Tyler Ross Grenda (NPI# 1023337821, PAC ID# 6305152695) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1023337821 |
| PAC ID by PECOS | 6305152695 |
| Professional Enrollment ID | I20190926001185 |
| Full Name | Tyler Ross Grenda |
| Organization Legal Name | JEFFERSON UNIVERSITY PHYSICIANS |
| Address |
1100 Walnut St Mob 5th Floor Philadelphia PA 19107-5563 |
| Phone Number | 2159556750 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2010 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 7911819180 |
| Number of Group Practice Members | 1112 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390174 | THOMAS JEFFERSON UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1100 Walnut St, Mob 5th Floor, Philadelphia, PA 19107-5563 | 2159556750 | JEFFERSON UNIVERSITY PHYSICIANS |
| Organization Legal Name | JEFFERSON UNIVERSITY PHYSICIANS |
| Physicians | 1030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey Wayne Krampitz | General Surgery | Jefferson University Physicians | 1100 Walnut St, Mob 5th Floor, Philadelphia, PA 19107-5563 |
| Christopher James Adkins | Gastroenterology | Jefferson University Physicians | 132 S 10th St, 480 Main Building, Philadelphia, PA 19107-5244 |
| Eric Jason Shiffrin | Internal Medicine | Jefferson University Physicians | 211 S 9th St, Suite 600, Philadelphia, PA 19107-6810 |
| Swathi Maddula | Internal Medicine | Jefferson University Physicians | 909 Walnut St, 2nd Floor, Philadelphia, PA 19107-5211 |
| Jian Li | Nurse Practitioner | Jefferson University Physicians | 4050 S 26th St, Philadelphia, PA 19112-1613 |
| Jessica E Most | Pulmonary Disease | Jefferson University Physicians | 834 Walnut St, 1st Floor, Philadelphia, PA 19107-5108 |
| Ashley K. Summer | Internal Medicine | Jefferson University Physicians | 225 E City Ave, Suite 109, Bala Cynwyd, PA 19004-1724 |
| Melissa Schimpf | Nurse Practitioner | Jefferson University Physicians | 1205 Langhorne-newton Rd, Mob Suite 210 St Mary Medical Center, Langhorne, PA 19047-1221 |
| Mary Pollice | Nurse Practitioner | Jefferson University Physicians | 2603 S Broad St, Philadelphia, PA 19148-4366 |
| Brain J Karp | Gastroenterology | Jefferson University Physicians | 1300 Wolf St, Philadelphia, PA 19148-2912 |
| Street Address |
1100 WALNUT ST MOB 5TH FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19107-5563 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey Wayne Krampitz | General Surgery | Jefferson University Physicians | 1100 Walnut St, Mob 5th Floor, Philadelphia, PA 19107-5563 |
| Anirudh Kohli | General Surgery | Jefferson University Physicians | 1100 Walnut St, Mob 5th Floor, Philadelphia, PA 19107-5563 |
| David M Whittaker | Nurse Practitioner | Green River Regional Mental Health/mental Retardation Board, Inc. | 1100 Walnut St, Owensboro, KY 42301-2956 |
| John C Kairys | General Surgery | Jefferson University Physicians | 1100 Walnut St, Mob 5th Floor, Philadelphia, PA 19107-5563 |
| David W. Rittenhouse | General Surgery | Jefferson University Physicians | 1100 Walnut St, Mob 5th Floor, Philadelphia, PA 19107-5563 |
| Sung Whang | Nurse Practitioner | Jefferson University Physicians | 1100 Walnut St, Mob 5th Floor, Philadelphia, PA 19107-5563 |
| Ashley Vanover | Clinical Social Worker | Green River Regional Mental Health/mental Retardation Board, Inc. | 1100 Walnut St, Owensboro, KY 42301-2956 |
| Erik M Rotterman | Psychiatry | Green River Regional Mental Health/mental Retardation Board, Inc. | 1100 Walnut St, Owensboro, KY 42301-2956 |
| Karen Ann Chojnacki | General Surgery | Jefferson University Physicians | 1100 Walnut St, Mob 5th Floor, Philadelphia, PA 19107-5563 |
| Audrey L Cavins-ezell | Nurse Practitioner | Green River Regional Mental Health/mental Retardation Board, Inc. | 1100 Walnut St, Owensboro, KY 42301-2956 |
| Find all physicians in the same address | |||
| 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 SURGERY |
| City + Specialty | PHILADELPHIA + GENERAL SURGERY |
Please comment or provide details below to improve the information on Tyler Ross Grenda.
| 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.