PENN PRESBYTERIAN MEDICAL CENTER SPU (NPI# 1902063605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902063605 |
| Entity Type | Organization |
| Organization Name | PENN PRESBYTERIAN MEDICAL CENTER SPU |
| Practice Address |
51 N 39th St Phila PA 19104-2640 |
| Mailing Address |
1500 Market St Upper Mezzanine 600 Phila PA 19102-2100 |
| Practice Telephone | 2157964640 |
| Practice Fax Number | 2157620754 |
| Mailing Telephone | 2157964640 |
| Mailing Fax Number | 2157620754 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2016-01-05 |
| Authorized Official Name | MR. THOMAS MCCORMICK (ASSOCIATE VICE PRESIDENT) |
| Authorized Official Telephone | 2157620888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007297070017 | 05 |
| Street Address |
51 N 39TH ST |
| City | PHILA |
| State | PA |
| Zip Code | 19104-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447980 | Kaitlin James | Nurse Practitioner | 51 N 39th St, Phila, PA 19104-2640 | 2019-10-01 |
| 1598237844 | Mary Cheng | Pharmacist | 51 N 39th St, Phila, PA 19104-2640 | 2018-12-27 |
| 1902378227 | Nishaminy Kasbekar | Pharmacist | 51 N 39th St, Phila, PA 19104-2640 | 2018-12-27 |
| 1902948813 | Uphs Presbyterian Medical Ctr Dna | Clinic/Center | 51 N 39th St, Phila, PA 19104-2640 | 2007-02-14 |
| 1649310103 | Penn Presbyterian Medical Ctr Iop | Clinic/Center | 51 N 39th St, Phila, PA 19104-2640 | 2007-02-07 |
| 1033259627 | Penn Presbyterian Medical Ctr Detox Rehab | Substance Abuse Rehabilitation Facility | 51 N 39th St, Phila, PA 19104-2640 | 2007-02-06 |
| 1497804249 | Penn Presbyterian Medical Center | General Acute Care Hospital | 51 N 39th St, Phila, PA 19104-2640 | 2007-01-10 |
| 1134278989 | Penn Presybyterian Medical Center | General Acute Care Hospital | 51 N 39th St, Phila, PA 19104-2640 | 2007-01-10 |
| 1750445110 | Presbyterian Medical Center of The Univ of Pa Health System | Clinic/Center | 51 N 39th St, Phila, PA 19104-2640 | 2006-12-20 |
| 1013944073 | Sonya Lee | Obstetrics & Gynecology | 51 N 39th St, Mob 340, Phila, PA 19104-2640 | 2006-06-27 |
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| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336304062 | Pennsylvania Hospital of The University of Pennsylvania Health System | Clinic/Center | 1840 South St, Phila, PA 19146-7411 | 2008-07-22 |
| 1417114117 | Hosp of The Univ of Pa Spu | Clinic/Center | 3400 Spruce St, Phila, PA 19104-4206 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871108068 | Tilden Ambulatory Surgery Center, LLC | Clinic/Center | 61 Industrial Dr, Hamburg, PA 19526-8768 | 2020-09-14 |
| 1447862834 | Us Cardio Washington LLC | Clinic/Center | 1000 Park Place Dr Ste 201, Washington, PA 15301-2064 | 2020-08-18 |
| 1518575778 | Eye Surgery of The Main Line, LLC | Clinic/Center | 333 E City Avenue, Two Bala Plaza, Bala Cynwyd, PA 19004-1501 | 2020-07-14 |
| 1053934919 | Doylestown Surgery Center, LLC | Clinic/Center | 593 West State Street, Doylestown, PA 18901 | 2020-05-26 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1508400920 | Nazareth Endoscopy Center, LLC | Clinic/Center | 2401 Northampton St Ste 220, Easton, PA 18045-2764 | 2019-10-29 |
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1841759040 | Beaver Valley Ambulatory Surgery Center, LLC | Clinic/Center | 79 Wagner Road, Suite 101, Monaca, PA 15061-2489 | 2019-03-18 |
| 1669931861 | Urology Health Surgery Center, LLC | Clinic/Center | 1974 Sproul Rd Ste 104, Broomall, PA 19008-3402 | 2019-03-18 |
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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.