TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION (NPI# 1093704983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093704983 |
| Entity Type | Organization |
| Organization Name | TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION |
| Other Organization Name | TEMPLE CARDIOLOGY |
| Practice Address |
3509 N Broad St Philadelphia PA 19140-4105 |
| Mailing Address |
3425 N Carlisle St 2nd Fl Hudson Building Philadelphia PA 19140-5108 |
| Practice Telephone | 2157076613 |
| Practice Fax Number | 2157076629 |
| Mailing Telephone | 2157074739 |
| Mailing Fax Number | 2157073677 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. THOMAS G KUPP (CFO) |
| Authorized Official Telephone | 2157077551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007780130683 | 05 |
| Other Name | Type Code |
|---|---|
| Temple Cardiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174096432 | Temple University of The Commonwealth System of Higher Education | Family Medicine | 2300 W Master St Ste 109b, Philadelphia, PA 19121-4739 | 2019-01-09 |
| 1831343789 | Temple University of The Commonwealth System of Higher Education | Clinic/Center | 1913 N Broad St, Philadelphia, PA 19122-6004 | 2008-11-05 |
| 1285622100 | Temple University of The Commonwealth System of Higher Education | Internal Medicine | 3322 N. Broad St., Philadelphia, PA 19140-5103 | 2005-10-13 |
| 1811985732 | Temple University of The Commonwealth System of Higher Education | Family Medicine | 1316 W. Ontario St., Philadelphia, PA 19140 | 2005-10-13 |
| 1245228360 | Temple University of The Commonwealth System of Higher Education | Psychologist | 100 E Lehigh Ave Bldg Ste 105, Philadelphia, PA 19125-1012 | 2005-10-12 |
| 1538157656 | Temple University of The Commonwealth System of Higher Education | Psychiatry & Neurology | 100 E Lehigh Ave Bldg Suite105, Philadelphia, PA 19125-1012 | 2005-10-12 |
| 1912995424 | Temple University of The Commonwealth System of Higher Education | Clinic/Center | 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 | 2005-10-10 |
| 1932197563 | Temple University of The Commonwealth System of Higher Education | Orthopaedic Surgery | Route 73 N, One Greentree Center, Marlton, NJ 08053 | 2005-10-07 |
| 1306833132 | Temple University of The Commonwealth System of Higher Education | Orthopaedic Surgery | 7604 Central Ave, Philadelphia, PA 19111-2433 | 2005-10-06 |
| 1841287695 | Temple University of The Commonwealth System of Higher Education | Physical Therapist | Route 73, One Greentree Center, Marlton, NJ 08053 | 2005-10-05 |
| Street Address |
3509 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669466793 | Riyaz Bashir | Internal Medicine | 3509 N Broad St, Philadelphia, PA 19140-5103 | 2005-09-05 |
| 1750841151 | Chloe Beiler | Physician Assistant | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2019-03-21 |
| 1770068041 | Chirantan Vinodbhai Mangukia | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-10-02 |
| 1891278933 | Temple Faculty Practice Plan, Inc | Speech-Language Pathologist | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-14 |
| 1396228508 | Temple Faculty Practice Plan, Inc | Surgery | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-13 |
| 1992288112 | Temple Faculty Practice Plan, Inc | Urology | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-13 |
| 1023591781 | Temple Faculty Practice Plan, Inc | Otolaryngology | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-10 |
| 1154804839 | Temple Faculty Practice Plan, Inc | Physical Therapist | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-10 |
| 1902389646 | Temple Faculty Practice Plan, Inc | Neurological Surgery | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-10 |
| 1245713908 | Temple Faculty Practice Plan, Inc | Orthopaedic Surgery | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-10 |
| 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 | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316363716 | Alan Marc Mendelsohn | Pediatrics | 628 S Mount Pleasant Rd, Philadelphia, PA 19119-2957 | 2014-03-10 |
| 1598962417 | Cara Angela Garofalo | Pediatrics | Erie Ave. At Front Street, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2007-07-03 |
| 1467458463 | Jeffrey R Boris | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 | 2005-06-23 |
| 1306480389 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-01 |
| 1326550534 | Michaela Elizabeth Mccrudden | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2017-10-27 |
| 1346771359 | Jill Hsia | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2017-03-22 |
| 1891145611 | Ari Gartenberg | Pediatrics | 3401 Civic Center Blvd, Division of Cardiology, Philadelphia, PA 19104-4319 | 2016-06-14 |
| 1396195103 | Alicia Mcdonnell Kamsheh | Pediatrics | 3401 Civic Center Blvd, Division of Cardiology, Philadelphia, PA 19104-4319 | 2016-06-13 |
| 1154785590 | Sheri Balsara | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2016-04-12 |
| 1942695721 | Travus James White | Pediatrics | 3401 Civic Center Blvd, Division of Cardiology, Philadelphia, PA 19104 | 2015-03-30 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
Please comment or provide details below to improve the information on TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION.
| 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.