KAREN ELIZABETH REVERE (NPI# 1982963096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982963096 |
Entity Type | Individual |
Full Name | KAREN ELIZABETH REVERE |
Credential | M.D. |
Practice Address |
3801 Filbert St Philadelphia PA 19104-2640 |
Practice Telephone | 2156628100 |
Mailing Telephone | 2156628100 |
Enumeration Date | 2012-05-09 |
Last Update Date | 2018-04-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | MD454055 | PA | Allopathic & Osteopathic Physicians |
Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
MD454055 | PA | Allopathic & Osteopathic Physicians |
Street Address |
3801 FILBERT ST |
City | PHILADELPHIA |
State | PA |
Zip Code | 19104-2640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912933607 | Laura M Kosseim | Internal Medicine | 3801 Filbert St, Mab, Suite 102, Philadelphia, PA 19104-2640 | 2006-06-24 |
1558864975 | Stephanie Barndt | Nurse Practitioner | 3801 Filbert St, Philadelphia, PA 19104-2640 | 2018-03-12 |
1285141051 | Katie Michelle Stonelake | Internal Medicine | 3801 Filbert St, 4 Hvp, Philadelphia, PA 19104-2640 | 2018-01-03 |
1962917088 | Kevin Patrick Lewis | Nurse Practitioner | 3801 Filbert St, Philadelphia, PA 19104 | 2017-12-12 |
1104282359 | Katayoon Baradaran Ebrahimi | Ophthalmology | 3801 Filbert St, Philadelphia, PA 19104-2640 | 2016-01-04 |
1417329574 | Erin D Finnegan | Nurse Practitioner | 3801 Filbert St, Philadelphia, PA 19104-2640 | 2015-10-28 |
1164802971 | Yoav Karpenshif | Internal Medicine | 3801 Filbert St, Mab Ste 102, Philadelphia, PA 19104 | 2015-06-05 |
1821484239 | Xisui Shirley Chen | Internal Medicine | 3801 Filbert St, Mab Ste 102, Philadelphia, PA 19104-2640 | 2015-04-13 |
1093084675 | Gina Marie Poppiti | Physician Assistant | 3801 Filbert St, Philadelphia, PA 19104 | 2011-12-28 |
1013205145 | Qi N Cui | Ophthalmology | 3801 Filbert St, Philadelphia, PA 19104-2640 | 2011-07-11 |
Find all providers in the same location |
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 | 207WX0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
Specialization | Ophthalmic Plastic and Reconstructive Surgery |
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669529780 | Paul B Johnson | Ophthalmology | 1923 Mount Vernon St, Philadelphia, PA 19130-3213 | 2007-01-03 |
1477948412 | Siwei Zhou | Ophthalmology | 840 Walnut St Ste 910, Philadelphia, PA 19107-5599 | 2015-04-06 |
1548689425 | Sana Ali Bautista | Ophthalmology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2014-04-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609353291 | Eye and Facial Plastic Surgery Consultants LLC | Ophthalmology | 1203 Newtown-langhorne Road, Suite 120, Langhorne, PA 19047 | 2018-07-26 |
1881685048 | Daniel E Buerger | Ophthalmology | 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 | 2005-11-04 |
1811064561 | Pittsburgh Oculoplastic Associates, Ltd | Ophthalmology | 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 | 2006-11-29 |
1841240827 | Cari Elizabeth Lyle | Ophthalmology | 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 | 2006-05-11 |
1568443166 | Phillip Hyunchul Choo | Ophthalmology | 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 | 2005-11-10 |
1730160631 | David G Buerger | Ophthalmology | 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 | 2005-11-08 |
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.