GENERAL & VASCULAR SURGICAL GROUP, P.C (NPI# 1033267463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033267463 |
| Entity Type | Organization |
| Organization Name | GENERAL & VASCULAR SURGICAL GROUP, P.C |
| Practice Address |
8400 Roosevelt Blvd Suite 220 Philadelphia PA 19152-2081 |
| Mailing Address |
8400 Roosevelt Boulevard Suite 220 Philadelphia PA 19152-2029 |
| Practice Telephone | 2153317001 |
| Practice Fax Number | 2153317004 |
| Mailing Telephone | 2153317001 |
| Mailing Fax Number | 2153317004 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2013-01-18 |
| Authorized Official Name | DR. JAN A OLENGINSKI (PRESIDENT) |
| Authorized Official Telephone | 2153317001 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | OS007521L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0016148180006 | 05 |
| Street Address |
8400 ROOSEVELT BLVD SUITE 220 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-2081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508821158 | Medcath Partners, LLC | Clinic/Center | 8400 Roosevelt Blvd, Suite 220, Philadelphia, PA 19152-2012 | 2006-04-18 |
| 1942619390 | Jessica Rutstein Lazarus | Clinical Neuropsychologist | 8400 Roosevelt Blvd, Suite 206, Philadelphia, PA 19152-2081 | 2014-08-11 |
| 1598176554 | Philadelphia Center for Dermatology, PC | Dermatology | 8400 Roosevelt Blvd, Suite 200, Philadelphia, PA 19152-2081 | 2014-05-13 |
| 1821236340 | Advnatage Chiropractic and Rehabilitation | Chiropractor | 8400 Roosevelt Blvd, Suite 208, Philadelphia, PA 19152-2012 | 2009-01-22 |
| 1831366186 | Nicholas Stephen Patapis | Psychologist | 8400 Roosevelt Blvd, Suite 206, Philadelphia, PA 19152-2081 | 2008-05-14 |
| 1699976340 | Atsuko Kodama | Dermatology | 8400 Roosevelt Blvd, Suite 200, Philadelphia, PA 19152-2081 | 2007-05-30 |
| 1851418701 | Cynthia M Mitchell | Physical Therapy Assistant | 8400 Roosevelt Blvd, Philadelphia, PA 19152-2012 | 2007-03-24 |
| 1376694307 | Heather Michelle Akladios | Chiropractor | 8400 Roosevelt Blvd, Suite 208, Philadelphia, PA 19152-2012 | 2007-01-16 |
| 1629153770 | Wills Surgery Center of The Northeast | Clinic/Center | 8400 Roosevelt Blvd, Philadelphia, PA 19152-2012 | 2006-10-26 |
| 1154342368 | Northeast P.e.t Imaging, L.l.c | Clinic/Center | 8400 Roosevelt Blvd, Suite 208, Philadelphia, PA 19152-2012 | 2006-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1962993170 | Brian M Till | Surgery | 1015 Walnut Street, Suite 620 Curtis, Philadelphia, PA 19107-5005 | 2018-05-23 |
| 1356838932 | Walker Lyons | Surgery | 1015 Walnut St Ste 210, Philadelphia, PA 19107-5005 | 2018-04-18 |
| 1790213114 | Matthew Paul Mullarkey | Surgery | 3401 N Broad St Ste C405, Philadelphia, PA 19140-5103 | 2017-05-30 |
| 1528424090 | Zhen Lu | Surgery | 5401 Old York Rd # Klein101, Philadelphia, PA 19141-3030 | 2016-01-13 |
| 1235517996 | David Kim | Surgery | 3401 N Broad St # 3ppc388, Philadelphia, PA 19140 | 2015-05-14 |
| 1578941282 | Amanda Elizabeth Deliere | Surgery | 3400 N Broad St, Philadelphia, PA 19140-5104 | 2015-05-13 |
| 1649660804 | Deviney Rattigan | Surgery | 1110 Lombard St Apt 24, Philadelphia, PA 19147-1206 | 2015-01-27 |
| 1346676988 | Aviva Wallace Kaplin | Surgery | 20 E Abington Ave, Philadelphia, PA 19118-3410 | 2013-09-15 |
| 1619300571 | Roshin Thomas | Surgery | 8815 Germantown Ave Fl 2, Philadelphia, PA 19118-2722 | 2013-08-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
Please comment or provide details below to improve the information on GENERAL & VASCULAR SURGICAL GROUP, P.C.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.