SENIORWELL POD OF PENNSYLVANIA, LLC (NPI# 1164071189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164071189 |
| Entity Type | Organization |
| Organization Name | SENIORWELL POD OF PENNSYLVANIA, LLC |
| Other Organization Name | SENIORWELL POD OF PENNSYLVANIA, LLC |
| Practice Address |
2929 Arch St Ste 1700 Philadelphia PA 19104-7327 |
| Mailing Address |
2100 E Lake Cook Rd Ste 1000 Buffalo Grove IL 60089-1999 |
| Practice Telephone | 8448823127 |
| Practice Fax Number | 8442465875 |
| Mailing Telephone | 8448823127 |
| Mailing Fax Number | 8442465875 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-12 |
| Authorized Official Name | JOHN MARONEY (CEO) |
| Authorized Official Telephone | 8448823127 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| SeniorWell POD of Pennsylvania, LLC | Doing Business As Name - Organization |
| Street Address |
2929 ARCH ST STE 1700 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-7327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265097109 | Jahiyah Glenn | Homemaker | 2929 Arch St Ste 1700, Philadelphia, PA 19104-7327 | 2019-05-06 |
| 1063036713 | Axzons Home Health Care Inc. | Home Infusion | 2929 Arch St Ste 1700, Philadelphia, PA 19104-7327 | 2020-05-28 |
| 1124667456 | Aspire Autism Inc. | Community/Behavioral Health | 2929 Arch St Ste 1700, Philadelphia, PA 19104-7327 | 2020-01-03 |
| 1538718556 | Seniorwell of Pennsylvania, LLC | Optometrist | 2929 Arch St Ste 1700, Philadelphia, PA 19104-7327 | 2019-09-11 |
| 1104479591 | Healing Hands Home Care, LLC | In Home Supportive Care | 2929 Arch St Ste 1700, Philadelphia, PA 19104-7327 | 2019-07-24 |
| 1720630676 | Justin Santana Bellinger | Home Health | 2929 Arch St Ste 1700, Philadelphia, PA 19104-7327 | 2019-07-11 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543109 | Kimberly Nguyen Dpm PC | Podiatrist | 1930 S Broad St Ste 19, Philadelphia, PA 19145-2328 | 2019-11-21 |
| 1811476658 | David Khakshoor | Podiatrist | 1703 Borbeck Ave Fl 1, Philadelphia, PA 19111-3514 | 2018-08-13 |
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1053835264 | Marvin Marcelin | Podiatrist | 5735 Ridge Ave Ste 208, Philadelphia, PA 19128-1747 | 2017-07-29 |
| 1598287054 | Taylor Wasserleben | Podiatrist | 235 N Broad St Ste 300, Philadelphia, PA 19107-1511 | 2017-07-16 |
| 1952718975 | Travon Owens | Podiatrist | 4522 Westminster Ave, Philadelphia, PA 19131-5213 | 2014-07-22 |
| 1558675801 | Duane Romana | Podiatrist | 1865 Welsh Rd, Apt J-9, Philadelphia, PA 19115-4764 | 2010-07-28 |
| 1144532748 | Kimberly Hoang Nguyen | Podiatrist | 1311 South St, Philadelphia, PA 19147-1867 | 2010-07-12 |
| 1396973152 | Kwasi Y Kwaadu | Podiatrist | 148 N 8th Street, Philadelphia, PA 19107-2496 | 2009-06-30 |
| 1043453996 | Foot Health Centers, Pa | Podiatrist | 6911 Castor Ave, Philadelphia, PA 19149-1702 | 2009-04-08 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on SENIORWELL POD OF PENNSYLVANIA, 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.