JEFFERSON UNIVERSITY HOSPITAL (NPI# 1205272804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205272804 |
Entity Type | Organization |
Organization Name | JEFFERSON UNIVERSITY HOSPITAL |
Practice Address |
1025 Walnut St Suite 801 Philadelphia PA 19107-5001 |
Practice Telephone | 2159558768 |
Practice Fax Number | 2159553890 |
Mailing Telephone | 2159558768 |
Mailing Fax Number | 2159553890 |
Enumeration Date | 2013-05-22 |
Last Update Date | 2013-06-20 |
Authorized Official Name | ANGELA CRUDELE (RESIDENT) |
Authorized Official Telephone | 2159558768 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | Hospitals |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861725608 | Jefferson University Hospital | Clinic/Center | 1015 Walnut St, 1015 Walnut Street, Philadelphia, PA 19107-5005 | 2009-09-11 |
Street Address |
1025 WALNUT ST SUITE 801 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19107-5001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144348004 | Marianne A. Natali | Registered Nurse | 1025 Walnut St, Philadelphia, PA 19107-5001 | 2007-03-27 |
1104451178 | Dylan Horan | Student in an Organized Health Care Education/Training Program | 1025 Walnut St, Philadelphia, PA 19107-5001 | 2020-03-10 |
1912532045 | Alec Reid Furstenberg | Student in an Organized Health Care Education/Training Program | 1025 Walnut St, Philadelphia, PA 19107-5001 | 2020-03-09 |
1215461363 | Vikas Sunder | Student in an Organized Health Care Education/Training Program | 1025 Walnut St, Room 805, Philadelphia, PA 19107-5001 | 2017-04-16 |
1861854747 | Justin Stull | Student in an Organized Health Care Education/Training Program | 1025 Walnut St, Dept of Orthopaedic Surgery, Room 516 College, Philadelphia, PA 19107-5001 | 2016-03-22 |
1578930962 | Shogo Shimada | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1025 Walnut St, Philadelphia, PA 19107-5001 | 2015-09-01 |
1063807196 | James Mckenzie | Orthopaedic Surgery | 1025 Walnut St, Philadelphia, PA 19107-5001 | 2015-04-06 |
1154763332 | Ryuta Tanimoto | Urology | 1025 Walnut St, Suite 1112, Philadelphia, PA 19107-5001 | 2013-07-29 |
1053750034 | Sung Whang | Nurse Practitioner | 1025 Walnut St, Suite 607, Philadelphia, PA 19107-5001 | 2013-06-22 |
1225475734 | Neda Nikbakht | Dermatology | 1025 Walnut St, Suite 701, Philadelphia, PA 19107-5001 | 2013-05-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
Find all providers in zip 19107 |
Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639628043 | Tri-county Hospitalists | General Acute Care Hospital | 560 N 16th St, Apt 1, Philadelphia, PA 19130-4105 | 2016-09-26 |
1649650359 | Hahnemann University Hospital | General Acute Care Hospital | 245 N 15th St # Ms 420, Philadelphia, PA 19102-1101 | 2015-06-08 |
1699160432 | Beth Israel Deaconess Medical Center, Inc. | General Acute Care Hospital | 908 Pine St. Apt 2f, Philadelphia, PA 19107 | 2015-03-30 |
1285979179 | Minute Clinic | General Acute Care Hospital | 487 Shurs Ln, Philadelphia, PA 19128-3505 | 2012-12-03 |
1437407152 | Temple University Health System | General Acute Care Hospital | 3401 N. Broad St, Department of Radiology, Philadelphia, PA 19140 | 2012-08-28 |
1376806398 | Patrick O'toole | General Acute Care Hospital | 1015 Walnut Street, Room 801 Curtis Building, Philadelphia, PA 19107 | 2012-06-25 |
1932462397 | Michael Riesa | General Acute Care Hospital | 2301 S Broad St Rm 112, Philadelphia, PA 19148-3542 | 2012-06-20 |
1659657872 | Hahnemann University Hospital | General Acute Care Hospital | 245 N. 15th Street, Ms #435, Department of Pathology, Philadelphia, PA 19102 | 2011-11-02 |
1003104530 | Hospital of The University of Pennsylvania | General Acute Care Hospital | 2121 Market St Apt 220, Philadelphia, PA 19103-1309 | 2011-07-19 |
1588950703 | Linda Smith | General Acute Care Hospital | 2934 Gilham St, Philadelphia, PA 19149-3018 | 2011-06-27 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19107 |
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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.