MEGURU WATANABE


Address: 111 S 11th St, Philadelphia, PA 19107-4824
Phone: 2159556440

MEGURU WATANABE (NPI# 1083821805) 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) 1083821805
Entity Type Individual
Full Name MEGURU WATANABE
Credential M.D.
Practice Address 111 S 11th St
Philadelphia
PA 19107-4824
Mailing Address 275 S Bryn Mawr Ave
E52
Bryn Mawr
PA 19010-4202
Practice Telephone 2159556440
Mailing Telephone 6109555111
Enumeration Date 2007-05-17
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 281P00000X Chronic Disease Hospital MD428266 PA Hospitals

Office Location

Street Address 111 S 11TH ST
City PHILADELPHIA
State PA
Zip Code 19107-4824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346246642 Flavius F. Guglielmo Radiology 111 S 11th St, Suite 3390, Philadelphia, PA 19107-4824 2005-06-22
1265046569 Sherman John Torres Nurse Anesthetist, Certified Registered 111 S 11th St, Philadelphia, PA 19107-4824 2020-09-03
1609489376 Andrew Michael Mcguire Registered Nurse 111 S 11th St, Philadelphia, PA 19107-4824 2020-08-24
1326657420 Daniel Joseph Leehan Pharmacist 111 S 11th St, Philadelphia, PA 19107-4824 2020-07-24
1013539436 Kashyap Rajendra Chauhan Internal Medicine 111 S 11th St, Philadelphia, PA 19107-4824 2020-05-07
1134749385 Maria Mattioli Nurse Practitioner 111 S 11th St, Philadelphia, PA 19107-4824 2020-04-17
1598392151 Amine Sahmoud Student in an Organized Health Care Education/Training Program 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-24
1346877198 Abigail M O'connell Nurse Practitioner 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-23
1396370342 Alexandra Elder Student in an Organized Health Care Education/Training Program 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-10
1134754252 Christopher James Neely Student in an Organized Health Care Education/Training Program 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
Find all providers in zip 19107

Taxonomy Information

Taxonomy Code 281P00000X
Grouping Hospitals
Classification Chronic Disease Hospital

Taxonomy Definition

(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes.
Notes: Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689049348 Temple University Hospital Chronic Disease Hospital 3400 N Broad St, Philadelphia, PA 19140-5104 2015-12-07
1760823363 Temple University Hospital Chronic Disease Hospital 3401 N Broad St, Temple Univ. Hosp. Dept. of Anatomic and Clinical Path., Philadelphia, PA 19140-5103 2013-07-11
1235442476 Temple University Hospital Chronic Disease Hospital 3401 N Broad St, Philadelphia, PA 19140-5103 2010-07-16
1295945863 Frankford Torresdale Hospital Chronic Disease Hospital Frankford Torresdale Hospital, Red Lion &knights Road, Philadelphia, PA 19114 2007-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134534092 Alleghency Geneal Hospital Chronic Disease Hospital 320 East North Street, Pittsburgh, PA 15212 2014-06-30
1598102378 Alleghney General Hospital Chronic Disease Hospital 1524 Bear Run Dr, Pittsburgh, PA 15237-1498 2013-06-03
1386909588 University of Pittsburgh Medical Center (upmc) Chronic Disease Hospital 107 Hodil Ter, Pittsburgh, PA 15238-1109 2012-07-12
1356638951 Temple Hospital University Chronic Disease Hospital 150 E Wynnewood Rd, Apt 2 F, Wynnewood, PA 19096-1547 2011-07-01
1982917662 Hahnemann University Hospital Chronic Disease Hospital 1242 Fleetwood Rd, Rydal, PA 19046-1808 2010-07-22
1285988477 Nita K Shah Chronic Disease Hospital 320 E North Ave Ste 111, Pittsburgh, PA 15212-4756 2012-11-09
1568699213 Nils Schnor Chronic Disease Hospital 300 Halket St, Pittsburgh, PA 15213-3108 2009-06-19

Competitor

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City PHILADELPHIA
Zip Code 19107

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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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