MS. AMY M BUSTIN


Address: 1015 Chestnut St, Suite 821, Philadelphia, PA 19107-4316
Phone: 2159221801

MS. AMY M BUSTIN (NPI# 1982643920) 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) 1982643920
Entity Type Individual
Full Name MS. AMY M BUSTIN
Credential PA-C
Practice Address 1015 Chestnut St
Suite 821
Philadelphia
PA 19107-4316
Practice Telephone 2159221801
Practice Fax Number 2159221806
Mailing Telephone 2159221801
Mailing Fax Number 2159221806
Enumeration Date 2006-06-05
Last Update Date 2009-02-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
MA051630 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1015 CHESTNUT ST
SUITE 821
City PHILADELPHIA
State PA
Zip Code 19107-4316

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NPI Name Taxonomy Address Enumeration
1447255831 Jocelyn J Sivalingam Internal Medicine 1015 Chestnut St, Ste 1518, Philadelphia, PA 19107-4315 2005-06-14
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1063977973 Karen Loos Nurse Practitioner 1015 Chestnut St, Philadelphia, PA 19107-4316 2019-02-05
1649717893 Stefanie Lauko Nurse Practitioner 1015 Chestnut St, Philadelphia, PA 19107-4316 2017-01-26
1104283555 Today's Woman Global Health LLC Obstetrics & Gynecology 1015 Chestnut St, Suite 1506, Philadelphia, PA 19107-4316 2016-01-15
1649643545 Franklin Eye Care PC Optometrist 1015 Chestnut St, #417, Philadelphia, PA 19107-4316 2015-11-02
1659759678 Stephen Peter Gadomski II Student in an Organized Health Care Education/Training Program 1015 Chestnut St, Suite 620, Philadelphia, PA 19107-4316 2015-05-11
1649667700 Courtney Lee Devin Student in an Organized Health Care Education/Training Program 1015 Chestnut St, Suite 620, Philadelphia, PA 19107-4316 2015-04-16
1710374848 Ellen Caparosa Student in an Organized Health Care Education/Training Program 1015 Chestnut St, Suite 620, Philadelphia, PA 19107-4316 2015-04-15
1275929309 Geoffrey Kozak Student in an Organized Health Care Education/Training Program 1015 Chestnut St, Suite 620, Philadelphia, PA 19107-4316 2015-04-15
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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 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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1306308879 Ria Raju Physician Assistant 7909 Lawndale Ave, Philadelphia, PA 19111-2652 2019-04-03
1386101400 Ashley Thomas Physician Assistant 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 2019-02-25
1487119186 Shelby Elizabeth Ginsburg Physician Assistant 1200 W Tabor Rd Fl Bl4, Philadelphia, PA 19141-3019 2019-02-06
1346720059 Noelle Elizabeth Mullanaphy Physician Assistant 4031 Sheffield St, Philadelphia, PA 19136-3101 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
1912409533 Lauren Joy Barton Physician Assistant 5401 N Broad St Ste 363, Philadelphia, PA 19141 2018-02-28
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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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