LODESPOTO MEDICAL OF PA PLLC


Address: 1500 Market Street, 12th Floor East Tower, Philadelphia, PA 19102-2152
Phone: 4842827650

LODESPOTO MEDICAL OF PA PLLC (NPI# 1164962148) 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) 1164962148
Entity Type Organization
Organization Name LODESPOTO MEDICAL OF PA PLLC
Other Organization Name LODESPOTO MEDICAL PLLC
Practice Address 1500 Market Street
12th Floor East Tower
Philadelphia
PA 19102-2152
Mailing Address Po Box 958
Port Jefferson Station
NY 11776-0811
Practice Telephone 4842827650
Practice Fax Number 8889723585
Mailing Telephone 4842827650
Mailing Fax Number 8889723585
Enumeration Date 2017-02-24
Last Update Date 2017-10-25
Authorized Official Name MARK J LODESPOTO (OWNER)
Authorized Official Telephone 4842827650
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085N0700X Radiology
Specialization: Neuroradiology
MD447488 PA Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Lodespoto Medical PLLC Former Legal Business Name - Organization

Office Location

Street Address 1500 MARKET STREET
12TH FLOOR EAST TOWER
City PHILADELPHIA
State PA
Zip Code 19102-2152

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659339232 Corey Kades Ruth Neuromusculoskeletal Medicine, Sports Medicine 1500 Market Street, 24th Floor-west Tower, Philadelphia, PA 19102 2006-05-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821650847 Alexandre Mason Sharma Student in an Organized Health Care Education/Training Program 200 N 16th St Apt 1318, Philadelphia, PA 19102 2019-06-29
1720648223 Ali Haydar Internal Medicine 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 2019-06-17
1124688734 Aakash Patel Internal Medicine Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 2019-06-17
1245898170 Parth Javia Internal Medicine 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 2019-06-05
1588120968 John Granger II Social Worker 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 2019-02-11
1750851390 Philadelphia Pain and Neurology Institute, LLC Chiropractor 1528 Walnut Street Suite 620, Philadelphia, PA 19102 2018-11-27
1770076465 Sarthi Dalal Internal Medicine 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 2018-06-07
1255824033 Joyce Nimo-boampong Internal Medicine Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 2018-06-07
1134625692 Emma Rose Gormley Social Worker 1601 Walnut St Ste 1516, Philadelphia, PA 19102 2018-04-03
1851808497 Sunish Shah Pharmacist 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 2018-01-04
Find all providers in zip 19102

Taxonomy Information

Taxonomy Code 2085N0700X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Neuroradiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164664421 Vitaly Izgur Radiology 2201 Strahle St, Apt A-12, Philadelphia, PA 19152-2530 2009-04-01
1164536827 National Imaging P.C. Radiology 1903 S Broad St # 05, Philadelphia, PA 19148-2216 2006-08-19
1518903780 Frederic Joshua Barnett Radiology 39th & Market Streets, Philadelphia, PA 19104 2006-06-22
1588620686 Kedar Kulkarni Radiology 901 N Penn St, #302, Philadelphia, PA 19123-3132 2006-04-26
1194342980 Sara Reis Teixeira Radiology 3401 Civic Center Blvd, Division of Pediatric Neuroradiology, Philadelphia, PA 19104-4319 2020-06-29
1073157376 Anilawan Smitthimedhin Radiology 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2019-10-30
1780165449 Prabath Kumar Mondel Radiology 132 S 10th St Fl 10, Philadelphia, PA 19107-5244 2018-08-21
1114443082 Seyed Ali Mosallaie Radiology 132 S 10th St, Philadelphia, PA 19107-5244 2017-08-22
1881114700 Haykanush Zakaryan Radiology 132 S 10th St, Philadelphia, PA 19107-5244 2017-06-21
1134676596 Caroline Lacroix Radiology 3401 Civic Center Blvd, Division of Neuroradiology, Philadelphia, PA 19104-4319 2016-09-02
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19102

Improve Information

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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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