MERRITT PARKER EDLIND


Address: 3322 N Broad St, Philadelphia, PA 19140-5185
Phone: 2157071800

MERRITT PARKER EDLIND (NPI# 1881126365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881126365
Entity Type Individual
Full Name MERRITT PARKER EDLIND
Practice Address 3322 N Broad St
Philadelphia
PA 19140-5185
Practice Telephone 2157071800
Practice Fax Number 2157073644
Mailing Telephone 2157071800
Mailing Fax Number 2157073644
Enumeration Date 2017-04-03
Last Update Date 2020-09-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
51 N 39th St, Medical Arts Building, Suite 102, Philadelphia, PA 191042640 2156627366

Office Location

Street Address 3322 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19140-5185

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023005949 Alisa Peet Internal Medicine 3322 N Broad St, Philadelphia, PA 19140-5185 2005-10-05
1063072528 Joseph Noto Internal Medicine 3322 N Broad St, Philadelphia, PA 19140-5185 2019-06-17
1497315162 James Gabriel Ruggero Internal Medicine 3322 N Broad St, Philadelphia, PA 19140-5185 2019-06-16
1073095915 Temple Faculty Practice Plan Inc Internal Medicine 3322 N Broad St, Philadelphia, PA 19140-5103 2018-09-06
1982134789 Marina Baskharoun Internal Medicine 3322 N Broad St, Philadelphia, PA 19140-5185 2017-06-14
1316476484 Rithika Ramakrishnan Internal Medicine 3322 N Broad St, Philadelphia, PA 19140-5185 2017-06-12
1083143507 Syed Muhammad Mustafa Zaidi Internal Medicine 3322 N Broad St, Philadelphia, PA 19140-5185 2017-06-08
1194253500 Andrew Lawrence Wickerham Internal Medicine 3322 N Broad St, Philadelphia, PA 19140-5185 2017-05-30
1275069395 Rachel Snyder Internal Medicine 3322 N Broad St, Philadelphia, PA 19140-5185 2017-05-10
1255782140 Evan Jeremy Carabelli Internal Medicine 3322 N Broad St, Philadelphia, PA 19140-5185 2016-06-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225640519 Desirea Grant Registered Nurse 2000 W. Venango Street, Phila, PA 19140 2020-08-19
1306316104 Carmen Doumit Dentist 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 2018-12-05
1780150375 Samantha Marina Felix Counselor 3803-3805 N 5th St, Philadelphia, PA 19140 2018-10-22
1518485135 Holly Marie Barbee Dietitian, Registered 4417 N 6th St., Philadelphia, PA 19140 2017-09-04
1033630892 Jessica Anne Tang Otolaryngology 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 2017-07-03
1710416870 Narsis Aminian Internal Medicine 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 2017-06-12
1629527338 Alaa Khatib Pharmacist 4616-4650 N. Broad Street, Philadelphia, PA 19140 2016-09-23
1548716160 Direct Home Health Care In Home Supportive Care 3550 N 9th St, Philadelphia, PA 19140 2016-09-01
1306399225 Zaima Choudhry Student in an Organized Health Care Education/Training Program Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 2016-07-27
1891145504 Saji Mathew Pharmacist 4530n 5th Street, Philadelphia, PA 19140 2016-06-14
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

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
1891395828 Roopali Mahajan Student in an Organized Health Care Education/Training Program 4101 Spruce St Apt 108, Philadelphia, PA 19104-4059 2020-10-28
1629678925 Jonathan Welch Student in an Organized Health Care Education/Training Program 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 2020-10-27
1477166056 Tiffany Shanay Canady Student in an Organized Health Care Education/Training Program 8400 Lindbergh Blvd Apt 1011, Philadelphia, PA 19153-1513 2020-08-25
1093325599 Taylor Ann Hall Student in an Organized Health Care Education/Training Program 403 E Evergreen Ave, Philadelphia, PA 19118-2826 2020-08-09
1093324766 Alex J Rodriguez Student in an Organized Health Care Education/Training Program 7950 Henry Ave Apt 9a, Philadelphia, PA 19128-3005 2020-07-28
1396361796 Hagar Mahmoud Student in an Organized Health Care Education/Training Program 9181 Academy Rd Apt 407, Philadelphia, PA 19114-2724 2020-06-22
1801412416 Vishak Hari Kumar Student in an Organized Health Care Education/Training Program 2601 Holme Ave., Philadelphia, PA 19152 2020-06-19
1386266138 Ogan Kumova Student in an Organized Health Care Education/Training Program 245 N 15th St Rm 18119, Philadelphia, PA 19102-1101 2020-05-15
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
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Competitor

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City PHILADELPHIA
Zip Code 19140

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Dataset Information

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.

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