EINSTEIN PRACTICE PLAN, INC. (NPI# 1205246576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205246576 |
| Entity Type | Organization |
| Organization Name | EINSTEIN PRACTICE PLAN, INC. |
| Other Organization Name | EINSTEIN PAIN INSTITUTE |
| Practice Address |
1200 W Tabor Rd Moss Rehab Building, 4th Floor Philadelphia PA 19141-3019 |
| Mailing Address |
5501 Old York Rd Korman Building, Suite 202 Philadelphia PA 19141-3018 |
| Practice Telephone | 2154563815 |
| Practice Fax Number | 2154566803 |
| Mailing Telephone | 2154564694 |
| Mailing Fax Number | 2154565926 |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |
| Authorized Official Name | MARY JACKSON (DIRECTOR) |
| Authorized Official Telephone | 2154567000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Einstein Pain Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316439367 | Einstein Practice Plan, Inc. | Dentist | 5501 Old York Rd Fl Paley2, Philadelphia, PA 19141-3018 | 2018-06-05 |
| 1265923072 | Einstein Practice Plan, Inc. | Internal Medicine | 5401 Old York Rd Ste 505, Philadelphia, PA 19141-3047 | 2018-05-29 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1518451681 | Einstein Practice Plan, Inc. | Obstetrics & Gynecology | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2018-06-21 |
| 1083082523 | Einstein Practice Plan, Inc. | Nurse Practitioner | 5501 Old York Rd, Korman 202, Philadelphia, PA 19141-3018 | 2015-09-14 |
| 1013263649 | Einstein Practice Plan, Inc. | Clinical Neuropsychologist | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2012-08-01 |
| 1992940902 | Einstein Practice Plan, Inc. | Clinic/Center | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2008-12-04 |
| 1316099898 | Einstein Practice Plan, Inc. | Clinic/Center | 101 E Olney Ave, Suite 400, Philadelphia, PA 19120-2421 | 2007-01-17 |
| 1154419166 | Einstein Practice Plan, Inc. | Ophthalmology | 5401 Old York Rd, Suite 201, Philadelphia, PA 19141-3030 | 2006-10-11 |
| 1922047463 | Einstein Practice Plan, Inc. | Psychiatry & Neurology | 5401 Old York Rd, Suite 400, Philadelphia, PA 19141-3030 | 2006-06-06 |
| Street Address |
1200 W TABOR RD MOSS REHAB BUILDING, 4TH FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417926817 | Ali Ibrahim El-kerdi | Physical Therapist | 1200 W Tabor Rd, Philadelphia, PA 19141-3019 | 2006-03-16 |
| 1861017402 | Tyler Madison Gaines | Urology | 1200 W Tabor Rd, Philadelphia, PA 19141-3019 | 2020-06-09 |
| 1598300055 | Eliana Rae Katz | Internal Medicine | 1200 W Tabor Rd, Philadelphia, PA 19141-3019 | 2019-11-08 |
| 1942719729 | January Smith | Nurse Practitioner | 1200 W Tabor Rd, Philadelphia, PA 19141-3019 | 2017-09-25 |
| 1386170314 | Eric Caruso | Physician Assistant | 1200 W Tabor Rd, Moss Building, 3rd Floor, Philadelphia, PA 19141-3019 | 2017-05-11 |
| 1497176200 | Gillian Michelle Norah Murray | Social Worker | 1200 W Tabor Rd, 4th Floor, Philadelphia, PA 19141-3019 | 2013-12-20 |
| 1669613113 | Jay Simhan | Urology | 1200 W Tabor Rd, 3sley, Philadelphia, PA 19141-3019 | 2009-03-12 |
| 1477709830 | Maximillian Shmidheiser | Clinical Neuropsychologist | 1200 W Tabor Rd, Philadelphia, PA 19141-3019 | 2008-08-15 |
| 1578719233 | Barath Sampath | Psychiatry & Neurology | 1200 W Tabor Rd, Moss Rehab, Philadelphia, PA 19141-3019 | 2008-08-13 |
| 1275797144 | Justin I Friedlander | Urology | 1200 W Tabor Rd, 3sley, Philadelphia, PA 19141-3019 | 2008-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932518669 | Pharo Pain Management Asociates, P.C. | Anesthesiology | 829 Spruce St Ste 308, Philadelphia, PA 19107-5752 | 2014-08-06 |
| 1992137103 | Anish Sethi | Anesthesiology | 834 Chestnut St Ste T150, Philadelphia, PA 19107 | 2013-07-30 |
| 1407299902 | Mina Ghaly | Anesthesiology | 1200 W Tabor Rd Fl 4, Philadelphia, PA 19141-3019 | 2013-04-15 |
| 1548203839 | Uplekh Purewal | Anesthesiology | 9815 Roosevelt Blvd, Philadelphia, PA 19114-1011 | 2006-06-14 |
| 1326033994 | Koenigsberg & Associates Pain Management LLC | Anesthesiology | 2222 S Broad St, Philadelphia, PA 19145-3948 | 2005-09-20 |
| 1689666315 | Pain Care Professionals, Inc. | Anesthesiology | Hahnemann University Hospital Pain Clinic, Broad & Vine St., 4th Floor South Tower, Philadelphia, PA 19096 | 2005-08-18 |
| 1407339187 | Temple Faculty Practice Plan, Inc | Anesthesiology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-10 |
| 1144600073 | Daniel Lavi Southren | Anesthesiology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2015-06-05 |
| 1477968014 | Advanced Spine and Pain of Pa, LLC | Anesthesiology | 2000 Grant Ave, Suite 103, Philadelphia, PA 19115-4378 | 2014-06-23 |
| 1952660169 | Coast Anesthesia Practice PC | Anesthesiology | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | 2012-05-08 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
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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.