Samuel Schepart (NPI# 1528536901, PAC ID# 3173855590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1528536901 |
| PAC ID by PECOS | 3173855590 |
| Professional Enrollment ID | I20191104001628 |
| Full Name | Samuel Schepart |
| Organization Legal Name | LYCEUM LONGEVITY CENTER PLLC |
| Address |
6062 Ridge Ave Philadelphia PA 19128-1647 |
| Phone Number | 21550855552 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 6800138082 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6062 Ridge Ave, Philadelphia, PA 19128-1647 | 21550855552 | LYCEUM LONGEVITY CENTER PLLC |
| Organization Legal Name | LYCEUM LONGEVITY CENTER PLLC |
| Physicians | 1 |
| Street Address |
6062 RIDGE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19128-1647 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul L Ezeukwu | Physical Therapy | Lyceum Physical Medicine, PC | 6062 Ridge Ave, Philadelphia, PA 19128-1647 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William D La Valle | Psychologist, Clinical | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Darnell M Lorick | Nurse Practitioner | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Christina Hallquist | Clinical Social Worker | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Michael P Gray | Psychologist, Clinical | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Erica M Brendel | Psychiatry | Intercommunity Action Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Deborah A Carter | Clinical Social Worker | Intercommunity Action, Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Daniel T Fitzgerald | Clinical Social Worker | Intercommunity Action, Inc | 6122 Ridge Ave, Philadelphia, PA 19128-1603 |
| Marlene Fox Goldwein | Internal Medicine | Einstein Community Health Associates Inc | 6001 Ridge Ave, Philadelphia, PA 19128-1651 |
| Emiliano A Tatar | Pediatric Medicine | Einstein Community Health Associates, Inc | 6001 Ridge Ave, Philadelphia, PA 19128-1651 |
| Baylee Summers | Physician Assistant | On Demand Urgent Care Group PC | 6060 Ridge Ave, Suite 100, Philadelphia, PA 19128-1659 |
| Find all physicians in zip 19128 | |||
| City | PHILADELPHIA |
| Zip Code | 19128 |
| Specialty | CHIROPRACTIC |
| City + Specialty | PHILADELPHIA + CHIROPRACTIC |
Please comment or provide details below to improve the information on Samuel Schepart.
| 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.