PENNCARE PENNSYLVANIA HOSPITALIST ASSOCIATES


Address: 801 Spruce St, 3e, Philadelphia, PA 19107-5701
Phone: 2158298484

PENNCARE PENNSYLVANIA HOSPITALIST ASSOCIATES (NPI# 1942341185) 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) 1942341185
Entity Type Organization
Organization Name PENNCARE PENNSYLVANIA HOSPITALIST ASSOCIATES
Other Organization Name PENNCARE - ZUBROW, KERSHBAUM, COHEN
Practice Address 801 Spruce St
3e
Philadelphia
PA 19107-5701
Mailing Address 5810 Nancy Ridge Dr
100
San Diego
CA 92121-2834
Practice Telephone 2158298484
Enumeration Date 2007-02-09
Last Update Date 2009-11-04
Authorized Official Name KENNY HEINE (DIRECTOR OF OPERATIONS)
Authorized Official Telephone 8586252990
Is Organization Subpart Y
Parent Organization Name MEDVANTX, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site MD010417E PA Suppliers

Other Provider/Organization Names

Other Name Type Code
PennCare - Zubrow, Kershbaum, Cohen Doing Business As Name - Organization

Office Location

Street Address 801 SPRUCE ST
3E
City PHILADELPHIA
State PA
Zip Code 19107-5701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447250386 Spruce Mri Associates Radiology 801 Spruce St, Philadelphia, PA 19107-5701 2005-07-21
1669860854 University of Penn-medical Group Clinic/Center 801 Spruce St, 8th Floor, Philadelphia, PA 19107-5701 2014-12-23
1437569993 Diana Nointin Student in an Organized Health Care Education/Training Program 801 Spruce St, 10th Floor, Philadelphia, PA 19107-5701 2014-05-05
1700185485 Sara Ann Folit-weinberg Obstetrics & Gynecology 801 Spruce St, Philadelphia, PA 19107-5701 2011-03-21
1275718611 Lena Marie Flower Nurse Practitioner 801 Spruce St, 8th Floor, Philadelphia, PA 19107-5701 2008-01-04
1659492122 Univ of Penn - Ob-gyn Obstetrics & Gynecology 801 Spruce St, 8th Floor, Philadelphia, PA 19107-5701 2007-04-03
1356496301 Suleena Kansal Kalra Obstetrics & Gynecology 801 Spruce St, 7th Floor, Philadelphia, PA 19107-5701 2007-01-23
1407911449 Rebecca Michelle Mazar Obstetrics & Gynecology 801 Spruce St, Philadelphia, PA 19107-5701 2006-12-27
1669554978 Joyce Rachel Rubin Internal Medicine 801 Spruce St, Spruce Building, Suite 3e, Philadelphia, PA 19107-5701 2006-10-19
1356450548 Univ of Penn- Ob-gyn Obstetrics & Gynecology 801 Spruce St, 8th Floor, Philadelphia, PA 19107-5701 2006-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023655602 Dedicated Pennsylvania Holding, LLC Non-Pharmacy Dispensing Site 330 W Oregon Ave # 170, Philadelphia, PA 19148-4723 2019-12-03
1134528839 Bucks Philadelphia Medical Care Group Non-Pharmacy Dispensing Site 10745 Haldeman Ave, Philadelphia, PA 19116-3928 2014-08-19
1376843912 Philadelphia Chemocap Hair Store Non-Pharmacy Dispensing Site 766 S 4th St, Philadelphia, PA 19147-3137 2010-10-29
1326185182 Morrell Eye Care, Inc. Non-Pharmacy Dispensing Site 3810 Morrell Ave, Philadelphia, PA 19114-1915 2007-01-31
1588738017 David L Topolsky Md Non-Pharmacy Dispensing Site 230 S Broad St, 15th Flr, Philadelphia, PA 19102-4121 2006-11-17
1356828123 Richard H. Kaplan, M.d., P.C. Non-Pharmacy Dispensing Site 9140 Academy Rd Ste A, Philadelphia, PA 19114-2853 2018-07-25
1407397565 Premier Pain & Rehab Center Non-Pharmacy Dispensing Site 10184 Verree Rd, Philadelphia, PA 19116-3637 2017-03-09
1336699776 Anand Medical Investment Non-Pharmacy Dispensing Site 5000 Frankford Ave, Suite 2, Philadelphia, PA 19124-2620 2016-10-10
1780926915 Alliance Cancer Specialists,p.c. Non-Pharmacy Dispensing Site 3998 Red Lion Rd, Suite 130, Philadelphia, PA 19114-1445 2013-03-26
1679844492 Alliance Cancer Specialists, P.C. Non-Pharmacy Dispensing Site 3998 Red Lion Rd, Suite 130, Philadelphia, PA 19114-1445 2012-01-25
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Competitor

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City PHILADELPHIA
Zip Code 19107

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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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