2019-10-25 |
1407499148 | Tower Drexel Academic Medical Group LLC | Psychiatry & Neurology | 160 E Erie Ave Fl 2, Philadelphia, PA 19134-1011 | 2019-10-25 |
1215570916 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St Fl 6, Philadelphia, PA 19107-1519 | 2019-10-25 |
1003459702 | Tower Drexel Academic Medical Group LLC | Psychologist | 4700 Wissahickon Ave Ste C102, Philadelphia, PA 19144-4248 | 2019-10-25 |
1306479829 | Tower Drexel Academic Medical Group LLC | Family Medicine | 10 Shurs Ln Ste 206, Philadelphia, PA 19127-2123 | 2020-02-13 |
1346872116 | Tower Drexel Academic Medical Group LLC | Family Medicine | 219 N Broad St, 8th Fl, Philadelphia, PA 19107-1519 | 2020-02-10 |
1225660095 | Tower Drexel Academic Medical Group LLC | Family Medicine | 3401 Market St Ste 105a, Philadelphia, PA 19104-3315 | 2020-02-10 |
1144868084 | Tower Drexel Academic Medical Group LLC | Family Medicine | 10 Shurs Ln Ste 206, Philadelphia, PA 19127-2123 | 2019-12-11 |
Street Address |
10 SHURS LN STE 203 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19127-2123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215236484 | Amanda Zeta De La Paz | Family Medicine | 10 Shurs Ln Ste 203, Philadelphia, PA 19127-2123 | 2011-03-27 |
1922563089 | Kaitlin Elizabeth O'malley | Family Medicine | 10 Shurs Ln Ste 203, Philadelphia, PA 19127-2123 | 2019-02-04 |
1952895567 | Lily Simone Kosminsky | Family Medicine | 10 Shurs Ln Ste 203, Philadelphia, PA 19127-2123 | 2018-06-18 |
1912427006 | Merlyn Sunny Abraham | Family Medicine | 10 Shurs Ln Ste 203, Philadelphia, PA 19127-2123 | 2017-06-21 |
1851741300 | Swati Malhan | Family Medicine | 10 Shurs Ln Ste 203, Philadelphia, PA 19127-2123 | 2016-06-15 |
1861884546 | Kelly Anne O'connell | Registered Nurse | 10 Shurs Ln Ste 203, Philadelphia, PA 19127-2123 | 2015-03-04 |
1336581925 | Lian Peter | Family Medicine | 10 Shurs Ln Ste 203, Philadelphia, PA 19127-2123 | 2013-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477197218 | Karen M Johnson | Social Worker | 4001 Main Street, Suite 202, Philadelphia, PA 19127 | 2019-11-05 |
1801363304 | Associates for Well-being | Psychologist | 4001 Main Street, Suite 202, Philadelphia, PA 19127 | 2018-11-01 |
1033690920 | Extremity Care, LLC | Durable Medical Equipment & Medical Supplies | 3901 Main Street, Suite 101a, Philadelphia, PA 19127 | 2018-08-28 |
1275062549 | Jamie Mae Cunningham | Specialist/Technologist | 153 East Street, Philadelphia, PA 19127 | 2017-06-08 |
1073957957 | Sarah Alice Sall | Massage Therapist | 4600 Smick Street, Philadelphia, PA 19127 | 2013-04-23 |
1710245303 | Marie C Croghan | Occupational Therapist | 4601 Flat Rock Road, Apt. 514, Philadelphia, PA 19127 | 2012-05-02 |
1396938288 | Lisa Erin Starke | Occupational Therapist | 169 Conarroe St, Philadelphia, PA 19127 | 2007-08-23 |
1700448511 | Stefan Markovic | Family Medicine | 10 Shurs Ln, #203, Philadelphia, PA 19127 | 2019-07-01 |
1467912642 | Healing Energy Homecare, LLC | In Home Supportive Care | 4001 Main St, Ste 210, Philadelphia, PA 19127 | 2019-03-22 |
1962015537 | Joanna Elizabeth Vanore | Social Worker | 4725 Sheldon St, Philadelphia, PA 19127-1008 | 2020-08-24 |
Find all providers in zip 19127 |
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. |
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Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19127 |
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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.