ZACH BROYER (NPI# 1093769614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093769614 |
| Entity Type | Individual |
| Full Name | ZACH BROYER |
| Credential | M.D. |
| Practice Address |
925 Chestnut St., 5th Floor Rothman Institute Philadelphia PA 19107-4216 |
| Mailing Address |
833 Chestnut St Suite 1402 Philadelphia PA 19107-4414 |
| Practice Telephone | 2673393500 |
| Practice Fax Number | 2155030580 |
| Mailing Telephone | 8003219999 |
| Mailing Fax Number | 2673393761 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD-074300-L | PA | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
25MA8027500 | NJ | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD074300L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | IBC | 2074348000 | 01 |
| PA | AETNA | 2886235 | 01 |
| CIGNA | 5005060 | 01 |
| Street Address |
925 CHESTNUT ST., 5TH FLOOR ROTHMAN INSTITUTE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4216 |
| 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 | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205071297 | Bethia A. Cawley | Physical Medicine & Rehabilitation | 2804 Southampton Rd, Philadelphia, PA 19154-1207 | 2008-12-05 |
| 1891953188 | Paris Hughes | Physical Medicine & Rehabilitation | 2447 N 54th St, Philadelphia, PA 19131-2423 | 2008-05-23 |
| 1063831584 | Milind Patel | Physical Medicine & Rehabilitation | 1800 Lombard Street, Philadelphia, PA 19146-1414 | 2014-04-11 |
| 1235575531 | Spinal Wellness | Physical Medicine & Rehabilitation | 2026 Chestnut St, Philadelphia, PA 19103-4446 | 2013-05-14 |
| 1609197052 | Christina Maria Gonzaga | Physical Medicine & Rehabilitation | 834 Chestnut St, T150, Philadelphia, PA 19107-5127 | 2010-06-21 |
| 1982837647 | Optimal Wellness & Body Sculpting Inc. | Physical Medicine & Rehabilitation | 601 Walnut St, Ll30, Philadelphia, PA 19106-3323 | 2009-08-28 |
| 1669635116 | Amy C Schneider Lyall | Physical Medicine & Rehabilitation | 925 Chestnut St, 5th Floor, Philadelphia, PA 19107-4216 | 2008-07-04 |
| 1851551980 | Advantage Medical & Rehabilitation PC | Physical Medicine & Rehabilitation | 255 S 17th St, 5th Floor, Philadelphia, PA 19103-6231 | 2008-06-12 |
| 1932273018 | Michael A Metz | Physical Medicine & Rehabilitation | 3110 Grant Avenue, Philadelphia, PA 19114-2542 | 2006-11-20 |
| 1073538971 | Jeremy Ian Simon | Physical Medicine & Rehabilitation | 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216 | 2006-07-12 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.