DAVID VISCO (NPI# 1104961564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104961564 |
| Entity Type | Individual |
| Full Name | DAVID VISCO |
| Practice Address |
1331 E Wyoming Ave Philadelphia PA 19124-3808 |
| Mailing Address |
4728 Paysphere Cir Chicago IL 60674-0047 |
| Practice Telephone | 8477464333 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD425526 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1331 E WYOMING AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19124-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893303 | Jacqueline Sweeney | Nurse Practitioner | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2018-12-28 |
| 1477025096 | Renee Pieroth | Dietitian, Registered | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2018-12-20 |
| 1184109399 | Stephanie Maria Einstein | Nurse Practitioner | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2018-10-03 |
| 1346735149 | Kamorin Samson | Dietitian, Registered | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2018-06-25 |
| 1962802819 | Jennifer Lynn Jones | Physician Assistant | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2014-08-28 |
| 1649607284 | Audrey Lynn Shaw | Physician Assistant | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-09-27 |
| 1427481209 | Rocco Michael Bianco IIi | Registered Nurse | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-08-15 |
| 1912349556 | Catherine Kirby Lee | Registered Nurse | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-07-24 |
| 1932547742 | Xiao Yang | Internal Medicine | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-06-13 |
| 1083052435 | Carol F Roth | Social Worker | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2013-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749308 | William Mark Hanna Sr. | Pharmacist | 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 | 2019-09-17 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1548731391 | Sierra Pinkney | Registered Nurse | 1615 Granite St, Philadelphia, PA 19124 | 2018-12-05 |
| 1922507987 | Xavier Sergio Henriquez | Counselor | 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 | 2018-02-06 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1952843732 | Patrick Grugan | Social Worker | Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 | 2016-11-10 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1851769327 | Aleka Kostouros | Social Worker | Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 | 2015-09-14 |
| 1407230378 | Sara Bachani | Psychiatry & Neurology | 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 | 2015-07-10 |
| 1215327051 | Alyssa Renee Kirk | Counselor | 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 | 2015-02-02 |
| Find all providers in zip 19124 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588180673 | Critical Care Medicine Services LLC | Internal Medicine | 1930 S Broad St Unit 12, Philadelphia, PA 19145-2328 | 2017-08-21 |
| 1811316672 | Christopher Mcgrath | Internal Medicine | 834 Walnut St Ste 605, Philadelphia, PA 19107-5109 | 2014-04-09 |
| 1528323755 | Kartik Ramakrishna | Internal Medicine | 245 N 15th St # Ms 107, Philadelphia, PA 19102-1198 | 2012-07-13 |
| 1639342439 | Nilam Suryakant Mangalmurti | Internal Medicine | 3615 Civic Center Blvd Ste 1015f, Abramson Research Building, Philadelphia, PA 19104-4318 | 2008-04-12 |
| 1457564049 | Methodist Associates In Healthcare, Inc. | Internal Medicine | 2301 South Broad Street, Philadelphia, PA 19148 | 2007-05-08 |
| 1871670943 | Jaber M Monla-hassan | Internal Medicine | 5401 Old York Rd Ste 300, Philadelphia, PA 19141-3045 | 2006-11-01 |
| 1407880578 | Michael W Sims | Internal Medicine | 39th & Market Street, Philadelphia, PA 19104 | 2006-07-11 |
| 1578590089 | Alan Steinbach | Internal Medicine | 3257 Memphis St, Philadelphia, PA 19134-4408 | 2006-06-28 |
| 1962486357 | Mani S Kavuru | Internal Medicine | 834 Walnut St, Suite 650, Philadelphia, PA 19107-5109 | 2005-11-30 |
| 1457356917 | Jeffrey Brian Hoag | Internal Medicine | 219 N Broad St, 9th Floor, Philadelphia, PA 19107-1519 | 2005-06-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19124 |
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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.