UNIVERSITY OF PENN-MEDICAL GROUP (NPI# 1154719276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154719276 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF PENN-MEDICAL GROUP |
| Practice Address |
3400 Civic Center Blvd 4 West Philadelphia PA 19104-5127 |
| Practice Telephone | 2156622078 |
| Mailing Telephone | 2156622078 |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |
| Authorized Official Name | ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2156627583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396193900 | University of Penn-medical Group | Transplant Surgery | 1501 N Cedar Crest Blvd, Suite 110 Liver Transplant, Allentown, PA 18104-2309 | 2016-05-25 |
| 1821451139 | University of Penn-medical Group | Internal Medicine | 554 N Duke St, 3rd Floor Renal Transplant, Lancaster, PA 17602-2225 | 2016-04-04 |
| 1902269210 | University of Penn-medical Group | Surgery | 554 N Duke St, 3rd Floor, Lancaster, PA 17602-2225 | 2016-04-04 |
| 1043670805 | University of Penn-medical Group | Internal Medicine | 554 N Duke St, 3rd Floor Gi Transplant, Lancaster, PA 17602-2225 | 2016-03-07 |
| 1730578667 | University of Penn-medical Group | Internal Medicine | 3400 Spruce St, Ground Floor Donner, Philadelphia, PA 19104-4238 | 2015-01-15 |
| 1073902169 | University of Penn-medical Group | Dermatology | 3400 Spruce St, 2 Rhoads Pavilion, Philadelphia, PA 19104-4238 | 2015-01-13 |
| 1184012569 | University of Penn-medical Group | Clinical Medical Laboratory | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2015-01-07 |
| 1821486846 | University of Penn-medical Group | Marriage & Family Therapist | 3535 Market St, 3rd Floor, Philadelphia, PA 19104-3309 | 2014-12-29 |
| 1740678762 | University of Penn-medical Group | Pathology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2014-12-29 |
| 1811385834 | University of Penn-medical Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 51 N 39th St, 266 Wright Saunders, Philadelphia, PA 19104-2640 | 2014-12-29 |
| Street Address |
3400 CIVIC CENTER BLVD 4 WEST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-5127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027727 | Joel D Glickman | Internal Medicine | 3400 Civic Center Blvd, 1st Floor, Suite 300 S, Philadelphia, PA 19104-4306 | 2005-07-18 |
| 1841891058 | Abigail Brooke Horowitz | Nurse Practitioner | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-11-04 |
| 1073129532 | Samuel Kovell | Physician Assistant | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-09-21 |
| 1306451695 | Farzad Nourollah-zadeh | Oral Medicinist | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-09-13 |
| 1609492917 | Mosetta Harris | Nurse Practitioner | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-06-23 |
| 1063032530 | Monique Maria Tee | Internal Medicine | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-04-24 |
| 1609495290 | Katharine Freeman Michel | Student in an Organized Health Care Education/Training Program | 3400 Civic Center Blvd, 3rd Floor West Pavilion, Philadelphia, PA 19104 | 2020-04-13 |
| 1609495498 | Taha Samir Ghouleh | Student in an Organized Health Care Education/Training Program | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-04-11 |
| 1952930554 | Danielle Marie Lamarra | Nurse Practitioner | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-04-06 |
| 1982232658 | Jasmine Hwang | Student in an Organized Health Care Education/Training Program | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-03-30 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124292487 | Joshua I Bleier | Colon & Rectal Surgery | 700 Spruce Street, Suite 305, Philadelphia, PA 19106-3500 | 2008-04-17 |
| 1801910039 | Trustees of The University of Pennsylvania | Colon & Rectal Surgery | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2007-03-16 |
| 1952464877 | Maryalice Cheney | Colon & Rectal Surgery | 1100 Walnut St, Suite 702, Philadelphia, PA 19107-5563 | 2006-12-19 |
| 1336171636 | Robert D Fry | Colon & Rectal Surgery | 3400 Spruce St, 4 Silverstein Bldg, Philadelphia, PA 19104 | 2006-07-07 |
| 1114959178 | Robin E. Rosenberg | Colon & Rectal Surgery | 7936 Bustleton Ave, Philadelphia, PA 19152-3321 | 2006-07-07 |
| 1093745069 | John L Rombeau | Colon & Rectal Surgery | 3401 N Broad St, 4 Parkinson Pavilion/zone C, Philadelphia, PA 19140-5103 | 2006-07-04 |
| 1780614784 | Najjia N Mahmoud | Colon & Rectal Surgery | 3400 Spruce St, 4 Silverstein Bldg, Philadelphia, PA 19104 | 2006-07-04 |
| 1932148756 | Eugene Patrick Hughes Jr. | Colon & Rectal Surgery | 8815 Germantown Ave, Suite 20, Philadelphia, PA 19118 | 2006-06-06 |
| 1134184468 | Aria Health Physician Services-surgery | Colon & Rectal Surgery | 3998 Red Lion Rd, Suite 235, Philadelphia, PA 19114-1436 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508050394 | Jennifer Ann Mcquade | Colon & Rectal Surgery | 145 W 23rd St Ste 201, Erie, PA 16502-2858 | 2007-09-05 |
| 1841328309 | Kristen L Halm | Colon & Rectal Surgery | 1255 S Cedar Crest Blvd Ste 3900, Allentown, PA 18103-6250 | 2007-02-28 |
| 1962426684 | Thomas Michael Mazza | Colon & Rectal Surgery | 3907 N Front St, Harrisburg, PA 17110 | 2006-07-26 |
| 1548215296 | Rectal and Colon Surgery Inc | Colon & Rectal Surgery | 3216 State St, Erie, PA 16508-2822 | 2006-05-23 |
| 1447218557 | Lowell D Meyerson | Colon & Rectal Surgery | 50 E Township Line Rd, Ste 226, Elkins Park, PA 19027 | 2006-05-01 |
| 1992782254 | Pricha Boonswang | Colon & Rectal Surgery | 2358 Gruver Ave, Easton, PA 18045-2808 | 2005-12-28 |
| 1922081785 | Thomas J Nicholson | Colon & Rectal Surgery | 1703 Innovation Dr Ste 3136, York, PA 17408-8815 | 2005-11-25 |
| 1922094440 | Edward J Glennon | Colon & Rectal Surgery | 300 State St Ste 401, Erie, PA 16507-1438 | 2005-09-20 |
| 1326048901 | Allegheny Clinic | Colon & Rectal Surgery | 320 E North Ave Ste 261, Pittsburgh, PA 15212-4756 | 2005-07-26 |
| 1043219363 | Bradley A Levinson | Colon & Rectal Surgery | 105 Brandt Dr, Suite 202, Cranberry Twp, PA 16066-6437 | 2005-07-19 |
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| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.