FREDERICK VIVINO (NPI# 1952337339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952337339 |
| Entity Type | Individual |
| Full Name | FREDERICK VIVINO |
| Credential | MD |
| Practice Address |
3910 N Powelton Ave 2nd Floor Philadelphia PA 19104-2640 |
| Practice Telephone | 2156629292 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2012-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD033113E | PA | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD033113E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0011613830011 | 05 |
| Street Address |
3910 N POWELTON AVE 2ND FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669414827 | William R Short | Internal Medicine | 3910 N Powelton Ave, 2nd Flr, Philadelphia, PA 19104-2640 | 2006-06-12 |
| 1427438571 | Rayek Nafiz | Psychiatry & Neurology | 3910 N Powelton Ave, Philadelphia, PA 19104-2640 | 2015-06-04 |
| 1225356298 | Erin Sullivan Torday | Psychiatry & Neurology | 3910 N Powelton Ave, Philadelphia, PA 19104-2640 | 2010-05-14 |
| 1841226545 | Elmer Yu | Psychiatry & Neurology | 3910 N Powelton Ave, Philadelphia, PA 19104-2640 | 2006-06-24 |
| 1487698023 | Benjamin Li-ping Hsu | Internal Medicine | 3910 N Powelton Ave, 2nd Floor, Philadelphia, PA 19104-2640 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1215570916 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St Fl 6, Philadelphia, PA 19107-1519 | 2019-10-25 |
| 1093058877 | Kanchana Nilupul Herath | Internal Medicine | 1261 Division Highway, Ste 2, Philadelphia, PA 17522-8822 | 2013-03-31 |
| 1578849162 | Donald M. Friedman | Internal Medicine | 1802 Waverly St, Philadelphia, PA 19146-1423 | 2011-10-26 |
| 1992930408 | Sara Dana Wasserman | Internal Medicine | 3737 Market St Fl 6, Philadelphia, PA 19104 | 2009-05-28 |
| 1053448308 | Arthritis & Rheumatology | Internal Medicine | 245 N Broad Street, Ste 403, Philadelphia, PA 19107 | 2007-02-27 |
| 1023048683 | Lan X Chen | Internal Medicine | 3910 Market St, Rheumatology 2nd Fl. Penn Presbyterian Medical Center, Philadelphia, PA 19104-3149 | 2006-07-03 |
| 1760431548 | Bruce I Hoffman | Internal Medicine | 7908 Bustleton Ave, #b, Philadelphia, PA 19152 | 2006-05-09 |
| 1376518233 | David A Allan | Internal Medicine | 3910 Powelton Ave, 2nd Floor, Philadelphia, PA 19104-2692 | 2006-02-22 |
| 1114929585 | Oscar Horacio Irigoyen | Internal Medicine | 1015 Walnut St, Ste 613, Philadelphia, PA 19107-5005 | 2005-08-15 |
| 1346245073 | Michele Meltzer | Internal Medicine | 211 S 9th St, Suite 600, Philadelphia, PA 19107-6810 | 2005-06-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.