CHARLES M. WASSERMAN (NPI# 1093753949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093753949 |
| Entity Type | Individual |
| Full Name | CHARLES M. WASSERMAN |
| Credential | DO |
| Practice Address |
6449 Rising Sun Ave Philadelphia PA 19111-5228 |
| Mailing Address |
721 Skippack Pike Suite 3 Blue Bell PA 19422-1700 |
| Practice Telephone | 2157459203 |
| Practice Fax Number | 2157452983 |
| Mailing Telephone | 2157930600 |
| Mailing Fax Number | 2157930759 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2019-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS006559L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | RRM | 080134444 | 01 |
| PA | AETNA PPO | 4571206 | 01 |
| PA | 0015583070022 | 05 | |
| PA | CAQH ID# | 10938435 | 01 |
| PA | HIGHMARK BLUE SHIELD | 694010 | 01 |
| PA | CIGNA HMO/PPO | 0470055 | 01 |
| PA | AETNA HMO | 469591 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598959678 | Charles Irwin Wasserman | Psychiatry & Neurology | 221 Ridgemede Rd, Suite 104, Baltimore, MD 21210-2900 | 2007-08-31 |
| 1659361731 | Charles Brent Wasserman Sr. | Psychologist | 19542 Mayall St, Northridge, CA 91324-1014 | 2005-10-28 |
| 1649240490 | Charles B Wasserman | Psychologist | 103 S High St, Suite 7, West Chester, PA 19382-3262 | 2006-01-25 |
| 1659361020 | Charles S Wasserman | Psychiatry & Neurology | 133 Old Road To 9 Acre Cor, Emerson Hospital, Concord, MA 01742-4159 | 2005-10-26 |
| Street Address |
6449 RISING SUN AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-5228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679978092 | Temple Physicians Inc | Family Medicine | 6449 Rising Sun Ave, Philadelphia, PA 19111-5228 | 2014-10-28 |
| 1093055709 | Susan Elizabeth Shirato | Nurse Practitioner | 6449 Rising Sun Ave, Philadelphia, PA 19111-5228 | 2013-02-18 |
| 1932216538 | Lee Andrew Cowen | Internal Medicine | 6449 Rising Sun Ave, Philadelphia, PA 19111 | 2006-08-23 |
| 1376650978 | Cowen & Biggans Medical Associates | Internal Medicine | 6449 Rising Sun Ave, Philadelphia, PA 19111 | 2006-08-23 |
| 1093758583 | Robert Paul Biggans | Internal Medicine | 6449 Rising Sun Ave, Philadelphia, PA 19111-5228 | 2006-06-13 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| 1225648140 | Action Health Centers Inc | Family Medicine | 1006 W Lehigh Ave Ste 200, Philadelphia, PA 19133-1640 | 2020-08-05 |
| 1285289876 | Visiting Doctors Inc | Family Medicine | 2338 S Broad St Ste 1, Philadelphia, PA 19145-4450 | 2019-08-09 |
| 1770137218 | Health Care At Northeast Philadelphia LLC | Family Medicine | 3353 Cottman Avenue, Philadelphia, PA 19149-1603 | 2019-08-01 |
| 1679131585 | Aria Health Physician Services | Family Medicine | 3998 Red Lion Rd Ste 204, Philadelphia, PA 19114-1440 | 2019-06-05 |
| 1689232597 | Aria Health Physician Services | Family Medicine | 5000 Frankford Ave Ste 1, Philadelphia, PA 19124-2620 | 2019-06-05 |
| 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 |
| 1679043152 | Prevention Point Philadelphia | Family Medicine | 2913-15 Kensington Ave, Philadelphia, PA 19134-3016 | 2018-11-28 |
| 1700362266 | Wes Corporation | Family Medicine | 5000 N 13th St, Philadelphia, PA 19141-3533 | 2018-07-17 |
| 1376046508 | Philly Medical and Rehab Associates | Family Medicine | 6401 Rising Sun Ave, Philadelphia, PA 19111-5228 | 2018-03-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
Please comment or provide details below to improve the information on CHARLES M. WASSERMAN.
| 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.