TOWER DREXEL ACADEMIC MEDICAL GROUP LLC (NPI# 1851935332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851935332 |
| Entity Type | Organization |
| Organization Name | TOWER DREXEL ACADEMIC MEDICAL GROUP LLC |
| Other Organization Name | GASTROENTEROLOGY TOWER HEALTH MEDICAL GROUP MANAYUNK |
| Practice Address |
10 Shurs Ln Ste 206 Philadelphia PA 19127-2123 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 6107436049 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | GARY CONNER (CEO) |
| Authorized Official Telephone | 4846288181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| GASTROENTEROLOGY TOWER HEALTH MEDICAL GROUP MANAYUNK | Doing Business As Name - Organization |
| Gastroenterology Tower Health Medical Group-Shurs Lane | Doing Business As Name - Organization |
| 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 206 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19127-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891177267 | Abhishek Seth | Family Medicine | 10 Shurs Ln Ste 206, Philadelphia, PA 19127-2123 | 2015-06-22 |
| 1306479829 | Tower Drexel Academic Medical Group LLC | Family Medicine | 10 Shurs Ln Ste 206, Philadelphia, PA 19127-2123 | 2020-02-13 |
| 1144868084 | Tower Drexel Academic Medical Group LLC | Family Medicine | 10 Shurs Ln Ste 206, Philadelphia, PA 19127-2123 | 2019-12-11 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| 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. |
| 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 |
| 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.