Gerald L Devaughn


Address: 5249 Cedar Ave, Philadelphia, PA 19143-1524

Gerald L Devaughn (NPI# 1578636072, PAC ID# 2567505225) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).

Physician Overview

Nation Provider ID (NPI) 1578636072
PAC ID by PECOS 2567505225
Professional Enrollment ID I20100203000150
Full Name Gerald L Devaughn
Address 5249 Cedar Ave
Philadelphia
PA 19143-1524
Gender M
Medical School HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1979
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390156 MERCY FITZGERALD HOSPITAL

Other Locations

Address Phone Organization
1500 Lansdowne Ave, Darby, PA 19023-1200 MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
501 S 54th St, Philadelphia, PA 19143-1900 MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
5249 Cedar Ave, Philadelphia, PA 19143-1524

Organization Information

Office Location

Street Address 5249 CEDAR AVE
City PHILADELPHIA
State PA
Zip 19143-1524

Physicians in the same zip code

Name Specialty Organization Address
Eric S Lustig Podiatry 4715 Pine St, Philadelphia, PA 19143-1831
Michael D Walinsky Podiatry 4715 Pine St, Philadelphia, PA 19143-1831
Chandrudu Duggirala Psychiatry Mercy Management of Southeastern Pennsylvania 501 S 54th St, Philadelphia, PA 19143-1900
Tenzin Dechen Nurse Practitioner Mercy Management of Southeastern Pennsylvania 501 S 54th St, Philadelphia, PA 19143-1900
Michael G Hagar Optometry West Philadelphia Eye Associate Inc. 501 S 54th St, Suite 24, Philadelphia, PA 19143-1900
Abraham Scheer Psychiatry Mercy Management of Southeastern Pennsylvania 501 S 54th St, Suite 28, Philadelphia, PA 19143-1900
Arafat Hakim Hospitalist Mercy Management of Southeastern Pennsylvania 501 S 54th St, Philadelphia, PA 19143-1900
Samia R Henien Pathology Mercy Management of Southeastern Pennsylvania 501 S 54th St, Philadelphia, PA 19143-1900
Gul Madison Infectious Disease Mercy Management of Southeastern Pennsylvania 501 S 54th St, Philadelphia, PA 19143-1900
Daveda June Graham Nurse Practitioner Mercy Management of Southeastern Pennsylvania 501 S 54th St, Philadelphia, PA 19143-1900
Find all physicians in zip 19143

Competitor

Search similar physicians

City PHILADELPHIA
Zip Code 19143
Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
City + Specialty PHILADELPHIA + CARDIOVASCULAR DISEASE (CARDIOLOGY)

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Dataset Information

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.

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