Mark T Watkins (NPI# 1336226166, PAC ID# 3971789454) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1336226166 |
| PAC ID by PECOS | 3971789454 |
| Professional Enrollment ID | I20110518000079 |
| Full Name | Mark T Watkins |
| Organization Legal Name | MAZZONI CENTER |
| Address |
1201 Locust St Philadelphia PA 19107-5409 |
| Phone Number | 2159859206 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 8527043736 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390226 | PENNSYLVANIA HOSPITAL |
| 390111 | HOSPITAL OF UNIV OF PENNSYLVANIA |
| Address | Phone | Organization |
|---|---|---|
| 1201 Locust St, Philadelphia, PA 19107-5409 | 2159859206 | MAZZONI CENTER |
| 1348 Bainbridge St, Philadelphia, PA 19147-1810 | 2155630652 | MAZZONI CENTER |
| Organization Legal Name | MAZZONI CENTER |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin P Benner | Clinical Social Worker | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Hilary A Rosenstein | Family Medicine | Mazzoni Center | 1201 Locust St, Philadelphia, PA 19107-5409 |
| Robert Pileggi | Clinical Social Worker | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Nancy Elizabeth Brisbon | Family Medicine | Mazzoni Center | 1201 Locust St, Philadelphia, PA 19107-5409 |
| Jessica D Lee | Nurse Practitioner | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Cherie Older | Clinical Social Worker | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Maureen D Zdanis | Psychologist, Clinical | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Edward R Faulkner | Clinical Social Worker | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Mary Riendeau | Clinical Social Worker | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Shanin R Gross | Family Medicine | Mazzoni Center | 1201 Locust St, Philadelphia, PA 19107-5409 |
| Street Address |
1201 LOCUST ST |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19107-5409 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hilary A Rosenstein | Family Medicine | Mazzoni Center | 1201 Locust St, Philadelphia, PA 19107-5409 |
| Nancy Elizabeth Brisbon | Family Medicine | Mazzoni Center | 1201 Locust St, Philadelphia, PA 19107-5409 |
| Shanin R Gross | Family Medicine | Mazzoni Center | 1201 Locust St, Philadelphia, PA 19107-5409 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rene Rubin | Hematology | Rittenhouse Hematology and Oncology | 207 N Broad St, 6th Floor, Philadelphia, PA 19107-1500 |
| Jean M Koka | Hematology/oncology | Rittenhouse Hematology and Oncology | 207 N Broad St, 6th Floor, Philadelphia, PA 19107-1500 |
| Arnold T Berman | Orthopedic Surgery | Berman Orthopedics Institute | 221 N Broad St, Philadelphia, PA 19107-1502 |
| Aisha N Qazi | Neurology | Drexel University | 219 N Broad St 7th Floor, Drexel Neurology, Philadelphia, PA 19107-1506 |
| Lissa B Levin Mizrahi | Nephrology | Drexel University | 219 N Broad St 9th Floor, Drexel Nephrology, Philadelphia, PA 19107-1506 |
| Andres Castellanos | General Surgery | Drexel University | 219 N Broad St 8th Floor, Drexel Surgery, Philadelphia, PA 19107-1506 |
| Matthew William Lawrence | Vascular Surgery | Drexel University | 219 N Broad St, Suite 8, Philadelphia, PA 19107-1506 |
| John Charles Madara | Pulmonary Disease | Drexel University | 219 N Broad St 9th Floor, Drexel Pulmonary, Philadelphia, PA 19107-1506 |
| Owen C Montgomery | Obstetrics/gynecology | Drexel University | 219 N Broad St 9th Floor, Drexel Nutritional Counseling, Philadelphia, PA 19107-1506 |
| Gediminas Gliebus | Neurology | Drexel University | 219 N Broad St 7th Floor, Drexel Neurology, Philadelphia, PA 19107-1506 |
| Find all physicians in zip 19107 | |||
| City | PHILADELPHIA |
| Zip Code | 19107 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | PHILADELPHIA + GENERAL PRACTICE |
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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.