CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST (NPI# 1942319777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942319777 |
| Entity Type | Organization |
| Organization Name | CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST |
| Practice Address |
230 W Washington Sq 5th Floor Philadelphia PA 19106-3500 |
| Mailing Address |
3624 Market St Suite 560w Philadelphia PA 19104-2614 |
| Practice Telephone | 2158293668 |
| Practice Fax Number | 2158295002 |
| Mailing Telephone | 2156622286 |
| Mailing Fax Number | 8665862431 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2013-10-25 |
| Authorized Official Name | RONALD BARG (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6102392871 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA | 2925755 | 01 |
| PA | HEALTHNET | 3Y30390 | 01 |
| PA | RAILROAD MEDICARE | CB8575 | 01 |
| PA | KEYSTONE | 2101020000 | 01 |
| PA | KEYSTONE MERCY | 30002008 | 01 |
| PA | BLUE SHIELD | 1413752 | 01 |
| PA | 1007306640 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508380452 | Clinical Care Associates of The University of Pennsylvania Health Syst | Family Medicine | 1930 South Broad St, Unit 28, Penn Urgent Care South Philadelphia, Philadelphia, PA 19145-2328 | 2017-08-02 |
| 1790737468 | Clinical Care Associates of The University of Pennsylvania Health Syst | Psychiatry & Neurology | 250 King of Prussia Rd, 4th Floor, Radnor, PA 19087-5220 | 2006-05-17 |
| Street Address |
230 W WASHINGTON SQ 5TH FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19106-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003814807 | Kwabena Adu Ntoso | Internal Medicine | 230 W Washington Sq, Suite 100, Philadelphia, PA 19106-3500 | 2005-07-14 |
| 1003434697 | Melissa Heller | Counselor | 230 W Washington Sq, Philadelphia, PA 19106-3585 | 2020-07-09 |
| 1366085672 | Allison Danielle Hart | Physical Therapist | 230 W Washington Sq, Philadelphia, PA 19106-3585 | 2019-10-21 |
| 1932754397 | Joseph Marino Gigliotti | Physical Therapist | 230 W Washington Sq, Philadelphia, PA 19106-3585 | 2019-08-02 |
| 1912461047 | Marianne Louie Englander | Nurse Practitioner | 230 W Washington Sq, 2nd Fl, Philadelphia, PA 19106-3500 | 2019-01-23 |
| 1881173136 | Kendra Lee | Nurse Practitioner | 230 W Washington Sq, Fl 3, Philadelphia, PA 19106-3500 | 2018-08-08 |
| 1255847976 | Samantha Pluy | Nurse Practitioner | 230 W Washington Sq, Philadelphia, PA 19106-3585 | 2017-12-18 |
| 1841711355 | Taylor Jane Apostolico | Genetic Counselor, MS | 230 W Washington Sq, Philadelphia, PA 19106-3585 | 2017-07-06 |
| 1609315084 | Alyssa Ellen Guerrero | Physician Assistant | 230 W Washington Sq, 5th Floor, Philadelphia, PA 19106-3585 | 2017-02-17 |
| 1215472378 | Jjl&w Inc. T/a Komfort & Kare | Durable Medical Equipment & Medical Supplies | 230 W Washington Sq, 5th Floor, Philadelphia, PA 19106-3585 | 2016-12-28 |
| Find all providers in the same location | ||||
| 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 | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710406103 | Eliezer Sidon | Orthopaedic Surgery | 1015 Chestnut St Ste 801, Philadelphia, PA 19107-4308 | 2017-09-17 |
| 1043470586 | Clinical Health Care Associates of New Jersey, PC | Orthopaedic Surgery | 230 W Washington Sq, 5th Floor, Philadelphia, PA 19106-3500 | 2008-06-09 |
| 1255363362 | Alan M Burke | Orthopaedic Surgery | 1923 Welsh Rd, Philadelphia, PA 19115-4659 | 2006-07-07 |
| 1265487623 | Steven Mark Raikin | Orthopaedic Surgery | 925 Chestnut St, 5th Floor, Philadelphia, PA 19107-4216 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066959 | Lauren Olivia Buchma | Orthopaedic Surgery | 30 Hope Drive Bldg B Suite 2400, Hershey, PA 17033-2036 | 2019-07-29 |
| 1154557908 | Orthopaedic Associates of Allentown | Orthopaedic Surgery | 341 E Bertsch St, Lansford, PA 18232-2111 | 2009-06-08 |
| 1821409632 | Alan C Stuto | Orthopaedic Surgery | 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103 | 2014-05-14 |
| 1417375981 | Amanda Holleran | Orthopaedic Surgery | 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2014-04-02 |
| 1649535048 | Umur Aydogan | Orthopaedic Surgery | 500 University Dr, Hershey, PA 17033-2360 | 2012-07-11 |
| 1841553278 | James Robert Lachman | Orthopaedic Surgery | 1534 Park Ave, Quakertown, PA 18951-1084 | 2012-06-20 |
| 1740507185 | Rachel Shakked | Orthopaedic Surgery | 2400 Maryland Rd, Suite 20, Willow Grove, PA 19090-1700 | 2010-04-26 |
| 1578790853 | George Chloros | Orthopaedic Surgery | 1307 Federal St Ste 2, Pittsburgh, PA 15212-4769 | 2009-06-15 |
| 1609012368 | Jennifer H Fortenberry | Orthopaedic Surgery | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2008-12-31 |
| 1679745772 | George A. Arangio Md PC | Orthopaedic Surgery | 5925 Tilghman St, Suite 200, Allentown, PA 18104-9156 | 2008-03-28 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19106 |
Please comment or provide details below to improve the information on CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST.
| 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.