DR. PETER PAUL KOBILSEK (NPI# 1073597266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073597266 |
| Entity Type | Individual |
| Full Name | DR. PETER PAUL KOBILSEK |
| Credential | M.D. |
| Practice Address |
3401 N Broad St Philadelphia PA 19140-5189 |
| Mailing Address |
Po Box 3810 Joplin MO 64803-3810 |
| Practice Telephone | 2157073326 |
| Practice Fax Number | 2157078028 |
| Mailing Telephone | 4173471078 |
| Mailing Fax Number | 4173471079 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2020-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | MD421749 | PA | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 2007010594 | MO | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | E-4539 | AR | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 25499 | OK | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | E4539 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | RAILROAD MEDICARE | P00656491 | 01 |
| OK | 200059360A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1102 W 32nd St, Joplin, MO 648043503 | 4173471078 | 4173471079 |
| Street Address |
3401 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-5189 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 19140 | ||||
| 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 | 19140 |
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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.