GORDON H BALTUCH (NPI# 1932144094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932144094 |
| Entity Type | Individual |
| Full Name | GORDON H BALTUCH |
| Credential | MD |
| Practice Address |
235 S 8th St Philadelphia PA 19106-3519 |
| Practice Telephone | 2158296700 |
| Practice Fax Number | 2158296645 |
| Mailing Telephone | 2158296700 |
| Mailing Fax Number | 2158296645 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2015-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MD058514L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0015989750001 | 05 |
| Street Address |
235 S 8TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19106-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881168524 | Brittney Renee Gregor | Nurse Practitioner | 235 S 8th St, Philadelphia, PA 19106-3519 | 2019-01-16 |
| 1962889915 | Rachel Ann Pessoa | Nurse Practitioner | 235 S 8th St, Philadelphia, PA 19106-3519 | 2015-04-29 |
| 1952698896 | Terrence Glendon Ishmael | Orthopaedic Surgery | 235 S 8th St, Philadelphia, PA 19106-3519 | 2011-06-29 |
| 1538463773 | Jennifer Michelle Durkan | Nurse Practitioner | 235 S 8th St, Philadelphia, PA 19106-3519 | 2011-01-03 |
| 1013211630 | Dana Marie Randall | Physician Assistant | 235 S 8th St, 1st Floor, Philadelphia, PA 19106-3519 | 2010-12-23 |
| 1962670166 | Kristin Leigh Rupich | Nurse Practitioner | 235 S 8th St, Philadelphia, PA 19106-3519 | 2008-02-11 |
| 1205024148 | Diana Deinarowicz Gardiner | Nurse Practitioner | 235 S 8th St, Philadelphia, PA 19106-3519 | 2007-10-04 |
| 1669492625 | Stephen J Dante | Neurological Surgery | 235 S 8th St, Philadelphia, PA 19106-3519 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807245 | Jaclyn Isis Lisberger | Speech-Language Pathologist | 130 North 2nd Street-#2e, Philadelphia, PA 19106 | 2020-09-29 |
| 1356964159 | Michelle Copija | Nurse Anesthetist, Certified Registered | Society Hill Anesthesia Consultants, P.C., 301 S. 8th St Suite 2l, Philadelphia, PA 19106 | 2020-05-27 |
| 1811468929 | Old City Orthodontics LLC | Clinic/Center | 14 S 3rd Street, 1st Floor, Philadelphia, PA 19106 | 2018-12-16 |
| 1437627569 | Peter James Voystock | Social Worker | Veterans' Multi-service Center, 2nd Floor, 213-217 N 4th St, Philadelphia, PA 19106 | 2018-11-07 |
| 1467975334 | Aasiyah's Inc | Nurse's Aide | 325-41 Chestnut Street Suite 800, Suite 800, Philadelphia, PA 19106 | 2017-07-21 |
| 1457883043 | Jackie Kurland | Registered Nurse | 301 S 8th St Ste 2l, Philadelphia, PA 19106 | 2017-04-01 |
| 1669851655 | Amy Hardenbergh | Nurse Anesthetist, Certified Registered | 325 Chestnut Street, Suite 210, Society Hill Anesthesia Consultants, Philadelphia, PA 19106 | 2015-05-22 |
| 1790178820 | Bita Khoshrou | Dentist | 604 S Washington Square, Philadelphia, PA 19106 | 2015-03-13 |
| 1144667262 | Krystal Maloni | Surgery | 700 Spruce St Ste 101, Philadelphia, PA 19106 | 2013-05-30 |
| 1487099305 | Aimee E Wood | Social Worker | 233 South 6th St, Suite C33, Philadelphia, PA 19106 | 2013-05-06 |
| Find all providers in zip 19106 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1003475120 | Michael Bradley Avery | Neurological Surgery | 909 Walnut Street, 2nd Floor, Philadelphia, PA 19107-5211 | 2019-06-12 |
| 1225370869 | Endrit Ziu | Neurological Surgery | 929 N 29th St, Apt 103, Philadelphia, PA 19130-1110 | 2013-03-21 |
| 1760617054 | Gentian Toshkezi | Neurological Surgery | 3998 Red Lion Rd Ste 213, Philadelphia, PA 19114 | 2009-05-15 |
| 1295900942 | Zarina S Ali | Neurological Surgery | 3400 Spruce Street Hup - Dept of Neurosurgery, 3 Silverstein, Philadelphia, PA 19104 | 2008-04-24 |
| 1629286018 | Stavropoula Ioannis Tjoumakaris | Neurological Surgery | 909 Walnut Street, 2rd Floor, Jefferson Neurosurgical Associates, Philadelphia, PA 19107-5211 | 2007-05-18 |
| 1639299837 | Neurosurgical Associates | Neurological Surgery | 5049 Oxford Ave, Philadelphia, PA 19124-2652 | 2007-03-30 |
| 1801910310 | Merylee Elizabeth Werthan | Neurological Surgery | 5049 Oxford Avenue, Philadelphia, PA 19124-2652 | 2007-03-19 |
| 1629132006 | Srinivas Kasinadhuni Prasad | Neurological Surgery | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2006-12-20 |
| 1255403747 | Silva Markovic-plese | Neurological Surgery | 900 Walnut St Fl 2, Philadelphia, PA 19107-5509 | 2006-11-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19106 |
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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.