MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA (NPI# 1932198157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932198157 |
| Entity Type | Organization |
| Organization Name | MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA |
| Other Organization Name | MERCY HEALTH ASSOCIATES |
| Practice Address |
6323 Vine St Philadelphia PA 19139-1032 |
| Mailing Address |
1 W Elm St Conshohocken PA 19428-2007 |
| Practice Telephone | 2157488303 |
| Practice Fax Number | 2157488660 |
| Mailing Telephone | 6105676964 |
| Mailing Fax Number | 6105676170 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2007-07-19 |
| Authorized Official Name | MR. DON HALBERSTADT (CFO) |
| Authorized Official Telephone | 6105676964 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | RAILROAD MEDICARE | DA5351 | 01 |
| PA | 1007787930163 | 05 | |
| PA | KEYSTONE HEALTH PLAN EAST | 2247379004 | 01 |
| PA | KEYSTONE MERCY HEALTH PLA | 30010755 | 01 |
| PA | HEALTH PARTNERS | 36431 | 01 |
| PA | BLUE SHIELD | 1555770 | 01 |
| PA | CIGNA | 61258870002 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Health Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952828550 | Mercy Management of Southeastern Pennsylvania | Internal Medicine | 501 S 54th St Ste 126, Phila, PA 19143-1900 | 2017-08-24 |
| 1104342583 | Mercy Management of Southeastern Pennsylvania | Orthopaedic Surgery | 501 S 54th St Ste 28, Phila, PA 19143 | 2017-08-17 |
| 1770566309 | Mercy Management of Southeastern Pennsylvania | Internal Medicine | 5070 Parkside Ave, Suite 50100, Philadelphia, PA 19131-4747 | 2005-11-29 |
| 1851814685 | Mercy Management of Southeastern Pennsylvania | Internal Medicine | 1501 Lansdowne Ave, Darby, PA 19023-1333 | 2017-07-24 |
| 1427570019 | Mercy Management of Southeastern Pennsylvania | Pain Medicine | 1501 Lansdowne Ave, Darby, PA 19023-1333 | 2017-07-14 |
| 1821532482 | Mercy Management of Southeastern Pennsylvania | Internal Medicine | 1503 Lansdowne Ave, Ste 3003, Darby, PA 19023-1330 | 2016-12-15 |
| 1497032114 | Mercy Management of Southeastern Pennsylvania | Internal Medicine | 501 S 54th St, Philadelphia, PA 19143-1900 | 2011-11-09 |
| 1548584733 | Mercy Management of Southeastern Pennsylvania | Surgery | 501 S 54th St, Suite 227, Philadelphia, PA 19143-1900 | 2010-03-17 |
| 1043549322 | Mercy Management of Southeastern Pennsylvania | Internal Medicine | 1503 Lansdowne Ave, 3001, Darby, PA 19023-1330 | 2009-12-15 |
| 1962634238 | Mercy Management of Southeastern Pennsylvania | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1501 Lansdowne Ave, Suite 305, Darby, PA 19023-1333 | 2009-08-20 |
| Street Address |
6323 VINE ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19139-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861921389 | Vine Street Medical and Associates | Family Medicine | 6323 Vine St, Philadelphia, PA 19139-1032 | 2017-06-08 |
| 1487181699 | Vine Street Medical and Associates | Chiropractor | 6323 Vine St, Philadelphia, PA 19139-1032 | 2017-05-18 |
| 1881654614 | Bernadine Lewis | Physician Assistant | 6323 Vine St, Philadelphia, PA 19139-1032 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
| 1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
| 1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
| 1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
| 1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
| 1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
| 1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
| 1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
| 1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
| Find all providers in zip 19139 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674407 | Jun Song | Internal Medicine | 3401 N Broad St Ste 801, Philadelphia, PA 19140-5103 | 2020-06-24 |
| 1932725264 | Aaron Leo Yazdian | Internal Medicine | 1335 South St Apt A, Philadelphia, PA 19147-1841 | 2020-06-23 |
| 1144846387 | Rishabh Khatri | Internal Medicine | 322 N Broad St Apt 1523, Philadelphia, PA 19102-1122 | 2020-06-23 |
| 1215564521 | Insight Home Physicians, PC | Internal Medicine | 7806 Cresheim Rd, Philadelphia, PA 19118-4003 | 2020-03-25 |
| 1457995938 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 3401 Market St Ste 105b, Philadelphia, PA 19104-3315 | 2019-10-29 |
| 1205479904 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St 8fl, Philadelphia, PA 19107-1507 | 2019-10-25 |
| 1700439056 | Alvaro Goncalves Mendes Neto | Internal Medicine | 5501 Old York Rd # 363, Philadelphia, PA 19141-3018 | 2019-07-16 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1114587672 | Stephen Michael Pokrywa | Internal Medicine | Drexel University Com, Internal Medicine Residency, 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102-1178 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19139 |
Please comment or provide details below to improve the information on MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA.
| 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.