DR. JAMES S. EAKINS (NPI# 1205937331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205937331 |
Entity Type | Individual |
Full Name | DR. JAMES S. EAKINS |
Credential | MD |
Practice Address |
Broad and Vine Streets Philadelphia PA 19102 |
Mailing Address |
1500 Market Street 24th Floor-west Tower Philadelphia PA 19102 |
Practice Telephone | 2157622010 |
Practice Fax Number | 2157624721 |
Mailing Telephone | 2152553828 |
Mailing Fax Number | 2152553577 |
Enumeration Date | 2006-09-25 |
Last Update Date | 2014-08-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MA68321 | NJ | Allopathic & Osteopathic Physicians |
Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD057717L | PA | Allopathic & Osteopathic Physicians |
N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MA68321 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | HEALTHNET | 3K6042 | 01 |
PA | PA MEDICAID | 0019168910001 | 01 |
NJ | CIGNA | 0135917 | 01 |
NJ | AMERIHEALTH/PPO/IBC | 1308438 | 01 |
NJ | UNIVERSITY HEALTH PLAN | 28557 | 01 |
NJ | HEALTHNET | 3K7582 | 01 |
NJ | OXFORD | P1941072 | 01 |
NJ | AMERICHOICE | 010003763 00 | 01 |
NJ | AETNA | 3161476 | 01 |
NJ | HORIZON NJ HEALTH | 1095824 & 60017506 | 01 |
NJ | UNITED HEALTHCARE | 2023823 | 01 |
NJ | 7992807 | 05 | |
NJ | AMERIHEALTH/KEYSTONE/IBC | 2001739000 | 01 |
Street Address |
BROAD AND VINE STREETS |
City | PHILADELPHIA |
State | PA |
Zip Code | 19102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013203173 | Elias Tzelepis | Internal Medicine | Broad and Vine Streets, Hahnemann University Hospital, Philadelphia, PA 19102 | 2011-06-27 |
1639468085 | Amy Catherine Padbury | Nurse Practitioner | Broad and Vine Streets, Hahnemann University Hospital, Philadelphia, PA 19102 | 2011-04-06 |
1992969117 | Colin Magnuson O'dea | Emergency Medicine | Broad and Vine Streets, Mail Stop 623, Philadelphia, PA 19102 | 2008-07-16 |
1326205386 | Occupational Health Services | Clinic/Center | Broad and Vine Streets, Philadelphia, PA 19102 | 2008-05-19 |
1609073634 | Julie Niblock | Physician Assistant | Broad and Vine Streets, Hahnemann University Hospital, Philadelphia, PA 19102 | 2007-07-02 |
1154478774 | Bartholomew Joseph Tortella | Surgery | Broad and Vine Streets, Philadelphia, PA 19102-1121 | 2007-01-04 |
1144239534 | Suzanne M Touch | Pediatrics | Broad and Vine Streets, Philadelphia, PA 19102 | 2006-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
Find all providers in zip 19102 |
Taxonomy Code | 2086S0127X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Trauma Surgery |
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629377262 | Filip Moshkovsky | Surgery | 51 N 39th St Ste 1, Philadelphia, PA 19104-2640 | 2011-03-22 |
1770895971 | Morgan Mcmonagle | Surgery | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2010-07-06 |
1558497644 | Aria Health Physician Services - Trauma | Surgery | 3998 Red Lion Rd, Trauma Department, Philadelphia, PA 19114-1436 | 2007-02-26 |
1154478774 | Bartholomew Joseph Tortella | Surgery | Broad and Vine Streets, Philadelphia, PA 19102-1121 | 2007-01-04 |
1093805855 | Richard K Burns | Surgery | 230 N Broad Street, Philadelphia, PA 19102 | 2006-10-13 |
1881799260 | Philadelphia Health & Education Corp | Surgery | 219 N Broad St, 8th Floor, Philadelphia, PA 19107-1519 | 2006-09-13 |
1184642712 | Gary Welch | Surgery | 3998 Red Lion Rd, Philadelphia, PA 19114-1436 | 2006-07-18 |
1215967682 | Mark J. Libassi | Surgery | 3998 Red Lion Rd, Suite 125, Philadelphia, PA 19114-1436 | 2006-07-03 |
1740219955 | Alfred R. Bogucki | Surgery | 3998 Red Lion Rd, Suite 211, Philadelphia, PA 19114-1445 | 2006-07-01 |
1104880970 | Alec C Beekley | Surgery | 1100 Walnut St, 5th Floor, Philadelphia, PA 19107-5563 | 2006-04-17 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19102 |
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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.