HEALTH SERVICES OF FOX CHASE CANCER CTR. (NPI# 1174625552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174625552 |
| Entity Type | Organization |
| Organization Name | HEALTH SERVICES OF FOX CHASE CANCER CTR. |
| Other Organization Name | PLASTIC & RECON SURGERY ASSOCIATES OF FCCC |
| Practice Address |
333 Cottman Avenue Plastic Surgery Assoc of Fccc Philadelphia PA 19111 |
| Mailing Address |
333 Cottman Avenue Medical Staff Office Philadelphia PA 19111 |
| Practice Telephone | 2157286900 |
| Practice Fax Number | 2157283593 |
| Mailing Telephone | 2157286900 |
| Mailing Fax Number | 2157283593 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2012-02-02 |
| Authorized Official Name | ROBERT BECK (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2152141490 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 284300000X | Special Hospital | 012901 | PA | Hospitals |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 00124679400065 | 05 |
| Other Name | Type Code |
|---|---|
| Plastic & Recon Surgery Associates of FCCC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003918368 | Health Services of Fox Chase Cancer Ctr. | Radiology | 333 Cottman Ave, Radiology Associates of Fccc, Philadelphia, PA 19111 | 2006-09-05 |
| 1912009275 | Health Services of Fox Chase Cancer Ctr. | Special Hospital | 333 Cottman Ave, Thoracic Surgery Associates of Fccc, Philadelphia, PA 19111 | 2006-09-05 |
| 1912009390 | Health Services of Fox Chase Cancer Ctr. | Special Hospital | 333 Cottman Ave, Pathology Assoc of Fccc, Philadelphia, PA 19111 | 2006-09-05 |
| 1356443733 | Health Services of Fox Chase Cancer Ctr. | Special Hospital | 333 Cottman Avenue, Gastroenterology Assoc of Fccc, Philadelphia, PA 19111 | 2006-09-05 |
| 1679681878 | Health Services of Fox Chase Cancer Ctr. | Hospitalist | 333 Cottman Ave, Internal Medicine Assoc of Fccc, Philadelphia, PA 19111-2434 | 2006-08-28 |
| 1588692404 | Health Services of Fox Chase Cancer Ctr. | Internal Medicine | 333 Cottman Ave, Medical Oncology Assoc of Fccc, Philadelphia, PA 19111-2434 | 2006-06-29 |
| Street Address |
333 COTTMAN AVENUE PLASTIC SURGERY ASSOC OF FCCC |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548251481 | Clifford Scott Perlis | Specialist | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2005-10-31 |
| 1568711505 | Lynn Chang | Radiology | 333 Cottman Avenue, Philadelphia, PA 19111 | 2012-09-06 |
| 1407158504 | Matthew John Faber | Physician Assistant | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2010-11-22 |
| 1194034413 | Tiffany Y Tam | Radiology | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2010-10-04 |
| 1801102298 | Kathleen Murphy | Nurse Practitioner | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2010-08-24 |
| 1548585284 | Sanjay Reddy | Surgery | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2010-04-06 |
| 1881921724 | Margaret Lord Crivello | Surgery | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2009-11-13 |
| 1811140171 | Joshua E. Meyer | Radiology | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2008-10-30 |
| 1023268141 | Theresa A. Brown | Registered Nurse | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111-2497 | 2008-09-25 |
| 1184884090 | Marijo Bilusic | Internal Medicine | 333 Cottman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2008-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487029971 | Philip Lipkin | Surgery | 233 S 6th St Apt 2101, Philadelphia, PA 19106-3756 | 2015-12-09 |
| 1396276077 | Michael Alan Lanni | Surgery | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2017-03-23 |
| 1851742894 | Michael G. Tecce | Surgery | 3400 Spruce Street, Philadelphia, PA 19104 | 2016-06-30 |
| 1467863449 | Jason Wink | Surgery | 3400 Spruce St, 10 Penn Tower, Philadelphia, PA 19104-4238 | 2014-05-13 |
| 1669818753 | Valeriy Shubinets | Surgery | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2013-05-15 |
| 1821381153 | Lin Lin Gao | Surgery | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2011-05-19 |
| 1316171408 | John Gregory Fernandez | Surgery | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2009-05-05 |
| 1649496340 | Brooke Alissa Burkey | Surgery | 3601 A St, Suite 2204, Philadelphia, PA 19134-1043 | 2007-04-18 |
| 1386770428 | Ted Eisenberg | Surgery | 2375 Woodward St, 102, Philadelphia, PA 19115-5120 | 2007-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326698549 | Michael Shafran Do PC | Surgery | 2 Park Ln Fl 3, Feasterville Trevose, PA 19053-6004 | 2019-09-19 |
| 1255873915 | Lam Plastic Surgery LLC | Surgery | 848 Town Center Drive, Langhorne, PA 19047-3439 | 2016-11-12 |
| 1477865566 | Ralph W Hamilton | Surgery | 847 Willow Valley Lakes Dr, Willow Street, PA 17584-9040 | 2010-07-06 |
| 1770801870 | Irene Teting Ma | Surgery | 3550 Terrace St 664 Scaife Hall, Pittsburgh, PA 15261 | 2010-05-13 |
| 1649408162 | Michael David Lado | Surgery | 1828 Ridgewood Rd, Orwigsburg, PA 17961-9525 | 2009-06-23 |
| 1245490515 | Wellspan Medical Group | Surgery | 50 Wyntre Brooke Dr, York, PA 17403-4535 | 2008-06-11 |
| 1982813853 | Wellington Joseph Davis IIi | Surgery | 1210 S Cedar Crest Blvd Ste 100, Allentown, PA 18103-6229 | 2007-05-21 |
| 1043423502 | James William Slavin | Surgery | 8216 Cedar Rd., Elkins Park, PA 19027-2114 | 2007-05-08 |
| 1467679787 | Amelia Arianne Pare Md PC | Surgery | 123 Hidden Valley Rd, Mc Murray, PA 15317-2603 | 2007-04-19 |
| 1063575561 | Daniel R Nevarre | Surgery | 415 Napoleon Pl, Johnstown, PA 15901-2504 | 2006-12-18 |
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| City | PHILADELPHIA |
| Zip Code | 19111 |
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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.