STEPHEN JOHN BOSACCO (NPI# 1043209141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043209141 |
| Entity Type | Individual |
| Full Name | STEPHEN JOHN BOSACCO |
| Credential | MD |
| Practice Address |
Broad & Vine Sts Philadelphia PA 19102 |
| Mailing Address |
Broad & Vine Sts Ms 310 Philadelphia PA 19102 |
| Practice Telephone | 2157624312 |
| Practice Fax Number | 2157628656 |
| Mailing Telephone | 2157624312 |
| Mailing Fax Number | 2157628656 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2011-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 36MA05069900 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207L00000X | Anesthesiology | MD009671E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | A070050006 | 05 |
| Street Address |
BROAD & VINE STS |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144549338 | Terese Marie Metzger | Nurse Practitioner | Broad & Vine Sts, Philadelphia, PA 19102 | 2010-05-27 |
| 1922201441 | Tps Iv of Pa, LLC | General Acute Care Hospital | Broad & Vine Sts, Philadelphia, PA 19102 | 2007-06-11 |
| 1164412409 | John G. Shutack | Anesthesiology | Broad & Vine Sts, Philadelphia, PA 19102 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497313332 | Marsha Metzger Silberstein | Anesthesiology | 50 S 16th St Unit 4006, Philadelphia, PA 19102-2531 | 2019-06-05 |
| 1518487420 | Michael Adam Glick | Anesthesiology | 111 South 11th Street, Suite 8290, Philadelphia, PA 19107 | 2017-06-21 |
| 1386908812 | Elizabeth Mburu | Anesthesiology | 5501 Old York Rd Ste 3006, Philadelphia, PA 19141-3018 | 2012-06-29 |
| 1144518481 | Olubukola Opeyemi Olla | Anesthesiology | 401 S 16th St, Apt 4f, Philadelphia, PA 19146-1661 | 2011-07-20 |
| 1598056228 | Myrna Mariano Tan | Anesthesiology | 100 East Lehigh Ave., Espiscopal Hospital, Philadelphia, PA 19125 | 2011-04-28 |
| 1780987610 | Ar Medical PC | Anesthesiology | 6100 Woodland Ave, Philadelphia, PA 19142-3224 | 2010-12-15 |
| 1780833970 | Mohammad M Keykhah | Anesthesiology | 245 N 15th St # Ms 310, Philadelphia, PA 19102-1101 | 2008-09-12 |
| 1467618132 | Mahwish Raza | Anesthesiology | 111 Walnut Street, Philadelphia, PA 19107 | 2008-08-01 |
| 1427257955 | Mario C Deangelis | Anesthesiology | 1418 Pemberton St, Philadelphia, PA 19146-2108 | 2007-07-14 |
| 1174732929 | Nancy Chou Macgarvey | Anesthesiology | 36th and Spruce Streets, 8th Fl, Philadelphia, PA 19103 | 2007-05-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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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.