METHODIST HOSPITAL


Address: 2301 S Broad St, Philadelphia, PA 19148-3542
Phone: 2159557106

METHODIST HOSPITAL (NPI# 1174667232) 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) 1174667232
Entity Type Organization
Organization Name METHODIST HOSPITAL
Practice Address 2301 S Broad St
Philadelphia
PA 19148-3542
Practice Telephone 2159557106
Practice Fax Number 2159558732
Mailing Telephone 2159557106
Mailing Fax Number 2159558732
Enumeration Date 2007-02-20
Last Update Date 2020-08-22
Authorized Official Name MS. NEIL LUBARSKY (SENIOR VICE PRESIDENT FOR FINANCE)
Authorized Official Telephone 2159559895
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
200801 PA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PA 1007571300055 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1134297393 Methodist Hospital General Acute Care Hospital 2301 South Broad, Broad and Wolf Streets, Philadelphia, PA 19145 2006-12-04
1225383524 Methodist Hospital General Acute Care Hospital 1441 N Beckley Ave, Dallas, TX 75203-1201 2012-07-23
1497939201 Methodist Hospital General Acute Care Hospital 7500 Hospital Dr, Sacramento, CA 95823-5403 2007-12-28
1093738957 Methodist Hospital Pharmacy 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2006-07-25

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities METHODIST HOSPITAL 7700 Floyd Curl Dr, San Antonio, TX 78229-3979
Indiana Business Entities METHODIST HOSPITAL ORTHOPAEDICS PC 8450 Northwest Blvd., Indianapolis, IN 46278
New York State Corporations METHODIST HOSPITAL PHYSICIANS ORGANIZATION, INC. 506 Sixth Street, Brooklyn, Ny 11215
System for Award Management (SAM) Entities METHODIST HOSPITAL RESEARCH INSTITUTE, THE 6670 Bertner Ave, Houston, TX 77030-2602
System for Award Management (SAM) Entities METHODIST HOSPITAL SYSTEM, THE 6565 Fannin St, Houston, TX 77030-2703
System for Award Management (SAM) Entities METHODIST HOSPITALS OF DALLAS 401 W Campbell Road, Richardson, TX 75080-3416
Indiana Business Entities METHODIST HOSPITALS PATHOLOGY, LLC 600 Grant Street, Gary, IN 46402

Office Location

Street Address 2301 S BROAD ST
City PHILADELPHIA
State PA
Zip Code 19148-3542

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134124621 Deborah A Serba Nurse Anesthetist, Certified Registered 2301 S Broad St, Philadelphia, PA 19148-3542 2005-06-20
1215584859 Mary Ann Heller Nurse Practitioner 2301 S Broad St, Philadelphia, PA 19148-3542 2019-08-19
1093279499 Katelyn Alice Jesukiewicz Nurse Practitioner 2301 S Broad St, Philadelphia, PA 19148-3542 2019-01-30
1972088292 Lindsey Anne Wolf Registered Nurse 2301 S Broad St, Philadelphia, PA 19148-3542 2018-10-02
1346732005 Candace Cantwell-foy Registered Nurse 2301 S Broad St, Philadelphia, PA 19148-3542 2018-05-30
1386199982 Marisa A. Ciuppa Nurse Anesthetist, Certified Registered 2301 S Broad St, 1st Floor, Philadelphia, PA 19148-3542 2016-08-24
1871957324 Tejal Ulhas Naik Internal Medicine 2301 S Broad St, Philadelphia, PA 19148-3542 2016-04-11
1902267230 Methodist Associates In Healthcare, Inc. Psychiatry & Neurology 2301 S Broad St, Philadelphia, PA 19148-3542 2016-03-15
1669831996 Jeffex, Inc. Pharmacy 2301 S Broad St, 1st Floor, Philadelphia, PA 19148-3542 2016-02-15
1033575352 Methodist Associates In Healthcare, Inc. Family Medicine 2301 S Broad St, Philadelphia, PA 19148-3542 2016-01-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831759232 Be Well With Beth LLC Dietitian, Registered 1901 S. 9th Street, Bok Building, Room 508, Philadelphia, PA 19148 2019-06-18
1942798186 Beth Auguste Dietitian, Registered 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 2018-04-24
1457866576 Wholehearted Homecare In Home Supportive Care 2555 S Jessup St, Philadelphia, PA 19148 2017-12-12
1326557331 Jannick Vicky Vielleuse Physical Therapist 1208 Tasker Street, 2nd Floor, Philadelphia, PA 19148 2017-09-21
1225556137 Jamitia Camil Wilson-knight Counselor 2542 S Marshall, Phila, PA 19148 2017-08-31
1437676855 Elease Lee Pharmacist 2036 S 3rd Street, Philadelphia, PA 19148 2017-08-25
1598216483 Thy Vu Physician Assistant 2623 S Mildred St, Philadelphia, PA 19148 2016-10-17
1356723019 Meeta Chawla Dentist 1851 S Christopher Columbus Blvd, Philadelphia, PA 19148 2015-06-18
1013317882 Damian R Bereza Pharmacist 2017-2023 South Broad St, Philadelphia, PA 19148 2014-08-29
1396144390 Rite Aid Corporation Pharmacy 2017-2023 S Broad St, Philadelphia, PA 19148 2014-08-15
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154839553 American Access Care of Sp LLC Clinic/Center 2412 W Passyunk Ave # 14, Philadelphia, PA 19145-4114 2018-01-19
1265950802 M&m Surgical Center PC Clinic/Center 1 Crescent Dr. Suite 300, Philadelphia, PA 19112 2017-09-05
1154787117 The Pennsylvania Surgery and Laser Center LLC Clinic/Center 601 Franklin Mills Cir, Philadelphia, PA 19154-3124 2016-01-06
1023347226 The Children's Hospital of Philadelphia Clinic/Center 34th & Civic Center Ave, Philadelphia, PA 19104 2009-12-17
1710114293 Riverview Surgery Center At The Navy Yard Lp Clinic/Center Three Crescent Drive, Navy Yard Corporate Center, Philadelphia, PA 19112 2009-06-11
1083750103 Perry Black Clinic/Center 219 N Broad St Fl -10th, Philadelphia, PA 19107-1519 2007-01-29
1447301122 Planned Parenthood Southeastern Pennsylvania Clinic/Center 1144 Locust St, Philadelphia, PA 19107-6734 2007-01-16
1679658710 Stadium Campus Ambulatory Surgical Center, LLC Clinic/Center 3340 S Broad St, Philadelphia, PA 19145-5802 2006-10-26
1215038252 Red Lion Surgicenter, LLC Clinic/Center 240 Geiger Rd, Philadelphia, PA 19115-1008 2006-09-25
1447218433 Liberty Eye Surgical Center LLC Clinic/Center 9122 Blue Grass Rd, Philadelphia, PA 19114-3202 2006-05-02
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Competitor

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City PHILADELPHIA
Zip Code 19148

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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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