JEFFERSON UNIVERSITY PHYSICIANS (NPI# 1033564315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033564315 |
| Entity Type | Organization |
| Organization Name | JEFFERSON UNIVERSITY PHYSICIANS |
| Practice Address |
833 Chestnut St Suite 630 Philadelphia PA 19107-4414 |
| Practice Telephone | 2159550800 |
| Mailing Telephone | 2159550800 |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |
| Authorized Official Name | MITCHELL HARRIS (CAO, VP BUSINESS AFFAIRS) |
| Authorized Official Telephone | 2159552562 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | PA | Dental Providers | |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487819900 | Jefferson University Physicians | Special Hospital | 900 Walnut Street, Jefferson Hospital for Neuroscience, Philadelphia, PA 19107 | 2008-07-24 |
| 1467626689 | Jefferson University Physicians | Radiology | 111 S 11th St Ste G3390, Philadelphia, PA 19107-4824 | 2008-04-18 |
| 1952860975 | Jefferson University Physicians | Allergy & Immunology | 1015 Chestnut St Ste 1300, Philadelphia, PA 19107-4313 | 2019-03-19 |
| 1306333695 | Jefferson University Physicians | Obstetrics & Gynecology | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2018-04-23 |
| 1487030763 | Jefferson University Physicians | Internal Medicine | 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 | 2015-08-10 |
| 1609250604 | Jefferson University Physicians | Internal Medicine | 833 Chestnut St, Suite 630, Philadelphia, PA 19107-4414 | 2015-07-20 |
| 1376932616 | Jefferson University Physicians | Internal Medicine | 225 E City Ave, Suite 109, Bala Cynwyd, PA 19004-1704 | 2015-01-09 |
| 1407270903 | Jefferson University Physicians | Internal Medicine | 834 Walnut St, Suite 110, Philadelphia, PA 19107-5109 | 2014-02-05 |
| 1932449717 | Jefferson University Physicians | Internal Medicine | 925 Chestnut St Ste 420, Philadelphia, PA 19107-4216 | 2013-02-15 |
| 1437425360 | Jefferson University Physicians | Nutritionist | 615 Chestnut St, 14th Floor, Philadelphia, PA 19106-4495 | 2012-03-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Jefferson University Physicians | 100 College Building 1025 Walnut Street, Philadelphia, Pennsylvania 19107 |
| Street Address |
833 CHESTNUT ST SUITE 630 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310821 | Akhil K Das | Urology | 833 Chestnut St, Suite 703, Philadelphia, PA 19107-4414 | 2005-07-14 |
| 1285263228 | Melissa Lily Chiu | Physical Therapist | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2020-04-02 |
| 1639707995 | Hannah Nelkin Facey | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2020-03-31 |
| 1043846991 | David C Peters | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2020-03-22 |
| 1598320699 | Danielle Gould Tsevat | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2019-05-03 |
| 1467015024 | Victoria Adedoja Adewale | Obstetrics & Gynecology | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2019-04-19 |
| 1447712484 | Michael Bozzi | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2019-04-01 |
| 1578046603 | Jessica Blair Dijulio | Dermatology | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2018-09-14 |
| 1063990802 | Lisa Marie Burkholder | Social Worker | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2018-08-03 |
| 1255829123 | Olivia Marie Seecof | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2018-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376990853 | Center City Oral & Maxillofacial Surgery | Oral & Maxillofacial Surgery | 1740 South St Ste 302, Philadelphia, PA 19146-1572 | 2016-05-16 |
| 1730268079 | Children's Surgical Associates Ltd | Oral & Maxillofacial Surgery | 34th & Civc Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2006-11-06 |
| 1598724288 | Gerard T. Dowd | Oral & Maxillofacial Surgery | 9525 Frankford Ave, Philadelphia, PA 19114-2812 | 2006-03-21 |
| 1245885060 | Sean Jia Hoong Lim | Oral & Maxillofacial Surgery | 909 Walnut St Fl 3, Philadelphia, PA 19107-5211 | 2019-08-08 |
| 1457706608 | Katherine Alden Doan France | Oral & Maxillofacial Surgery | 3400 Civic Center Blvd, South Pavilion, 4th Floor, Philadelphia, PA 19104-5127 | 2016-04-25 |
| 1942573902 | Maxillofacial Surgical Associates, P.C. | Oral & Maxillofacial Surgery | 1601 Walnut St, Suite 1116, Philadelphia, PA 19102-2944 | 2012-02-21 |
| 1811202633 | Rabie M Shanti | Oral & Maxillofacial Surgery | 3400 Civic Center Blvd, South Pavilion, 3rd Floor, Philadelphia, PA 19104-5127 | 2010-08-17 |
| 1649506577 | Takako Tanaka | Oral & Maxillofacial Surgery | 3400 Civic Center Blvd, 4th Floor, South Pavilion, Philadelphia, PA 19104-5127 | 2009-10-28 |
| 1922237981 | Neeraj H. Panchal | Oral & Maxillofacial Surgery | 3400 Civic Center Blvd., 4th Floor, South Pavilion, Philadelphia, PA 19104 | 2009-07-10 |
| 1023244654 | Steven W Wang | Oral & Maxillofacial Surgery | 3400 Spruce St, One Maloney, Philadelphia, PA 19104-4206 | 2009-06-10 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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| 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.