ANGELA SUZANNE MITTMAN (NPI# 1174859250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174859250 |
| Entity Type | Individual |
| Full Name | ANGELA SUZANNE MITTMAN |
| Credential | PA |
| Practice Address |
5800 Ridge Ave Philadelphia PA 19128-1737 |
| Mailing Address |
604 Williamsburg Dr Broomall PA 19008-3427 |
| Practice Telephone | 2154874334 |
| Mailing Telephone | 4846202485 |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2012-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MAO54173 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5800 RIDGE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19128-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959941 | Freda Lozanoff | Emergency Medicine | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | 2005-08-15 |
| 1841818507 | Margi Gami | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2020-07-09 |
| 1447885132 | Ayeesha Adolphus | Nurse Practitioner | 5800 Ridge Ave, Philadelphia, PA 19128 | 2020-03-03 |
| 1255986055 | Gagandeep Sandhu | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2019-08-08 |
| 1316509177 | Suraj Hansalia | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2019-07-02 |
| 1770145856 | Ashmi Shah | Student in an Organized Health Care Education/Training Program | 5800 Ridge Ave, Philadelphia, PA 19128 | 2019-06-28 |
| 1538636550 | Julie A Laureni | Physician Assistant | 5800 Ridge Ave, Philadelphia, PA 19128 | 2018-10-29 |
| 1649766809 | Sang Hyub Kim | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2018-07-10 |
| 1790276640 | James Robert Brandt | Student in an Organized Health Care Education/Training Program | 5800 Ridge Ave, Philadelphia, PA 19128 | 2018-05-27 |
| 1194236273 | Brian Jones Jr. | Physician Assistant | 5800 Ridge Ave, Suite 234, Philadelphia, PA 19128 | 2017-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
| 1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
| 1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
| 1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
| 1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
| 1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
| 1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
| 1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
| 1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
| Find all providers in zip 19128 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1356951024 | Murielle M Boursiquot | Physician Assistant | 7901 Henry Ave Apt G302, Philadelphia, PA 19128-3072 | 2020-08-06 |
| 1134757156 | Julie Hutchison | Physician Assistant | 2922 N 5th St, Philadelphia, PA 19133-2801 | 2020-03-27 |
| 1174155857 | Rebecca Volpe | Physician Assistant | 738 Longshore Ave, Philadelphia, PA 19111-4325 | 2020-02-10 |
| 1306308879 | Ria Raju | Physician Assistant | 7909 Lawndale Ave, Philadelphia, PA 19111-2652 | 2019-04-03 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1487119186 | Shelby Elizabeth Ginsburg | Physician Assistant | 1200 W Tabor Rd Fl Bl4, Philadelphia, PA 19141-3019 | 2019-02-06 |
| 1346720059 | Noelle Elizabeth Mullanaphy | Physician Assistant | 4031 Sheffield St, Philadelphia, PA 19136-3101 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19128 |
Please comment or provide details below to improve the information on ANGELA SUZANNE MITTMAN.
| 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.