UNIVERSITY OF PENN-MEDICAL GROUP


Address: 554 N Duke St, 3rd Floor, Lancaster, PA 17602-2225
Phone: 2156626200

UNIVERSITY OF PENN-MEDICAL GROUP (NPI# 1902269210) 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) 1902269210
Entity Type Organization
Organization Name UNIVERSITY OF PENN-MEDICAL GROUP
Practice Address 554 N Duke St
3rd Floor
Lancaster
PA 17602-2225
Practice Telephone 2156626200
Practice Fax Number 2156622244
Mailing Telephone 2156626200
Mailing Fax Number 2156622244
Enumeration Date 2016-04-04
Last Update Date 2016-04-04
Authorized Official Name ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2156627583
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery PA Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
PA Allopathic & Osteopathic Physicians
Y 204F00000X Transplant Surgery PA Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1396193900 University of Penn-medical Group Transplant Surgery 1501 N Cedar Crest Blvd, Suite 110 Liver Transplant, Allentown, PA 18104-2309 2016-05-25
1821451139 University of Penn-medical Group Internal Medicine 554 N Duke St, 3rd Floor Renal Transplant, Lancaster, PA 17602-2225 2016-04-04
1043670805 University of Penn-medical Group Internal Medicine 554 N Duke St, 3rd Floor Gi Transplant, Lancaster, PA 17602-2225 2016-03-07
1730578667 University of Penn-medical Group Internal Medicine 3400 Spruce St, Ground Floor Donner, Philadelphia, PA 19104-4238 2015-01-15
1073902169 University of Penn-medical Group Dermatology 3400 Spruce St, 2 Rhoads Pavilion, Philadelphia, PA 19104-4238 2015-01-13
1184012569 University of Penn-medical Group Clinical Medical Laboratory 3400 Spruce St, Philadelphia, PA 19104-4238 2015-01-07
1821486846 University of Penn-medical Group Marriage & Family Therapist 3535 Market St, 3rd Floor, Philadelphia, PA 19104-3309 2014-12-29
1740678762 University of Penn-medical Group Pathology 3400 Spruce St, Philadelphia, PA 19104-4238 2014-12-29
1811385834 University of Penn-medical Group Thoracic Surgery (Cardiothoracic Vascular Surgery) 51 N 39th St, 266 Wright Saunders, Philadelphia, PA 19104-2640 2014-12-29
1275921298 University of Penn-medical Group Surgery 51 N 39th St, Mob Suite 120, Philadelphia, PA 19104-2640 2014-12-29

Office Location

Street Address 554 N DUKE ST
3RD FLOOR
City LANCASTER
State PA
Zip Code 17602-2225

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780688663 Karen Anne Suppi Nurse Anesthetist, Certified Registered 554 N Duke St, Ste.2, Lancaster, PA 17602-2225 2005-06-09
1508415761 Marissa Thomas Counselor 554 N Duke St, Lancaster, PA 17602-2225 2019-09-10
1619447927 Chelsea Varner Physician Assistant 554 N Duke St, Lancaster, PA 17602-2225 2018-11-29
1821451139 University of Penn-medical Group Internal Medicine 554 N Duke St, 3rd Floor Renal Transplant, Lancaster, PA 17602-2225 2016-04-04
1043670805 University of Penn-medical Group Internal Medicine 554 N Duke St, 3rd Floor Gi Transplant, Lancaster, PA 17602-2225 2016-03-07
1245504422 Lancaster General Medical Group Surgery 554 N Duke St, Lancaster, PA 17602-2225 2012-03-06
1538328653 Lancaster General Hospital Family Medicine 554 N Duke St, 3rd Floor, Lancaster, PA 17602-2225 2008-06-04
1780883819 Milorad Marjanovic Surgery 554 N Duke St, Lancaster, PA 17602-2225 2007-07-18
1588873632 Alisha Arora Plastic Surgery 554 N Duke St, Lancaster, PA 17602-2225 2007-05-22
1265578314 Lancaster General Hospital Psychologist 554 N Duke St, 3rd Floor, Lancaster, PA 17602-2225 2007-01-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093313173 Taylor Giambrone Registered Nurse Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 2020-10-12
1982268843 Blanche Nichole Breznak Pharmacist 201 East Chestnut St, Lancaster, PA 17602 2019-04-25
1285104851 Stephanie Benedict Pharmacist 1603 Lincoln Highway East, Lancaster, PA 17602 2018-11-27
1043709835 Deborah J Campos-bard, Lmt Massage Therapist 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 2018-05-07
1861989493 Functional Freedom LLC Occupational Therapist 105 Heritage Rd., Lancaster, PA 17602 2018-04-19
1083094577 Gracie Berry Counselor 413 Church St, Lancaster, PA 17602 2015-06-01
1366835597 Holcomb Associates, Inc. Community/Behavioral Health 800 New Holland Avenue, Lancaster, PA 17602 2015-03-12
1205236965 Maria Taylor Physician Assistant 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 2014-09-01
1114355104 Charles Eugene Stream Physician Assistant 133 East Fredeick Street, Lancaster, PA 17602 2013-10-29
1710221668 Kourtney Randsdorp Occupational Therapist 105 Heritage Rd, Lancaster, PA 17602 2012-11-15
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Taxonomy Information

Taxonomy Code 204F00000X
Grouping Allopathic & Osteopathic Physicians
Classification Transplant Surgery

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154987626 Masashi Furukawa Transplant Surgery 200 Lothrop St # C-900, Pittsburgh, PA 15213-2536 2019-05-10
1649750951 Mario Castro Medina Transplant Surgery Upmc Childrens Hospital of Pittsburgh, 4401 Penn Avenue Faculty Pavillion 5th Floor, Pittsburgh, PA 15224 2018-08-16
1942687686 Konstantinos Zorbas Transplant Surgery 3401 N. Board Street, Parkinson Pavilion - Zone C Suite 450, Philadelphia, PA 19140 2015-05-01
1982968582 Goutham Kumar Transplant Surgery 7070 Forward Ave Apt 401, Pittsburgh, PA 15217-2549 2012-06-28
1740594241 Edgar Enrique Ramos Diaz Transplant Surgery 3401 Forbes Ave, Apt. 306, Pittsburgh, PA 15213 2010-07-27
1326202888 Vikraman Gunabushanam Transplant Surgery 3459 Fifth Av, 7 South, Pittsburgh, PA 15213 2008-07-14
1851558860 Christine Du Transplant Surgery 1250 S Cedar Crest Blvd Ste 210, Allentown, PA 18103-6271 2008-05-19
1447217492 Akhtar S Khan Transplant Surgery 138 N Woodland Rd, Pittsburgh, PA 15232-2850 2006-04-26
1114993748 Ngoc L Thai Transplant Surgery 2566 Haymaker Rd Ste 311, Monroeville, PA 15146-3555 2006-02-24
1568462984 Allegheny Clinic Transplant Surgery 320 E North Ave Fl 3, Pittsburgh, PA 15212-4756 2005-07-28
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Competitor

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City LANCASTER
Zip Code 17602

Improve Information

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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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