Gordon K Ijelu (NPI# 1841244027, PAC ID# 2769658046) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1841244027 |
| PAC ID by PECOS | 2769658046 |
| Professional Enrollment ID | I20120109000598 |
| Full Name | Gordon K Ijelu |
| Address |
6329 N Broad St Philadelphia PA 19141-2009 |
| Gender | M |
| Graduation Year | 1978 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | NEPHROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390142 | ALBERT EINSTEIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3230 W Cheltenham Ave, Philadelphia, PA 19150-1003 | ||
| 6329 N Broad St, Philadelphia, PA 19141-2009 |
| Street Address |
6329 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19141-2009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin I Friedlander | Urology | Einstein Practice Plan Inc | 1200 Tabor Rd Moss Rehab 3 Sley, Philadelphia, PA 19141 |
| Steven Sterious | Urology | Einstein Practice Plan Inc | 1200 Tabor Rd Moss Rehab 3 Sley, Philadelphia, PA 19141 |
| Jay Simhan | Urology | Einstein Practice Plan Inc | 1200 Tabor Rd Moss Rehab 3 Sley, Philadelphia, PA 19141 |
| Sara Pentlicky | Obstetrics/gynecology | Einstein Practice Plan Inc | 7131 -39 Frankford Ave, Suite 2, Philadelphia, PA 19141 |
| Kristine Nissley | Nurse Practitioner | Einstein Practice Plan Inc | 1200 Tabor Rd Moss Rehab 3 Sley, Philadelphia, PA 19141 |
| Lauren Pleis | Nurse Practitioner | Einstein Practice Plan Inc | 1200 Tabor Rd Moss Rehab 3 Sley, Philadelphia, PA 19141 |
| Erin Ohmann | Urology | Einstein Practice Plan Inc | 1200 Tabor Rd Moss Rehab 3 Sley, Philadelphia, PA 19141 |
| Frances C Hunter | Internal Medicine | 5116 N Broad St, Philadelphia, PA 19141-1626 | |
| Emmanuel K Ohemeng Jr. | Podiatry | 5922 N Broad St, Fl 1, Philadelphia, PA 19141-1802 | |
| David E Knox | Cardiovascular Disease (cardiology) | David E Knox Md PC | 5924 -26 N Broad St, Philadelphia, PA 19141-1802 |
| Find all physicians in zip 19141 | |||
| City | PHILADELPHIA |
| Zip Code | 19141 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PHILADELPHIA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Gordon K Ijelu.
| 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.