SARA REIS TEIXEIRA


Address: 3401 Civic Center Blvd, Division of Pediatric Neuroradiology, Philadelphia, PA 19104-4319
Phone: 2155905564

SARA REIS TEIXEIRA (NPI# 1194342980) 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) 1194342980
Entity Type Individual
Full Name SARA REIS TEIXEIRA
Credential MD, PHD
Practice Address 3401 Civic Center Blvd
Division of Pediatric Neuroradiology
Philadelphia
PA 19104-4319
Mailing Address 3401 Civic Center Blvd
Philadelphia
PA 19104-4319
Practice Telephone 2155905564
Mailing Telephone 2155905564
Enumeration Date 2020-06-29
Last Update Date 2020-06-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085N0700X Radiology
Specialization: Neuroradiology
LT000864 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 3401 CIVIC CENTER BLVD
DIVISION OF PEDIATRIC NEURORADIOLOGY
City PHILADELPHIA
State PA
Zip Code 19104-4319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467458463 Jeffrey R Boris Pediatrics 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 2005-06-23
1932700259 Rukhsar Karim Machiwalla Physician Assistant 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-11-03
1346840519 Vanessa Leigh Jones Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-10-27
1275131849 Kelsey Ann Maher Physician Assistant 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-10-15
1437756020 Jennifer-rose Eccles Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-10-06
1891309787 Morgan Mcmanus Genetic Counselor, MS 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-09-08
1891309456 Abigail G Stefanides Physician Assistant 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-09-01
1124631247 Abrar Khaled Alabdulhadi Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-08-28
1003427014 Terrence Caldwell Jr. Pharmacist 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-08-13
1760093298 Paige Emily Naschke Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-08-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
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Taxonomy Information

Taxonomy Code 2085N0700X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Neuroradiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164664421 Vitaly Izgur Radiology 2201 Strahle St, Apt A-12, Philadelphia, PA 19152-2530 2009-04-01
1164536827 National Imaging P.C. Radiology 1903 S Broad St # 05, Philadelphia, PA 19148-2216 2006-08-19
1518903780 Frederic Joshua Barnett Radiology 39th & Market Streets, Philadelphia, PA 19104 2006-06-22
1588620686 Kedar Kulkarni Radiology 901 N Penn St, #302, Philadelphia, PA 19123-3132 2006-04-26
1073157376 Anilawan Smitthimedhin Radiology 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2019-10-30
1780165449 Prabath Kumar Mondel Radiology 132 S 10th St Fl 10, Philadelphia, PA 19107-5244 2018-08-21
1114443082 Seyed Ali Mosallaie Radiology 132 S 10th St, Philadelphia, PA 19107-5244 2017-08-22
1881114700 Haykanush Zakaryan Radiology 132 S 10th St, Philadelphia, PA 19107-5244 2017-06-21
1164962148 Lodespoto Medical of Pa Pllc Radiology 1500 Market Street, 12th Floor East Tower, Philadelphia, PA 19102-2152 2017-02-24
1134676596 Caroline Lacroix Radiology 3401 Civic Center Blvd, Division of Neuroradiology, Philadelphia, PA 19104-4319 2016-09-02
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Competitor

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City PHILADELPHIA
Zip Code 19104

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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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