DR. JUSTIN LAWRENCE LOCKMAN


Address: 34th Street and Civic Center Boulevard, Suite 9329, Philadelphia, PA 19104-4399
Phone: 2155905908

DR. JUSTIN LAWRENCE LOCKMAN (NPI# 1114065497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114065497
Entity Type Individual
Full Name DR. JUSTIN LAWRENCE LOCKMAN
Credential M.D.
Practice Address 34th Street and Civic Center Boulevard
Suite 9329
Philadelphia
PA 19104-4399
Mailing Address 100 E Penn Sq
The Wanamaker Building, 9th Floor, North
Philadelphia
PA 19107-3323
Practice Telephone 2155905908
Practice Fax Number 2155901415
Mailing Telephone 2674259320
Mailing Fax Number 2674259331
Enumeration Date 2007-02-01
Last Update Date 2015-04-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
MD442301 PA Allopathic & Osteopathic Physicians
N 207LP3000X Anesthesiology
Specialization: Pediatric Anesthesiology
MD442301 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 1025929790001 05
PA MEDICARE PTAN 221556EMD 01

Office Location

Street Address 34TH STREET AND CIVIC CENTER BOULEVARD
SUITE 9329
City PHILADELPHIA
State PA
Zip Code 19104-4399

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174529440 Ramesh Kodavatiganti Anesthesiology 34th Street and Civic Center Boulevard, Suite 9329, Philadelphia, PA 19104-4399 2005-06-22
1619351020 Rebekah Midberry Nurse Anesthetist, Certified Registered 34th Street and Civic Center Boulevard, Suite 9329, Philadelphia, PA 19104-4399 2015-07-15
1851775654 Elizabeth Worster Nurse Practitioner 34th Street and Civic Center Boulevard, Philadelphia, PA 19104 2015-07-13
1013397504 Lauren Toler Nurse Anesthetist, Certified Registered 34th Street and Civic Center Boulevard, Suite 9329, Philadelphia, PA 19104-4399 2015-06-01
1639560709 Mercedes Vallecillo Nurse Anesthetist, Certified Registered 34th Street and Civic Center Boulevard, Suite 9329, Philadelphia, PA 19104-4399 2015-02-11
1023416492 Cheryl Brenneman Nurse Practitioner 34th Street and Civic Center Boulevard, Philadelphia, PA 19104 2014-12-16
1942607270 Jeanette Zarrella Escarfuller Nurse Anesthetist, Certified Registered 34th Street and Civic Center Boulevard, Suite 9329, Philadelphia, PA 19104-4399 2014-12-02
1851798854 Kristen Dalton Nurse Practitioner 34th Street and Civic Center Boulevard, Philadelphia, PA 19104 2014-11-20
1720487002 Bobbie Hawkins Nurse Practitioner 34th Street and Civic Center Boulevard, Philadelphia, PA 19104 2014-08-22
1801295522 Meghan Yowell Registered Nurse 34th Street and Civic Center Boulevard, Philadelphia, PA 19104 2014-08-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
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Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093039893 Charlotte Zahara Woods-hill Pediatrics 3401 Civic Center Bvd, Suite 9329, Philadelphia, PA 19104-4319 2010-03-23
1790910339 Amir Bar Pediatrics 160 E. Erie Ave, Philadelphia, PA 19134 2009-05-27
1528149150 Arun Chopra Pediatrics Front and Erie St, St. Christopher's Hospital for Children, Philadelphia, PA 19134 2006-10-18
1750331278 Sharon Calaman Pediatrics St.christophers Hospital for Children, Erie Ave At Front Street, Philadelphia, PA 19134-1095 2006-05-12
1699739599 Paul Michael Shore Pediatrics 3601 A Street, Philadelphia, PA 19134 2006-04-17
1639142086 Robert A Berg Pediatrics 324 S. 34th Street, Suite 9329, Philadelphia, PA 19104-4399 2006-02-08
1114919040 Gabriel Hauser Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2005-08-17
1083232557 Riane Goodwin Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-07-10
1518501733 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-10-31
1750944500 Natalie Horvatinovic Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2019-04-17
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Competitor

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City PHILADELPHIA
Zip Code 19104

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Dataset Information

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.

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