CHILDRENS HOSPITAL OF PHILADELPHIA (NPI# 1215921457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215921457 |
Entity Type | Organization |
Organization Name | CHILDRENS HOSPITAL OF PHILADELPHIA |
Practice Address |
34th and Civic Center Blvd Parc Business Svcs Philadelphia PA 19104-4306 |
Mailing Address |
3401 Civic Center Blvd Parc Business Svcs Philadelphia PA 19104-4319 |
Practice Telephone | 2674265722 |
Practice Fax Number | 2674267138 |
Mailing Telephone | 2674265722 |
Mailing Fax Number | 2674267138 |
Enumeration Date | 2005-09-02 |
Last Update Date | 2018-08-17 |
Authorized Official Name | MS. DIERDRA YOUNG (DIRECTOR) |
Authorized Official Telephone | 2674265722 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
N | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities | ||
N | 282N00000X | General Acute Care Hospital | Hospitals | ||
N | 283XC2000X |
Rehabilitation Hospital Specialization: Children |
Hospitals | ||
Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | AETNA/US HEALTHCARE | 0001426 | 01 |
PA | 0052815202 | 05 | |
PA | 1007709910078 | 05 | |
PA | HORIZON BLUE CROSS | 393303 | 01 |
PA | 4204301 | 05 | |
PA | 0052815201 | 05 | |
PA | CIGNA | 505533072 | 01 |
PA | 01000275400 | 05 | |
PA | 1007709910056 | 05 | |
PA | KEYSTONE HEALTH PLAN EAST | 393303 | 01 |
PA | CHAMPUS | P000851 | 01 |
PA | IBC | 0001006000 | 01 |
PA | 1007709910059 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245706183 | Childrens Hospital of Philadelphia | Pediatrics | 663 W Lancaster Ave, Bryn Mawr, PA 19010-3805 | 2018-10-18 |
1376069567 | Childrens Hospital of Philadelphia | Pediatrics | 3401 Civic Center Blvd Fl 4, Philadelphia, PA 19104-4319 | 2017-08-18 |
1891126488 | Childrens Hospital of Philadelphia | Clinic/Center | 950 Pulaski Drive, King of Prussia, PA 19406 | 2013-12-06 |
1902261324 | Childrens Hospital of Philadelphia | Acupuncturist | 3401 Civic Center Blvd, Wood Building. 6th Floor, Philadelphia, PA 19104 | 2015-12-30 |
1184900904 | Childrens Hospital of Philadelphia | Clinic/Center | 34th & Civic Center Blvd, Business Services, Philadelphia, PA 19104-4306 | 2011-10-25 |
1548330350 | Childrens Hospital of Philadelphia | Pharmacy | 3000 Horizon Dr, King of Prussia, PA 19406-2626 | 2006-11-09 |
Street Address |
34TH AND CIVIC CENTER BLVD PARC BUSINESS SVCS |
City | PHILADELPHIA |
State | PA |
Zip Code | 19104-4306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013376995 | Shawnese Duren | Nurse Practitioner | 34th and Civic Center Blvd, Office # 6w58, Philadelphia, PA 19104 | 2016-02-19 |
1003212002 | Donna M Mcdonald-mcginn | Genetic Counselor, MS | 34th and Civic Center Blvd, Rm 8c05, Philadelphia, PA 19104 | 2014-11-18 |
1134567860 | Matthew Stevenson | Social Worker | 34th and Civic Center Blvd, Philadelphia, PA 19104 | 2013-06-04 |
1144598459 | Iris Paltin | Clinical Neuropsychologist | 34th and Civic Center Blvd, Philadelphia, PA 19104 | 2011-12-01 |
1508134818 | Leanne Magee | Psychologist | 34th and Civic Center Blvd, Philadelphia, PA 19104 | 2011-12-01 |
1871861187 | Kimberly Miller | Psychologist | 34th and Civic Center Blvd, Philadelphia, PA 19104 | 2011-12-01 |
1386920981 | Scott William Crothamel | Nurse Practitioner | 34th and Civic Center Blvd, General Surgery 5th Fl Wood Bldg, Philadelphia, PA 19104 | 2011-10-26 |
1336424514 | Kathryn Ammon | Nurse Practitioner | 34th and Civic Center Blvd, 1 Wood Center, Philadelphia, PA 19104 | 2011-10-19 |
1487967139 | Jennifer Diane Schonour | Nurse Practitioner | 34th and Civic Center Blvd, Division of Neonatology, Philadelphia, PA 19104 | 2010-07-23 |
1659607976 | Marcey Peyser Friedman | Nurse Practitioner | 34th and Civic Center Blvd, Philadelphia, PA 19104-4399 | 2009-10-21 |
Find all providers in the same location |
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 |
Find all providers in zip 19104 |
Taxonomy Code | 282NC2000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Children |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184168379 | Farzana Shah | General Acute Care Hospital | 1613 Colima Rd, Philadelphia, PA 19115-4205 | 2016-12-07 |
1982915856 | St. Christopher's Hospital | General Acute Care Hospital | 136 N Bread St Apt 224, Philadelphia, PA 19106-1943 | 2010-06-25 |
1417188111 | Children's Hospital of Philadelphia | General Acute Care Hospital | 2300 Pine St Apt 4a, Philadelphia, PA 19103-6468 | 2009-07-30 |
1306090113 | Children's Hospital of Philadelphia | General Acute Care Hospital | 34th & Civic Center Bldvd, Philadelphia, PA 19104 | 2008-11-06 |
1780204362 | Perrie Lyn Epstein | General Acute Care Hospital | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-04-23 |
1932729480 | Joseph Tran | General Acute Care Hospital | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-04-23 |
1770102576 | Chad Alan Ross | General Acute Care Hospital | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-04-11 |
1093252538 | Jacquelyn Russo | General Acute Care Hospital | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2017-01-23 |
1043763311 | Sarah Limbach | General Acute Care Hospital | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2016-08-03 |
1053786731 | Kimberly Venella | General Acute Care Hospital | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2015-12-07 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19104 |
Please comment or provide details below to improve the information on CHILDRENS HOSPITAL OF PHILADELPHIA.
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.