MERCY MANAGEMENT OF SEPA (NPI# 1982128690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982128690 |
Entity Type | Organization |
Organization Name | MERCY MANAGEMENT OF SEPA |
Other Organization Name | SEPA MULTI - SPECIALTY GROUP |
Practice Address |
501 S 54th St Ste 186 Philadelphia PA 19143-1900 |
Mailing Address |
1 W Elm St Conshohocken PA 19428-4108 |
Practice Telephone | 2157489530 |
Practice Fax Number | 2157489199 |
Mailing Telephone | 6105676964 |
Mailing Fax Number | 6105675420 |
Enumeration Date | 2017-08-03 |
Last Update Date | 2018-03-17 |
Authorized Official Name | AMIEE BRENNAN (CREDENTIALING SUPERVISOR) |
Authorized Official Telephone | 6105676964 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
SEPA Multi - Specialty Group | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1001 Baltimore Pike Lowr Level, Springfield, PA 190642800 | 4844792600 | 4844792699 |
1001 Baltimore Pike Ste 109, Springfield, PA 190642852 | 6105346270 | 6105346269 |
1500 Lansdowne Ave, Darby, PA 190231200 | 6102375851 | 6102374017 |
1500 Lansdowne Ave, Darby, PA 190231200 | 6105675392 | 6102372797 |
1500 Lansdowne Ave Bldg G103, Darby, PA 190231200 | 6102377950 | 6102377955 |
1501 Lansdowne Ave Fl 1, Darby, PA 190231333 | 6105346270 | 6105346269 |
1501 Lansdowne Ave Fl Mob1, Darby, PA 190231333 | 2157489653 | 2157489809 |
1501 Lansdowne Ave Fl South, Darby, PA 190231333 | 6102374210 | 6102374214 |
1501 Lansdowne Ave Ofc Bldg, Darby, PA 190231333 | 6102375817 | 6102375819 |
1501 Lansdowne Ave Ste 210, Darby, PA 190231333 | 6105346142 | 6105346136 |
1501 Lansdowne Ave Ste 307, Darby, PA 190231333 | 6105346170 | 6105346159 |
1503 Lansdowne Ave Ste 1001, Darby, PA 190231330 | 6102372770 | 6102372771 |
1503 Lansdowne Ave Ste 3001, Darby, PA 190231306 | 6105864100 | 6105864114 |
1503 Lansdowne Ave Ste 3003, Darby, PA 190231308 | 4844945344 | 4844945414 |
1575 N 52nd St, Philadelphia, PA 191314736 | 2157476661 | 2154711418 |
4190 City Ave Ste 315, Philadelphia, PA 191311633 | 6105346270 | 6105346269 |
501 S 54th St, Phila, PA 191431900 | 2157489021 | 2157489022 |
501 S 54th St, Phila, PA 191431900 | 6105675408 | |
501 S 54th St Ste 126, Phila, PA 191431900 | 2157489302 | 2157489869 |
501 S 54th St Ste 128, Phila, PA 191431900 | 2157489872 | 2157489535 |
501 S 54th St Ste 128, Philadelphia, PA 191431900 | 2157489872 | 2157489535 |
501 S 54th St Ste 226, Philadelphia, PA 191431900 | 4844945344 | 4844945414 |
501 S 54th St Ste 226, Philadelphia, PA 191431900 | 6105346170 | 6105346159 |
501 S 54th St Ste 227, Phila, PA 191431900 | 2157489653 | 2157489667 |
501 S 54th St Ste 28, Phila, PA 191431900 | 6105346142 | 6105346136 |
501 S 54th St Ste 28, Philadelphia, PA 191431900 | 2157489822 | 2157489717 |
501 S 54th St Ste 478, Phila, PA 191431900 | 2157489833 | 2157489864 |
5346 Cedar Ave, Philadelphia, PA 191431918 | 2157476661 | 2154711418 |
925 Providence Rd Ste 8/9, Secane, PA 190182920 | 6105346128 | |
925 Providence Rd Ste 9, Secane, PA 190182900 | 6102372770 | 6102372771 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
1447776729 | Mercy Management of Sepa | Internal Medicine | 1501 Lansdowne Ave Ste 302, Darby, PA 19023-1333 | 2017-08-17 |
1255857538 | Mercy Management of Sepa | Internal Medicine | 1501 Lansdowne Ave Ste 305, Darby, PA 19023-1333 | 2017-08-17 |
1427573492 | Mercy Management of Sepa | Neurological Surgery | 2701 Holme Ave Ste 305, Phila, PA 19152-2029 | 2017-08-10 |
1972027688 | Mercy Management of Sepa | Family Medicine | 501 S 54th St Ste 26, Philadelphia, PA 19143-1900 | 2017-08-03 |
