Michael Y Yang (NPI# 1265788962, PAC ID# 0840500765) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1265788962 |
| PAC ID by PECOS | 0840500765 |
| Professional Enrollment ID | I20151105000835 |
| Full Name | Michael Y Yang |
| Organization Legal Name | MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA |
| Address |
5630 Chestnut St Philadelphia PA 19139-3232 |
| Phone Number | 2157483100 |
| Gender | M |
| Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 2015 |
| Primary Specialty | SPORTS MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 1456265974 |
| Number of Group Practice Members | 112 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390156 | MERCY FITZGERALD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 501 S 54th St, Suite 28, Philadelphia, PA 19143-1900 | 2157489822 | MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA |
| 5630 Chestnut St, Philadelphia, PA 19139-3232 | 2157483100 | MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA |
| Organization Legal Name | MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA |
| Physicians | 122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sonia Bisaccia | Family Medicine | Mercy Management of Southeastern Pennsylvania | 1001 Baltimore Pike, Suite 109, Springfield, PA 19064-2852 |
| Stephanie Smiley | Nurse Practitioner | Mercy Management of Southeastern Pennsylvania | 5346 Cedar Ave, Philadelphia, PA 19143-1918 |
| Seonia A Hutchinson | Internal Medicine | Mercy Management of Southeastern Pennsylvania | 925 Providence Rd, Suite 8and9, Secane, PA 19018-2920 |
| Sean Quigley | Physician Assistant | Mercy Management of Southeastern Pennsylvania | 2821 Island Avenue Dand E, Philadelphia, PA 19153-2300 |
| William Bernard Mcnamee Jr. | Infectious Disease | Mercy Management of Southeastern Pennsylvania | 1503 Lansdowne Ave, Suite 3003, Darby, PA 19023-1308 |
| Chandrudu Duggirala | Psychiatry | Mercy Management of Southeastern Pennsylvania | 501 S 54th St, Philadelphia, PA 19143-1900 |
| Angeles Gonzalez-prado | Internal Medicine | Mercy Management of Southeastern Pennsylvania | 2821 Island Ave, Suite Dande, Philadelphia, PA 19153-2300 |
| Scott Ian Forman | Internal Medicine | Mercy Management of Southeastern Pennsylvania | 1500 Landsdowne Ave, Mercy Fitzgerald Hospital, Darby, PA 19023-1291 |
| Judith E Burgess | Family Practice | Mercy Management of Southeastern Pennsylvania | 1575 N 52nd St, Suite 800, Philadelphia, PA 19131-4741 |
| Tenzin Dechen | Nurse Practitioner | Mercy Management of Southeastern Pennsylvania | 501 S 54th St, Philadelphia, PA 19143-1900 |
| Street Address |
5630 CHESTNUT ST |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19139-3232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aditi Hemantkumar Chincholi | Internal Medicine | Mercy Management of Southeastern Pennsylvania | 5630 Chestnut St, Philadelphia, PA 19139-3232 |
| Esther C Bliss | Nurse Practitioner | Mercy Management of Southeastern Pennsylvania | 5630 Chestnut St, Philadelphia, PA 19139-3232 |
| Sabina Sharmeen | Internal Medicine | Mercy Management of Southeastern Pennsylvania | 5630 Chestnut St, Philadelphia, PA 19139-3232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Bush | Nurse Practitioner | Spectrum Health Services Inc | 5201 Haverford Ave, Philadelphia, PA 19139-1401 |
| Gary Randolph Davis Jr. | Family Medicine | Spectrum Health Services Inc | 5201 Haverford Ave, Philadelphia, PA 19139-1401 |
| Hilary E Reichlin | Clinical Social Worker | Spectrum Health Services Inc | 5201 Haverford Ave, Philadelphia, PA 19139-1401 |
| Jeffrey K Dunbar | Internal Medicine | Spectrum Health Services Inc | 5201 Haverford Ave, Philadelphia, PA 19139-1401 |
| Abbey N Roepke | Nurse Practitioner | Spectrum Health Services Inc | 5201 Haverford Ave, Philadelphia, PA 19139-1401 |
| Yahaya Ehigie Enakhimion | Nurse Practitioner | Spectrum Health Services Inc | 5201 Haverford Ave, Philadelphia, PA 19139-1401 |
| Courtney M Powell | Family Medicine | Spectrum Health Services Inc | 5201 Haverford Ave, Philadelphia, PA 19139-1401 |
| Christina Lipuma | Registered Dietitian Or Nutrition Professional | Spectrum Health Services Inc | 5201 Haverford Ave, Philadelphia, PA 19139-1401 |
| Anita Gill | Nurse Practitioner | Spectrum Health Services Inc | 5201 Haverford Ave, Philadelphia, PA 19139-1401 |
| Agnes H Simmons | General Practice | 6201 Chestnut St, Philadelphia, PA 19139-2906 | |
| Find all physicians in zip 19139 | |||
| City | PHILADELPHIA |
| Zip Code | 19139 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | PHILADELPHIA + SPORTS MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.