INDEPENDENT PHYSICIANS MEDICAL CENTER, LLC (NPI# 1154817278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154817278 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICIANS MEDICAL CENTER, LLC |
| Practice Address |
9908 Roosevelt Blvd Philadelphia PA 19115-1705 |
| Practice Telephone | 2154643300 |
| Mailing Telephone | 2154643300 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |
| Authorized Official Name | GINA NARASAKI (MANAGER) |
| Authorized Official Telephone | 2154643300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205322146 | Independent Physicians Medical Center, LLC | Psychiatry & Neurology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2018-07-03 |
| Street Address |
9908 ROOSEVELT BLVD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470381 | Mnap Medical Solutions, Inc. | Radiology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2005-07-08 |
| 1205322146 | Independent Physicians Medical Center, LLC | Psychiatry & Neurology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2018-07-03 |
| 1730535543 | Mnap Diagnostic Imaging, LLC | Radiology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2016-05-11 |
| 1003233719 | Pinnacle Physicians Group, LLC | Radiology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2014-03-20 |
| 1750708376 | Pinnacle Physicians Group, LLC | Psychiatry & Neurology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2014-03-20 |
| 1306260138 | Pinnacle Physicians Group, LLC | Internal Medicine | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2014-02-14 |
| 1215351044 | Pinnacle Physicians Group, LLC | Radiology | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2014-02-14 |
| 1760796353 | Mnap Diagnostic Imaging LLC | Podiatrist | 9908 Roosevelt Blvd, Philadelphia, PA 19115 | 2010-08-06 |
| 1710205745 | Mnap Multipsecialty Group | Sleep Specialist, PhD | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2010-05-14 |
| 1588826614 | Mnap Medical Solutions | Sleep Specialist, PhD | 9908 Roosevelt Blvd, Philadelphia, PA 19115-1705 | 2008-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
| Find all providers in zip 19115 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
| 1033649975 | Dinh-huy Do Nguyen | Radiology | 5501 Old York Rd Ste 363, Philadelphia, PA 19141-3018 | 2017-06-13 |
| 1467809418 | Jeffrey Burgess | Radiology | 1215 Spruce St Apt 201, Philadelphia, PA 19107-5620 | 2016-05-19 |
| 1649632399 | Myron Blumberg | Radiology | 317 S 22nd St, Philadelphia, PA 19103-6528 | 2016-03-22 |
| 1144633074 | Daniel Robert Wahl | Radiology | 3400 Spruce Street - 1 Silverstein, Department of Radiology / Abdominal Imaging, Philadelphia, PA 19104 | 2014-06-09 |
| 1235564337 | Ron Benjamin | Radiology | 2055 E Fletcher St, Philadelphia, PA 19125 | 2013-09-08 |
| 1831454867 | Ryan Michael Bonshock | Radiology | 4220 Market St Fl 2, Philadelphia, PA 19104-3007 | 2012-07-05 |
| 1730498601 | Robert A Perkins Jr. | Radiology | 132 S 10th St Ste 1099j, Philadelphia, PA 19107-5244 | 2010-09-27 |
| 1457677007 | Michael Richard Acord | Radiology | 3401 Civic Blvd, Division of Radiology, Philadelphia, PA 19104 | 2010-04-07 |
| 1780918375 | Mollie Mcginley | Radiology | 1835 Arch St, Apartment 305, Philadelphia, PA 19103-2712 | 2009-09-29 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19115 |
Please comment or provide details below to improve the information on INDEPENDENT PHYSICIANS MEDICAL CENTER, LLC.
| 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.