1598289209 | Mercy Management of Sepa | Family Medicine | 2821 Island Ave Ste De, Philadelphia, PA 19153-2300 | 2017-08-03 |
1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
1285158105 | Mercy Management of Sepa | Family Medicine | 925 Providence Rd Ste 8/9, Secane, PA 19018-2920 | 2017-08-02 |
1740704667 | Mercy Management of Sepa | Family Medicine | 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 | 2017-08-02 |
1831189612 | Mercy Management of Sepa | Internal Medicine | 5630 Chestnut St, Philadelphia, PA 19139-3232 | 2005-10-24 |
Street Address |
501 S 54TH ST STE 186 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19143-1900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215554142 | Trusted Hands Care Professionals LLC | In Home Supportive Care | 1130 South Paxon Street, Philadelphia, PA 19143 | 2020-06-26 |
1477189140 | Kareemah Anjail Abdullah | Counselor | 5307 Chelen Ave, Philadelphia, PA 19143 | 2020-03-13 |
1336604024 | Mohamed Keita | Non-emergency Medical Transport (VAN) | 5030 Warrington Avenue, Philadelphia, PA 19143 | 2019-02-06 |
1366924011 | Whitney Tamika Carter | Specialist/Technologist | 5526 Ridgewood St, Philadelphia, PA 19143 | 2018-08-29 |
1639662190 | Mattew Muchnick | Physical Therapist | 4730 Hazel Ave 2r, Philadelphia, PA 19143 | 2018-06-10 |
1750883062 | Optimal Support for Everyday Lives | Case Management | 5800 Springfield Avenue, Philadelphia, PA 19143 | 2018-03-02 |
1205352671 | New Visions Case Management & Consulting, LLC | Social Worker | 726 S 55th Street, Philadelphia, PA 19143 | 2017-08-17 |
1104342583 | Mercy Management of Southeastern Pennsylvania | Orthopaedic Surgery | 501 S 54th St Ste 28, Phila, PA 19143 | 2017-08-17 |
1093238388 | Blessed Hands Home Care Agency L.L.C. | Home Health | 433 S. 57th Street, Phila, PA 19143 | 2017-07-19 |
1891216529 | Ashley Seiver | Occupational Therapist | 923 S. 46th Street, Philadelphia, PA 19143 | 2017-07-03 |
Find all providers in zip 19143 |
Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528443041 | Michael Ibrahim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3701 Chestnut St Apt 410, Philadelphia, PA 19104-3104 | 2015-07-27 |
1215279112 | Jeffrey M Dunn | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 W. Washington Sq, #1207, Philadelphia, PA 19106 | 2013-03-19 |
1124200167 | Charles Tanos Bakhos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3509 N. Broad St, Philadelphia, PA 19140 | 2007-12-01 |
1548303464 | Srikrishna Sirivella | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Erie Ave & Front Street, St.christopher's Hospital for Children, Cardiothoracic, Philadelphia, PA 19134-1095 | 2007-02-14 |
1114943644 | Raphael Chun-sing Lui | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 151 W School House Ln, Philadelphia, PA 19144-3348 | 2006-07-15 |
1174167571 | Stc Pediatrics LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-30 |
1437793833 | Stc Pediatrics LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-10-30 |
1255975652 | Stc Pediatrics LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2019-10-30 |
1629538228 | Benjamin Franklin Smood | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3400 Spruce Street, 4 Maloney, Department of Surgery, Surgery Education, Philadelphia, PA 19104 | 2019-03-21 |
1770068041 | Chirantan Vinodbhai Mangukia | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-10-02 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19143 |
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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.