IOANNIS IOANNIDIS


Address: 3401 N Broad St, Philadelphia, PA 19140
Phone: 2157074353

IOANNIS IOANNIDIS (NPI# 1053677807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053677807
Entity Type Individual
Full Name IOANNIS IOANNIDIS
Credential M.D.
Practice Address 3401 N Broad St
Philadelphia
PA 19140
Mailing Address 2450 W Hunting Park Ave
Philadelphia
PA 19129-1302
Practice Telephone 2157074353
Practice Fax Number 2157072781
Mailing Telephone 2157074353
Mailing Fax Number 2157072781
Enumeration Date 2012-04-05
Last Update Date 2018-06-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
MD459916 PA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
2451 Fillingim St, Mobile, AL 366172238 2514717786 2514717884
3400 Spruce St, Philadelphia, PA 191044238 2156623209

Office Location

Street Address 3401 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19140

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942205133 Shefali Agrawal Specialist 3401 N Broad St, Philadelphia, PA 19140-5103 2005-06-15
1962018523 Caroline Grace Kelly Audiologist 3401 N Broad St, Philadelphia, PA 19140-5189 2020-09-18
1457965964 Barbara Ohiaeri Pharmacist 3401 N Broad St, Philadelphia, PA 19140-5103 2020-09-02
1710505904 Cara Greenspan 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-14
1013535756 Srinivasa Prasad Venkata Kanuparthi Neurological Surgery 3401 N Broad St, Philadelphia, PA 19140-5189 2020-07-09
1417575143 Sakshi Gandhi Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5189 2020-07-09
1801414594 Azka Rahman Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-08
1417574658 Anna-kaye Marie Brown Anesthesiology 3401 N Broad St, Philadelphia, PA 19140-5189 2020-07-04
1285251405 Shalonda Cook Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-03
1386261501 Temidayo Aderibigbe Orthopaedic Surgery 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225640519 Desirea Grant Registered Nurse 2000 W. Venango Street, Phila, PA 19140 2020-08-19
1306316104 Carmen Doumit Dentist 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 2018-12-05
1780150375 Samantha Marina Felix Counselor 3803-3805 N 5th St, Philadelphia, PA 19140 2018-10-22
1518485135 Holly Marie Barbee Dietitian, Registered 4417 N 6th St., Philadelphia, PA 19140 2017-09-04
1033630892 Jessica Anne Tang Otolaryngology 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 2017-07-03
1710416870 Narsis Aminian Internal Medicine 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 2017-06-12
1629527338 Alaa Khatib Pharmacist 4616-4650 N. Broad Street, Philadelphia, PA 19140 2016-09-23
1548716160 Direct Home Health Care In Home Supportive Care 3550 N 9th St, Philadelphia, PA 19140 2016-09-01
1306399225 Zaima Choudhry Student in an Organized Health Care Education/Training Program Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 2016-07-27
1891145504 Saji Mathew Pharmacist 4530n 5th Street, Philadelphia, PA 19140 2016-06-14
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427619790 Madeline Reganis Pathology 117 S. 11th Street, 204 Pavilion, Philadelphia, PA 19107-4949 2019-06-26
1043796048 Zhimin Yuan Pathology 125 S 11th St Rm 204, Philadelphia, PA 19107-4949 2018-07-13
1255857223 Azzam Hammad Pathology 245 N 15th St Rm 5110, Philadelphia, PA 19102-1101 2017-08-21
1366964397 Unknown Sakshi Pathology 3509 N Broad St Ste 226a, Philadelphia, PA 19140-4105 2017-07-12
1124549712 Bushra Nazir Pathology 3401 N Broad St Rm Nob248, Philadelphia, PA 19140-5103 2017-07-04
1073041513 Nikolina Dioufa Pathology 3400 N Broad St Ste 840, Philadelphia, PA 19140-5104 2017-05-29
1073040598 Yaobin Liu Pathology 245 N. 15th Street, Ms 435, Philadelphia, PA 19102 2017-05-15
1760915458 Rosetta Genomics, Inc Pathology 3711 Market St Ste 740, Philadelphia, PA 19104-5535 2017-04-10
1629528740 Jeremy Molligan Pathology 918 Spruce St, Apt 9, Philadelphia, PA 19107-6170 2016-10-12
1194067785 Alvin Pierce Powell Pathology 428 W Upsal St, Philadelphia, PA 19119-3647 2013-03-21
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Competitor

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City PHILADELPHIA
Zip Code 19140

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Dataset Information

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.

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