UPENN LIFE (NPI# 1053576835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053576835 |
| Entity Type | Organization |
| Organization Name | UPENN LIFE |
| Practice Address |
4508 Chestnut St Philadelphia PA 19139-3608 |
| Practice Telephone | 2155737200 |
| Mailing Telephone | 2155737200 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |
| Authorized Official Name | DR. BRUCE KINOSIAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2155737200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | UPENN SCHOOL OF NURSING |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | MD421701 | PA | Managed Care Organizations |
| Street Address |
4508 CHESTNUT ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19139-3608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114186723 | Elizabeth Mary Dalton | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2008-06-09 |
| 1952934135 | Shakitta Denise Plant | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2020-02-17 |
| 1245752310 | Alexandra Elizabeth Zamore | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2017-07-11 |
| 1902333560 | Jaclyn Sims | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2017-05-15 |
| 1710347661 | Trinity Health Life Pennsylvania, Inc. | PACE Provider Organization | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2016-03-03 |
| 1407297179 | Pamela Z Cacchione | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2013-07-10 |
| 1821324492 | Megan Mcglade | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2009-11-02 |
| 1649429267 | Judith Draper | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2008-09-18 |
| 1326209495 | Nancy L Bocchino | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2008-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
| 1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
| 1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
| 1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
| 1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
| 1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
| 1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
| 1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
| 1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
| Find all providers in zip 19139 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508226812 | Paul Goddard | Health Maintenance Organization | 127 N Van Pelt St, Philadelphia, PA 19103-1016 | 2016-02-29 |
| 1659792372 | Byfaithenternal Health Care | Health Maintenance Organization | 2131 Granite St, Philadelphia, PA 19124-2207 | 2013-12-23 |
| 1811246762 | Newcourtland Life | Health Maintenance Organization | 6950 Germantown Avenue, Philadelphia, PA 19119 | 2012-09-06 |
| 1366791840 | Emris LLC | Health Maintenance Organization | 8921 Maxwell Pl, Philadelphia, PA 19152-1517 | 2012-08-30 |
| 1679852578 | Acupuncture Wang Center | Health Maintenance Organization | 2824 Cottman Ave Ste 9, Philadelphia, PA 19149-1400 | 2011-08-09 |
| 1821311747 | Gentle Care Nursing Service Inc. | Health Maintenance Organization | 2479 78th Ave, Philadelphia, PA 19150-1824 | 2010-03-05 |
| 1922509850 | Best of Bucks Co | Health Maintenance Organization | 4212 Whiting Rd, Philadelphia, PA 19154-2809 | 2018-02-26 |
| 1447700208 | Veteran Affairs Medical Center | Health Maintenance Organization | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2016-10-05 |
| 1114474459 | Complete Care Coordination Agency | Health Maintenance Organization | 6324 Shelbourne St, Philadelphia, PA 19111-5615 | 2016-09-03 |
| 1174988265 | Pain Care Management, LLC | Health Maintenance Organization | 520 N Columbus Blvd, Suite 202, Philadelphia, PA 19123-4226 | 2015-12-16 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19139 |
Please comment or provide details below to improve the information on UPENN LIFE.
| 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.