DR. EBONY LASHAY LOVE (NPI# 1083916720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083916720 |
| Entity Type | Individual |
| Full Name | DR. EBONY LASHAY LOVE |
| Credential | DPM |
| Practice Address |
148 N 8th St Philadelphia PA 19107-2418 |
| Practice Telephone | 2152386600 |
| Practice Fax Number | 2156294905 |
| Mailing Telephone | 2152386600 |
| Mailing Fax Number | 2156294905 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2014-04-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | POD001150 | GA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD001150 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | INDIVIDUAL MEDICARE PTAN | 202I481075 | 01 |
| GA | 003118774A | 05 | |
| GA | GROUP MEDICARE PTAN | 511G700902 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821619685 | Ebony Nicole Love | Behavior Technician | 1300 Locust St # Stc, Harrisonville, MO 64701-1366 | 2020-05-04 |
| 1598392870 | Ebony Love | Specialist/Technologist, Other | 1417 Jennings Ct, Prosper, TX 75078-5018 | 2020-03-25 |
| 1194938423 | Ebony S Love | Social Worker | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2007-05-07 |
| Street Address |
148 N 8TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659390540 | Khurram H Khan | Podiatrist | 148 N 8th St, Philadelphia, PA 19107 | 2006-07-19 |
| 1326645706 | Grant Schindler | Student in an Organized Health Care Education/Training Program | 148 N 8th St, Philadelphia, PA 19107-2418 | 2020-10-08 |
| 1659987519 | Arden Miho Harada | Student in an Organized Health Care Education/Training Program | 148 N 8th St, Philadelphia, PA 19107-2418 | 2020-09-16 |
| 1568083806 | Michelle Ann Garcia | Student in an Organized Health Care Education/Training Program | 148 N 8th St, Philadelphia, PA 19107-2418 | 2020-04-28 |
| 1790278851 | Cole Barton | Student in an Organized Health Care Education/Training Program | 148 N 8th St, Philadelphia, PA 19107-2418 | 2018-06-12 |
| 1720578107 | Sara Solar | Student in an Organized Health Care Education/Training Program | 148 N 8th St, Philadelphia, PA 19107-2418 | 2018-05-11 |
| 1699115303 | Laura Elizabeth Sansosti | Podiatrist | 148 N 8th St, Philadelphia, PA 19107-2418 | 2013-06-26 |
| 1710228622 | James Andrew Furmato | Podiatrist | 148 N 8th St, Philadelphia, PA 19107-2418 | 2013-03-04 |
| 1013228832 | Jennifer Chang - Ching Van | Podiatrist | 148 N 8th St, Department of Surgery, Philadelphia, PA 19107-2418 | 2010-06-25 |
| 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 Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656208 | Delaney Wickramage | Podiatrist | 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 | 2020-07-16 |
| 1659834604 | Anthony Errico | Podiatrist | 235 N Broad St Ste 3, Philadelphia, PA 19107-1531 | 2019-04-08 |
| 1508388794 | Farhad Foroudi | Podiatrist | 8835 Germantown Ave Ste 105a, Philadelphia, PA 19118-2718 | 2017-07-10 |
| 1720460884 | Muhaiminu Hossain | Podiatrist | 240 N Broad St, Philadelphia, PA 19102-1121 | 2015-06-25 |
| 1497161293 | Soyun Victoria Park | Podiatrist | 6628 Souder St, Philadelphia, PA 19149-2206 | 2014-07-01 |
| 1679988620 | Brett Thomas Williams | Podiatrist | 1934 Waverly St, C204, Philadelphia, PA 19146-1456 | 2014-06-29 |
| 1588007876 | Complete Foot & Ankle L.L.C. | Podiatrist | 2350 Tremont St, #410, Philadelphia, PA 19115-5030 | 2013-04-17 |
| 1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
| 1457606865 | David Portonova | Podiatrist | 235 North Broad Street, Philadelphia, PA 19102 | 2012-07-23 |
| 1649568056 | Nekeisha Alexander Abdul-hakim | Podiatrist | 6635 Chew Ave, Philadelphia, PA 19119 | 2011-07-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on DR. EBONY LASHAY LOVE.
| 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.