FOX CHASE CANCER CENTER MEDICAL GROUP, INC (NPI# 1073887154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073887154 |
Entity Type | Organization |
Organization Name | FOX CHASE CANCER CENTER MEDICAL GROUP, INC |
Other Organization Name | THOR SURG ASSOC OF FCCC, MGI |
Practice Address |
333 Cottman Ave Fox Chase Cancer Center Philadelphia PA 19111-2434 |
Mailing Address |
2450 W Hunting Park Ave Philadelphia PA 19129-1302 |
Practice Telephone | 2157286900 |
Practice Fax Number | 2157282773 |
Mailing Telephone | 2157286900 |
Mailing Fax Number | 2157282773 |
Enumeration Date | 2012-03-07 |
Last Update Date | 2018-06-14 |
Authorized Official Name | TONYA WOODARD (CREDENTIALING/MANAGER) |
Authorized Official Telephone | 2157073911 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1026888280025 | 05 | |
PA | 1026888280035 | 05 | |
PA | 1026888280006 | 05 |
Other Name | Type Code |
---|---|
Thor Surg Assoc of FCCC, MGI | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
2365 Heritage Center Dr, Furlong, PA 189251280 | 2157286900 | 2157282773 |
2701 Dekalb Pike, Norristown, PA 194011820 | 8883692487 | 2157282773 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801160981 | Fox Chase Cancer Center Medical Group, Inc | Psychologist | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2012-03-07 |
1710251897 | Fox Chase Cancer Center Medical Group, Inc | Psychiatry & Neurology | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2012-03-07 |
1518231695 | Fox Chase Cancer Center Medical Group, Inc | Surgery | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2012-03-07 |
1457625535 | Fox Chase Cancer Center Medical Group, Inc | Otolaryngology | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2012-03-07 |
1538433610 | Fox Chase Cancer Center Medical Group, Inc | Internal Medicine | 333 Cottman Ave, West Bldg/cru, Philadelphia, PA 19111-2434 | 2012-03-07 |
1528332608 | Fox Chase Cancer Center Medical Group, Inc | Radiology | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2012-03-07 |
1427322502 | Fox Chase Cancer Center Medical Group, Inc | Urology | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2012-03-07 |
1992079073 | Fox Chase Cancer Center Medical Group, Inc | Internal Medicine | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2012-03-07 |
1447524525 | Fox Chase Cancer Center Medical Group, Inc | Internal Medicine | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2012-03-07 |
1891069977 | Fox Chase Cancer Center Medical Group, Inc | Internal Medicine | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2012-03-07 |
Street Address |
333 COTTMAN AVE FOX CHASE CANCER CENTER |
City | PHILADELPHIA |
State | PA |
Zip Code | 19111-2434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356347504 | Sangeeta K Tyerech | Radiology | 333 Cottman Ave, Philadelphia, PA 19111 | 2005-06-22 |
1114524097 | Bernadette Golarz | Nurse Anesthetist, Certified Registered | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2020-10-05 |
1023625878 | Nallely Hernandez | Internal Medicine | 333 Cottman Ave, Philadelphia, PA 19111-2497 | 2020-09-25 |
1780298612 | Jean Marie Arlt | Psychologist | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2020-09-08 |
1811500549 | Facundo Iriarte | Surgery | 333 Cottman Ave, Philadelphia, PA 19111-2497 | 2020-08-24 |
1275157455 | Temple University Hospital, Inc | General Acute Care Hospital | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2020-06-03 |
1548898836 | Hannah Rosenstein Campbell | Genetic Counselor, MS | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2020-03-31 |
1285281238 | Senthuran Tharmalingam | Surgery | 333 Cottman Ave, Philadelphia, PA 19111-2497 | 2019-08-23 |
1619452885 | Max David Lefton | Surgery | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2018-10-03 |
1730669425 | Christopher Mkl Yao | Otolaryngology | 333 Cottman Ave, Philadelphia, PA 19111-2497 | 2018-08-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
Find all providers in zip 19111 |
Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528443041 | Michael Ibrahim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3701 Chestnut St Apt 410, Philadelphia, PA 19104-3104 | 2015-07-27 |
1215279112 | Jeffrey M Dunn | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 W. Washington Sq, #1207, Philadelphia, PA 19106 | 2013-03-19 |
1124200167 | Charles Tanos Bakhos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3509 N. Broad St, Philadelphia, PA 19140 | 2007-12-01 |
1548303464 | Srikrishna Sirivella | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Erie Ave & Front Street, St.christopher's Hospital for Children, Cardiothoracic, Philadelphia, PA 19134-1095 | 2007-02-14 |
1114943644 | Raphael Chun-sing Lui | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 151 W School House Ln, Philadelphia, PA 19144-3348 | 2006-07-15 |
1174167571 | Stc Pediatrics LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-30 |
1437793833 | Stc Pediatrics LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 230 N Broad St, Philadelphia, PA 19102-1121 | 2019-10-30 |
1255975652 | Stc Pediatrics LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2019-10-30 |
1629538228 | Benjamin Franklin Smood | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3400 Spruce Street, 4 Maloney, Department of Surgery, Surgery Education, Philadelphia, PA 19104 | 2019-03-21 |
1770068041 | Chirantan Vinodbhai Mangukia | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-10-02 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19111 |
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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.