Evan Carabelli (NPI# 1255782140, PAC ID# 5597059378) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1255782140 |
| PAC ID by PECOS | 5597059378 |
| Professional Enrollment ID | I20190606000029 |
| Full Name | Evan Carabelli |
| Organization Legal Name | TEMPLE FACULTY PRACTICE PLAN INC |
| Address |
3223 N Broad St Philadelphia PA 19140-5007 |
| Phone Number | 2107075437 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0345588711 |
| Number of Group Practice Members | 724 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390027 | TEMPLE UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3223 N Broad St, Philadelphia, PA 19140-5007 | 2107075437 | TEMPLE FACULTY PRACTICE PLAN INC |
| Organization Legal Name | TEMPLE FACULTY PRACTICE PLAN INC |
| Physicians | 711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Michael Gamez | Obstetrics/gynecology | Temple Faculty Practice Plan Inc | 515 Pennsylvania Ave, Fort Washington, PA 19034-3314 |
| Hiu Ying Joanna Choi | Family Medicine | Temple Faculty Practice Plan Inc | 1316 W Ontario St, Philadelphia, PA 19140-5220 |
| Cecelia Elizabeth Schmalbach | Otolaryngology | Temple Faculty Practice Plan Inc | 1077 Rydal Rd, Meadowbrook, PA 19046-1712 |
| Brianna Elizabeth Reardon | Nurse Practitioner | Temple Faculty Practice Plan Inc | 7604 Central Ave, Philadelphia, PA 19111-2433 |
| Sarah Fenerty | Diagnostic Radiology | Temple Faculty Practice Plan Inc | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 |
| Ben Hur Mobo | Family Medicine | Temple Faculty Practice Plan Inc | 1700 N Broad St, Philadelphia, PA 19121-3429 |
| Elizabeth Diane Dauer | General Surgery | Temple Faculty Practice Plan Inc | 701 Ostrum St, Fountain Hill, PA 18015-1155 |
| Maria Escorcia De Leon | Internal Medicine | Temple Faculty Practice Plan Inc | 3401 N Broad St, Philadelphia, PA 19140-5103 |
| Matthew Simon | Emergency Medicine | Temple Faculty Practice Plan Inc | 7600 Central Ave, Philadelphia, PA 19111-2442 |
| Bong-soo Kim | Neurosurgery | Temple Faculty Practice Plan Inc | 7500 Central Ave, Philadelphia, PA 19111-2430 |
| Street Address |
3223 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19140-5007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Theodore Castle | Dentist | Temple Faculty Practice Plan Inc | 3223 N Broad St, Philadelphia, PA 19140-5007 |
| Lesly D Robinson | Podiatry | Temple University of The Commonwealth System of Higher Education | 3223 N Broad St, Temple University Foot and Ankle Institute, Philadelphia, PA 19107-2499 |
| Ashleigh J. Hall | Pediatric Medicine | Temple University of The Commonwealth System of Higher Education | 3223 N Broad St, Temple Pediatric Associates, Philadelphia, PA 19140-5007 |
| Ilona Kane | Pediatric Medicine | Temple University of The Commonwealth System of Higher Education | 3223 N Broad St, Temple Pediatric Associates, Philadelphia, PA 19140-5007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Greenberg | Urology | Einstein Practice Plan Inc | 5401 Old York, Suite 401, Philadelphia, PA 19140 |
| Joseph M Ortiz | Ophthalmology | 511 W Courtland St, Philadelphia, PA 19140-1404 | |
| Rafael S Collazo | Optometry | 511 W Courtland St, Philadelphia, PA 19140-1404 | |
| Delana Wardlaw | Family Medicine | Temple Physicians Inc | 4350 Germantown Ave, Suite 1, Philadelphia, PA 19140-1749 |
| Stacy Lynn Brix | Nurse Practitioner | Esperanza Health Center, Inc. | 4417 N 6th St, Philadelphia, PA 19140-2319 |
| Daniel L Chen | Internal Medicine | Esperanza Health Center, Inc. | 4417 N 6th St, Philadelphia, PA 19140-2319 |
| Katherine Baker Bhadra | Nurse Practitioner | Esperanza Health Center, Inc. | 4417 N 6th St, Philadelphia, PA 19140-2319 |
| Katherine Abigail Tan | Nurse Practitioner | Esperanza Health Center, Inc. | 4417 N 6th St, Philadelphia, PA 19140-2319 |
| Timothy D Johnston | Internal Medicine | Esperanza Health Center, Inc. | 4417 N 6th St, Philadelphia, PA 19140-2319 |
| Kristie L Mast | Family Medicine | Esperanza Health Center, Inc. | 4417 N 6th St, Philadelphia, PA 19140-2319 |
| Find all physicians in zip 19140 | |||
| City | PHILADELPHIA |
| Zip Code | 19140 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PHILADELPHIA + INTERNAL MEDICINE |
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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.