MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA (NPI# 1962520502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962520502 |
Entity Type | Organization |
Organization Name | MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA |
Other Organization Name | MERCY FITZGERALD HOSPITAL CASE MANAGEMENT |
Practice Address |
1500 Lansdowne Ave Darby PA 19023-1200 |
Mailing Address |
1 W Elm St Conshohocken PA 19428-2007 |
Practice Telephone | 6102374000 |
Mailing Telephone | 6105676000 |
Enumeration Date | 2007-03-26 |
Last Update Date | 2008-06-16 |
Authorized Official Name | MR. JOSEPH H. BRADLEY (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 6105676771 |
Is Organization Subpart | Y |
Parent Organization Name | MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251B00000X | Case Management | Agencies |
Other Name | Type Code |
---|---|
Mercy Fitzgerald Hospital Case Management | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437130705 | Mercy Catholic Medical Center of Southeastern Pa | Psychiatry & Neurology | 1503 Lansdowne Avenue, Suite 2000, Philadelphia, PA 19143-1900 | 2005-11-14 |
1861486698 | Mercy Catholic Medical Center of Southeastern Pa | General Acute Care Hospital | 501 S 54th St, Philadelphia, PA 19143-1900 | 2005-09-08 |
1801057617 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 501 S 54th St, Philadelphia, PA 19143-1900 | 2008-06-24 |
1700904802 | Mercy Catholic Medical Center of Southeastern Pa | General Acute Care Hospital | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2007-03-27 |
1730207267 | Mercy Catholic Medical Center of Southeastern Pa | General Acute Care Hospital | 501 S 54th St, Philadelphia, PA 19143-1900 | 2007-03-26 |
1063553709 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 501 S 54th St, Philadelphia, PA 19143-1900 | 2007-02-08 |
1083754352 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 501 S 54th St, Philadelphia, PA 19143-1900 | 2007-02-07 |
1568502656 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2007-02-07 |
1043350168 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 501 S 54th St, Philadelphia, PA 19143-1900 | 2007-02-07 |
1699815811 | Mercy Catholic Medical Center of Southeastern Pa | Clinic/Center | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2007-02-07 |
Street Address |
1500 LANSDOWNE AVE |
City | DARBY |
State | PA |
Zip Code | 19023-1200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780682427 | William J Weir | Nurse Anesthetist, Certified Registered | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2005-07-07 |
1194333682 | Akhil Jain | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Mercy Catholic Medical Center, Darby, PA 19023 | 2020-07-21 |
1336757996 | Abhigna Uday Kumar Kulkarni | Internal Medicine | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-07-20 |
1194333161 | Manila Sharma | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023 | 2020-07-16 |
1336767656 | Venkata Durga Navyam Kagita | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-07-13 |
1457979833 | Rea Harxhi | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-07-11 |
1952929804 | Mahmoud M Shalaby | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-07-08 |
1790302305 | Asad Raza Syed | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-06-30 |
1265059976 | David William Temme Jr. | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-06-29 |
1740806348 | Utsav Aiya | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-06-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972113348 | Ibrahim Abdulkadir Ahmed | Student in an Organized Health Care Education/Training Program | Mercy Catholic Medical Center, 1500 Lansdowne Avenue, Darby, PA 19023 | 2020-07-31 |
1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
1003476813 | Nicole Tomkowich | Student in an Organized Health Care Education/Training Program | 500 Lansdowne Avenue, Darby, PA 19023 | 2019-06-14 |
1497220131 | Margaret Kathleen Halloran | Nurse Practitioner | 1501 Lansdowne Ave Mob, 1st Floor, Darby, PA 19023 | 2018-10-09 |
1427428705 | Peter Goanue | Counselor | 207 North 2nd Street, Darby, PA 19023 | 2015-09-30 |
1518363696 | Trucompanion Transportation Service | Non-emergency Medical Transport (VAN) | 100 N 6th Street Apt 2, Darby, PA 19023 | 2014-11-17 |
1366872269 | Chirman Beatty | Licensed Practical Nurse | 400 S. 5th St Apt A9, Darby, PA 19023 | 2013-11-14 |
1639514151 | Advanced Nursing Care Inc | Nursing Care | 217 Clifton Avenue, Suite # 8, Collingdale, PA 19023 | 2013-05-10 |
1114277191 | Ayesha Farooq | Dentist | 14 Macdave Blvd, Gentle Dental, Collingdale, PA 19023 | 2012-09-17 |
1366736787 | Gi Medical Associates | Internal Medicine | 320 Macdade Blvd., Collingdale, PA 19023 | 2011-06-02 |
Find all providers in zip 19023 |
Taxonomy Code | 251B00000X |
Grouping | Agencies |
Classification | Case Management |
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629677182 | Tahira Wilson | Case Management | 1521 66th Ave, Philadelphia, PA 19126-2766 | 2020-10-25 |
1811501331 | Ascellahealth LLC | Case Management | 1055 Westlakes Dr Ste 175, Berwyn, PA 19312-2419 | 2020-09-02 |
1215540976 | The Program for Female Offenders | Case Management | 381 S 2nd St, Steelton, PA 17113-2524 | 2020-08-24 |
1679185128 | Continuous Health Group LLC. | Case Management | 406 Fairmont Rd, Havertown, PA 19083-1902 | 2020-08-17 |
1992320188 | Labrador Health Inc | Case Management | 435 Inveraray Rd, Villanova, PA 19085-1139 | 2020-06-12 |
1215551304 | Neuroflow | Case Management | 111 S Independence Mall E Ste 701, Philadelphia, PA 19106-2512 | 2020-06-03 |
1780207399 | Human Service Administration Organization | Case Management | 2801 Custer Ave Ste 1, Pittsburgh, PA 15227-3941 | 2020-05-19 |
1699301952 | Kisx Card LLC | Case Management | 1 Kacey Ct Ste 100, Mechanicsburg, PA 17055-9223 | 2020-03-19 |
1326687161 | Road To Independence | Case Management | 724 Atwood Rd, Philadelphia, PA 19151-3702 | 2019-12-26 |
1538706973 | Vision of A Better Tomorrow, Inc. | Case Management | 150 Lookout Ct, Henryville, PA 18332-7759 | 2019-12-04 |
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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.