CPA CARE OF PENN II, LLC (NPI# 1851854517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851854517 |
| Entity Type | Organization |
| Organization Name | CPA CARE OF PENN II, LLC |
| Practice Address |
1700 Market St Ste 1005a104 Philadelphia PA 19103-3913 |
| Mailing Address |
102 Woodmont Blvd Ste 350 Nashville TN 37205-2216 |
| Practice Telephone | 6153860064 |
| Mailing Telephone | 6157332064 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | EDWARD LELAND HUTTON EADIE (DIRECTOR) |
| Authorized Official Telephone | 6157332064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
1700 MARKET ST STE 1005A104 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19103-3913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841798121 | Coordinated Health of Penn, LLC | Internal Medicine | 1700 Market St Ste 1005a104, Philadelphia, PA 19103-3913 | 2018-01-31 |
| 1679036339 | Cpa Care of Penn, LLC | Internal Medicine | 1700 Market St Ste 1005a104, Philadelphia, PA 19103-3913 | 2019-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565431 | Allyson Caputa | Behavior Technician | 100 North 18th Street, Suite 300, Philadelphia, PA 19103 | 2020-10-13 |
| 1063062685 | Sarah Seeling | Social Worker | 255 South 17th Street Suite 1010, Suite 1500, Suite 23, Philadelphia, PA 19103 | 2019-09-16 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1932761863 | Barclay Prescription Pharmacy | Pharmacist | 1736 Spruce St, Phila, PA 19103 | 2019-07-01 |
| 1265910459 | Whitney Sue Fricke | Counselor | 2211 Locust St, Philadelphia, PA 19103 | 2018-07-31 |
| 1740784586 | Sara Elizabeth Macintyre | Speech-Language Pathologist | 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 | 2018-03-19 |
| 1326578907 | Danielle D Bercovitch | Speech-Language Pathologist | 1930 S Broad, Philadelphia, PA 19103 | 2017-06-15 |
| 1598114449 | Brooke Elaine Mullen | Dietitian, Registered | 1708 Pine St Apt 1r, Philadelphia, PA 19103 | 2016-06-10 |
| 1972966026 | Alexandra Brady Jatzke | Dietitian, Registered | 1835 Market St Fl 2, Philadelphia, PA 19103 | 2016-04-05 |
| 1932574118 | David Clements Iv | Psychiatry & Neurology | 1845 Walnut St Ste 1540, Philadelphia, PA 19103 | 2015-12-14 |
| Find all providers in zip 19103 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1780198754 | William Sigmund | Internal Medicine | 608 Spruce St, Philadelphia, PA 19106-4114 | 2017-11-28 |
| 1982128690 | Mercy Management of Sepa | Internal Medicine | 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1346651130 | Chukwunweike Nwosu | Internal Medicine | 219 North Broad Street, Arnold T Berman Building, Philadelphia, PA 19107-3720 | 2014-05-14 |
| 1053736611 | Mary Osbakken | Internal Medicine | 29 W Walnut Ln, Philadelphia, PA 19144-2609 | 2014-02-19 |
| 1275969131 | Vohra Post Acute Care Physicians of The Northeast Pa | Internal Medicine | 8400 Bustleton Ave Ste 9, Philadelphia, PA 19152-1918 | 2013-09-23 |
| 1194169730 | Edward Sawyer Cooper | Internal Medicine | 6710 Lincoln Drive, Philadelphia, PA 19119 | 2013-04-25 |
| 1720322969 | Robert Alan Keisman | Internal Medicine | 300 Spring Garden St, Philadelphia, PA 19123-2932 | 2012-11-10 |
| 1497058390 | Urban Health Initiatives, Inc. | Internal Medicine | 1408 S. Broad Street, Philadelphia, PA 19146-4808 | 2010-12-15 |
| 1104133354 | Rajendra N Seth Md Associates | Internal Medicine | 5901 Summerdale Ave, Philadelphia, PA 19149-3626 | 2010-09-09 |
| 1194040436 | Paul Nicolas Fiorilli | Internal Medicine | 3400 Civic Center Blvd Fl 11, Philadelphia, PA 19104-5159 | 2010-03-30 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19103 |
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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.