JEFFERSON UNIVERSITY HOSPITAL (NPI# 1861725608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861725608 |
| Entity Type | Organization |
| Organization Name | JEFFERSON UNIVERSITY HOSPITAL |
| Practice Address |
1015 Walnut St 1015 Walnut Street Philadelphia PA 19107-5005 |
| Mailing Address |
211 S 9th St Suite 600,walnut Towers Philadelphia PA 19107-6810 |
| Practice Telephone | 2159554516 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |
| Authorized Official Name | DR. OSCAR IRIGOYEN (RHEUMATOLOGY CHIEF & DIRECTOR) |
| Authorized Official Telephone | 2159551410 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MT188493 | PA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205272804 | Jefferson University Hospital | General Acute Care Hospital | 1025 Walnut St, Suite 801, Philadelphia, PA 19107-5001 | 2013-05-22 |
| Street Address |
1015 WALNUT ST 1015 WALNUT STREET |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929585 | Oscar Horacio Irigoyen | Internal Medicine | 1015 Walnut St, Ste 613, Philadelphia, PA 19107-5005 | 2005-08-15 |
| 1316444805 | Alexander Vraa | Student in an Organized Health Care Education/Training Program | 1015 Walnut St, Suite 620 Curtis, Philadelphia, PA 19107-5005 | 2018-04-10 |
| 1619402369 | Charles Peter Mccann | Student in an Organized Health Care Education/Training Program | 1015 Walnut St, Suite 620 Curtis, Philadelphia, PA 19107-5005 | 2017-05-01 |
| 1376078758 | James Metkus | Surgery | 1015 Walnut St, Suite 620 Curtis, Philadelphia, PA 19107-5005 | 2017-04-24 |
| 1982138095 | Adrienne Christopher | Student in an Organized Health Care Education/Training Program | 1015 Walnut St, Suite 620 Curtis, Philadelphia, PA 19107-5005 | 2017-04-14 |
| 1790219186 | James Antonio Fraser | Student in an Organized Health Care Education/Training Program | 1015 Walnut St, Suite 620 Curtis, Philadelphia, PA 19107-5005 | 2017-04-12 |
| 1891228482 | Ryan Lamm | Student in an Organized Health Care Education/Training Program | 1015 Walnut St, Suite 620 Curtis, Philadelphia, PA 19107-5005 | 2017-04-10 |
| 1811429376 | Keyur Patel | Student in an Organized Health Care Education/Training Program | 1015 Walnut St, Suite 620, Philadelphia, PA 19107-5005 | 2017-04-03 |
| 1609221787 | Raj Gopesh Patel | Student in an Organized Health Care Education/Training Program | 1015 Walnut St, Room 620, Philadelphia, PA 19107-5005 | 2016-04-26 |
| 1215391628 | Thomas John O'malley | Surgery | 1015 Walnut St, Suite 620, Philadelphia, PA 19107-5005 | 2016-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1023620135 | Neshoba County General Hospital-nursing Home | Clinic/Center | 406 Stribling St, Philadelphia, MS 39350-3344 | 2020-08-19 |
| 1043775711 | New Vitae, Inc. | Clinic/Center | 27 S. 55th Street, Philadelphia, PA 19139-3247 | 2019-02-06 |
| 1184132219 | Neshoba County General Hospital | Clinic/Center | 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 | 2018-01-10 |
| 1699288142 | Rogers Memorial Hospital Inc | Clinic/Center | 1 Winding Dr Ste 106, Philadelphia, PA 19131-2907 | 2017-11-07 |
| 1952753238 | American Rehabilitation Counseling Center LLC | Clinic/Center | 8305-15 Ridge Ave, Philadelphia, PA 19128-1722 | 2016-07-11 |
| 1750736088 | Mark Wilson | Clinic/Center | 5313 Ogden St, Philadelphia, PA 19139-1438 | 2016-04-23 |
| 1023485265 | Greater Philadelphia Health Action Inc. | Clinic/Center | 1408 S. Broad St., 2nd Floor, Philadelphia, PA 19146-4808 | 2015-08-24 |
| 1407233125 | Rediclinic of Pa, LLC | Clinic/Center | 7418-32 Oxford Avenue, Philadelphia, PA 19111-3023 | 2015-05-01 |
| 1912397118 | Physical Corrective Solutions, LLC | Clinic/Center | 2644 Lefevre St Ste A, Suite A, Philadelphia, PA 19137-1733 | 2015-01-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.