Jesse Michael Civan (NPI# 1316000805, PAC ID# 1456591221) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1316000805 |
| PAC ID by PECOS | 1456591221 |
| Professional Enrollment ID | I20130628000488 |
| Full Name | Jesse Michael Civan |
| Organization Legal Name | JEFFERSON UNIVERSITY PHYSICIANS |
| Address |
1300 Wolf St Philadelphia PA 19148-2912 |
| Phone Number | 2159521428 |
| Gender | M |
| Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 7911819180 |
| Number of Group Practice Members | 1112 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390174 | THOMAS JEFFERSON UNIVERSITY HOSPITAL |
| 080001 | CHRISTIANA HOSPITAL |
| 390139 | BRYN MAWR HOSPITAL |
| 390231 | ABINGTON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 | 2159558900 | JEFFERSON UNIVERSITY PHYSICIANS |
| 1300 Wolf St, Philadelphia, PA 19148-2912 | 2159521428 | JEFFERSON UNIVERSITY PHYSICIANS |
| Organization Legal Name | JEFFERSON UNIVERSITY PHYSICIANS |
| Physicians | 1030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey Wayne Krampitz | General Surgery | Jefferson University Physicians | 1100 Walnut St, Mob 5th Floor, Philadelphia, PA 19107-5563 |
| Christopher James Adkins | Gastroenterology | Jefferson University Physicians | 132 S 10th St, 480 Main Building, Philadelphia, PA 19107-5244 |
| Eric Jason Shiffrin | Internal Medicine | Jefferson University Physicians | 211 S 9th St, Suite 600, Philadelphia, PA 19107-6810 |
| Swathi Maddula | Internal Medicine | Jefferson University Physicians | 909 Walnut St, 2nd Floor, Philadelphia, PA 19107-5211 |
| Jian Li | Nurse Practitioner | Jefferson University Physicians | 4050 S 26th St, Philadelphia, PA 19112-1613 |
| Jessica E Most | Pulmonary Disease | Jefferson University Physicians | 834 Walnut St, 1st Floor, Philadelphia, PA 19107-5108 |
| Ashley K. Summer | Internal Medicine | Jefferson University Physicians | 225 E City Ave, Suite 109, Bala Cynwyd, PA 19004-1724 |
| Melissa Schimpf | Nurse Practitioner | Jefferson University Physicians | 1205 Langhorne-newton Rd, Mob Suite 210 St Mary Medical Center, Langhorne, PA 19047-1221 |
| Mary Pollice | Nurse Practitioner | Jefferson University Physicians | 2603 S Broad St, Philadelphia, PA 19148-4366 |
| Brain J Karp | Gastroenterology | Jefferson University Physicians | 1300 Wolf St, Philadelphia, PA 19148-2912 |
| Street Address |
1300 WOLF ST |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19148-2912 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brain J Karp | Gastroenterology | Jefferson University Physicians | 1300 Wolf St, Philadelphia, PA 19148-2912 |
| Manish Thapar | Gastroenterology | Jefferson University Physicians | 1300 Wolf St, Philadelphia, PA 19148-2912 |
| David Mark Kastenberg | Gastroenterology | Jefferson University Physicians | 1300 Wolf St, Philadelphia, PA 19148-2912 |
| Cecilia Clarke Kelly | Gastroenterology | Jefferson University Physicians | 1300 Wolf St, Philadelphia, PA 19148-2912 |
| Dina Louise Halegoua De Marzio | Gastroenterology | Jefferson University Physicians | 1300 Wolf St, Philadelphia, PA 19148-2912 |
| Hie Won Hann | Pediatric Medicine | Jefferson University Physicians | 1300 Wolf St, Philadelphia, PA 19148-2912 |
| Nathaniel R Evans | Thoracic Surgery | Jefferson University Physicians | 1300 Wolf St, Philadelphia, PA 19148-2912 |
| Howard S Kroop | Gastroenterology | Jefferson University Physicians | 1300 Wolf St, Philadelphia, PA 19148-2912 |
| Janice Carsello | Nurse Practitioner | Jefferson University Physicians | 1300 Wolf St, 3rd Floor, Philadelphia, PA 19148-2912 |
| Rebekah J Mccurdy | Obstetrics/gynecology | Jefferson University Physicians | 1300 Wolf St, Philadelphia, PA 19148-2912 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth C Hannegan | Physical Therapy | Atlantic Physical Therapy Group Pa LLC | 1208 -12 Tasker St, Floor 2, Philadelphia, PA 19148-1019 |
| Marc C Petrone | Internal Medicine | Zaccone and Petrone PC | 1208 Tasker St, Philadelphia, PA 19148-1019 |
| Michelle W Friedman | Physical Therapy | Atlantic Physical Therapy Group Pa LLC | 1208 -12 Tasker St, Floor 2, Philadelphia, PA 19148-1019 |
| William Zaccone | Internal Medicine | Zaccone and Petrone PC | 1208 Tasker St, Philadelphia, PA 19148-1019 |
| Kathleen English | Physical Therapy | Atlantic Physical Therapy Group Pa LLC | 1208 -12 Tasker St, Floor 2, Philadelphia, PA 19148-1019 |
| Michael J Pisano Iii | Internal Medicine | 1626 E Passyunk Ave, Philadelphia, PA 19148-1122 | |
| Michael Robert West | Physician Assistant | Cardiology Consultants of Philadelphia PC | 1703 S Broad St, Suite 300, Philadelphia, PA 19148-1536 |
| Matthew G Levy | Cardiovascular Disease (cardiology) | Cardiology Consultants of Philadelphia PC | 1703 S Broad St, Suite 300, Philadelphia, PA 19148-1536 |
| Christopher L Baldi | Cardiac Electrophysiology | Cardiology Consultants of Philadelphia PC | 1703 S Broad St, Suite 300, Philadelphia, PA 19148-1536 |
| Leo A Podolsky | Cardiovascular Disease (cardiology) | Cardiology Consultants of Philadelphia PC | 1703 S Broad St, Suite 300, Philadelphia, PA 19148-1536 |
| Find all physicians in zip 19148 | |||
| City | PHILADELPHIA |
| Zip Code | 19148 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | PHILADELPHIA + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Jesse Michael Civan.
| 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.