KATELYN PHELPS (NPI# 1194111880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194111880 |
| Entity Type | Individual |
| Full Name | KATELYN PHELPS |
| Credential | D.O. |
| Practice Address |
10800 Knights Rd Philadelphia PA 19114 |
| Mailing Address |
10800 Knights Rd Philadelphia PA 19114-4200 |
| Practice Telephone | 2156125181 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
OS020656 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
10800 KNIGHTS RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073508453 | John K Moran | Radiology | 10800 Knights Rd, Attn: Radiology, Philadelphia, PA 19114-4200 | 2005-09-13 |
| 1841898327 | Clayton Tyan Chiem | Nurse Anesthetist, Certified Registered | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2020-10-15 |
| 1932707130 | Melissa Yoon | Physician Assistant | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2020-10-12 |
| 1013534643 | Tyler Barrett Drury | Student in an Organized Health Care Education/Training Program | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2020-06-30 |
| 1932726809 | Marina Romany Tony | Student in an Organized Health Care Education/Training Program | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2020-06-26 |
| 1336766211 | Victoria Trovillion | Student in an Organized Health Care Education/Training Program | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2020-06-26 |
| 1932725165 | Kissa Walker | Student in an Organized Health Care Education/Training Program | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2020-06-23 |
| 1851917371 | Elana Roadcloud | Internal Medicine | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2020-06-20 |
| 1316563901 | Elizabeth Rose Chambers | Nurse Anesthetist, Certified Registered | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2020-06-19 |
| 1194341008 | Penelope Kagan | Student in an Organized Health Care Education/Training Program | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1215419080 | Thomas Patrick Gallagher | Specialist/Technologist | 2708 Ruth Way, Philadelphia, PA 19114 | 2018-08-29 |
| 1558840223 | Alexis Wenger | Early Intervention Provider Agency | 3810 Aubrey Ave, Phila, PA 19114 | 2018-08-13 |
| 1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
| 1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
| 1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
| 1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
| 1801338686 | April Neuls | Physical Therapy Assistant | 4213 Lackland Place, Philadelphia, PA 19114 | 2016-11-10 |
| 1114317583 | Siji Cyriac | Physical Therapist | 9501 State Road, Philadelphia, PA 19114 | 2015-01-23 |
| Find all providers in zip 19114 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588180673 | Critical Care Medicine Services LLC | Internal Medicine | 1930 S Broad St Unit 12, Philadelphia, PA 19145-2328 | 2017-08-21 |
| 1811316672 | Christopher Mcgrath | Internal Medicine | 834 Walnut St Ste 605, Philadelphia, PA 19107-5109 | 2014-04-09 |
| 1528323755 | Kartik Ramakrishna | Internal Medicine | 245 N 15th St # Ms 107, Philadelphia, PA 19102-1198 | 2012-07-13 |
| 1639342439 | Nilam Suryakant Mangalmurti | Internal Medicine | 3615 Civic Center Blvd Ste 1015f, Abramson Research Building, Philadelphia, PA 19104-4318 | 2008-04-12 |
| 1457564049 | Methodist Associates In Healthcare, Inc. | Internal Medicine | 2301 South Broad Street, Philadelphia, PA 19148 | 2007-05-08 |
| 1871670943 | Jaber M Monla-hassan | Internal Medicine | 5401 Old York Rd Ste 300, Philadelphia, PA 19141-3045 | 2006-11-01 |
| 1407880578 | Michael W Sims | Internal Medicine | 39th & Market Street, Philadelphia, PA 19104 | 2006-07-11 |
| 1578590089 | Alan Steinbach | Internal Medicine | 3257 Memphis St, Philadelphia, PA 19134-4408 | 2006-06-28 |
| 1962486357 | Mani S Kavuru | Internal Medicine | 834 Walnut St, Suite 650, Philadelphia, PA 19107-5109 | 2005-11-30 |
| 1457356917 | Jeffrey Brian Hoag | Internal Medicine | 219 N Broad St, 9th Floor, Philadelphia, PA 19107-1519 | 2005-06-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19114 |
Please comment or provide details below to improve the information on KATELYN PHELPS.
| 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.