PENN PRESBYTERIAN MEDICAL CENTER (NPI# 1861931115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861931115 |
| Entity Type | Organization |
| Organization Name | PENN PRESBYTERIAN MEDICAL CENTER |
| Practice Address |
51 N 39th St Philadelphia PA 19104-2640 |
| Mailing Address |
1425 Locust St Unit 14b Philadelphia PA 19102-3832 |
| Practice Telephone | 2156622709 |
| Mailing Telephone | 6103228408 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | MR. THOMAS MCCORMICK (ASSISTANT VICE PRESIDENT) |
| Authorized Official Telephone | 2156622709 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952949083 | Penn Presbyterian Medical Center | Case Management | 4040 Market Street, Suite 200, Philadelphia, PA 19104 | 2019-12-19 |
| 1497804249 | Penn Presbyterian Medical Center | General Acute Care Hospital | 51 N 39th St, Phila, PA 19104-2640 | 2007-01-10 |
| Street Address |
51 N 39TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679570733 | Tanya M Dougherty | Pharmacist | 51 N 39th St, 6th Floor Mutch Building, Philadelphia, PA 19104-2640 | 2005-07-05 |
| 1114527058 | Laureen Delgado | Nurse Practitioner | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-10-29 |
| 1629677331 | Annabell Boreland | Nurse Practitioner | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-10-23 |
| 1174120190 | Kerry Jane Benson | Dietitian, Registered | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-10-02 |
| 1487251591 | Ashley Nichole Williams | Nurse Practitioner | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-10-02 |
| 1245844687 | Matthew Hinton | Pharmacist | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-09-02 |
| 1093323768 | Lindsey Morgan Duboff | Physician Assistant | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-07-20 |
| 1184240830 | Ashley Danielle Kelly | Nurse Anesthetist, Certified Registered | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-06-18 |
| 1992321863 | Cassie Deann Prendergast | Nurse Anesthetist, Certified Registered | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-06-17 |
| 1972126951 | Theresa Marie Carbone | Registered Nurse | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-05-25 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639628043 | Tri-county Hospitalists | General Acute Care Hospital | 560 N 16th St, Apt 1, Philadelphia, PA 19130-4105 | 2016-09-26 |
| 1649650359 | Hahnemann University Hospital | General Acute Care Hospital | 245 N 15th St # Ms 420, Philadelphia, PA 19102-1101 | 2015-06-08 |
| 1699160432 | Beth Israel Deaconess Medical Center, Inc. | General Acute Care Hospital | 908 Pine St. Apt 2f, Philadelphia, PA 19107 | 2015-03-30 |
| 1285979179 | Minute Clinic | General Acute Care Hospital | 487 Shurs Ln, Philadelphia, PA 19128-3505 | 2012-12-03 |
| 1437407152 | Temple University Health System | General Acute Care Hospital | 3401 N. Broad St, Department of Radiology, Philadelphia, PA 19140 | 2012-08-28 |
| 1376806398 | Patrick O'toole | General Acute Care Hospital | 1015 Walnut Street, Room 801 Curtis Building, Philadelphia, PA 19107 | 2012-06-25 |
| 1932462397 | Michael Riesa | General Acute Care Hospital | 2301 S Broad St Rm 112, Philadelphia, PA 19148-3542 | 2012-06-20 |
| 1659657872 | Hahnemann University Hospital | General Acute Care Hospital | 245 N. 15th Street, Ms #435, Department of Pathology, Philadelphia, PA 19102 | 2011-11-02 |
| 1003104530 | Hospital of The University of Pennsylvania | General Acute Care Hospital | 2121 Market St Apt 220, Philadelphia, PA 19103-1309 | 2011-07-19 |
| 1588950703 | Linda Smith | General Acute Care Hospital | 2934 Gilham St, Philadelphia, PA 19149-3018 | 2011-06-27 |
| 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.