MARK HYSELL (NPI# 1174513105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174513105 |
| Entity Type | Individual |
| Full Name | MARK HYSELL |
| Credential | DO |
| Practice Address |
Broad & Vine St S Philadelphia PA 19102 |
| Mailing Address |
Broad and Vine St S Ms 310 Philadelphia PA 19102 |
| Practice Telephone | 2157624312 |
| Practice Fax Number | 2157628656 |
| Mailing Telephone | 2157624312 |
| Mailing Fax Number | 2157628656 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
OS008550L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
BROAD & VINE ST S |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102 |
| 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 Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184854531 | John Yoon | Radiology | 9 N 9th St Unit 510, Philadelphia, PA 19107-3154 | 2009-07-20 |
| 1144423096 | Jonathan Ira Lieberman | Radiology | 1016 Chestnut St, Thomas Jefferson University Hospital, Philadelphia, PA 19107-5010 | 2007-06-07 |
| 1336188945 | David R. Hertzog | Radiology | 2412 W Passyunk Ave, Philadelphia, PA 19145-4114 | 2006-06-06 |
| 1760441760 | James Frederick Mcguckin Jr. | Radiology | 2929 Arch Street, Suite 1705, Philadelphia, PA 19104-2866 | 2006-03-20 |
| 1588639819 | American Access Care of Sp LLC | Radiology | 2412-14 West Passyunk Ave., Philadelphia, PA 19145-4114 | 2006-02-21 |
| 1104816453 | Huynh Doan | Radiology | Broad & Vine St, Philadelphia, PA 19102 | 2005-10-27 |
| 1699774257 | Image Guided Surgery Associates, PC | Radiology | 5735 Ridge Ave, Ste 106, Philadelphia, PA 19128-1745 | 2005-07-17 |
| 1033753405 | Stc Pediatrics LLC | Radiology | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
| 1033670153 | Jung Hyun Yun | Radiology | 5501 Old York Road, Philadelphia, PA 19141 | 2019-03-29 |
| 1720561186 | Temple Faculty Practice Plan, Inc | Radiology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-12 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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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.