DR. DANIEL COACHI (NPI# 1245222991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245222991 |
| Entity Type | Individual |
| Full Name | DR. DANIEL COACHI |
| Credential | MD |
| Practice Address |
1603 E Wadsworth Ave Philadelphia PA 19150-1019 |
| Practice Telephone | 2152422439 |
| Practice Fax Number | 2152422596 |
| Mailing Telephone | 2152422439 |
| Mailing Fax Number | 2152422596 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2015-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD066378L | PA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD066378L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001786320 | 05 | |
| PA | RAILROAD MEDICARE | 930089957 | 01 |
| PA | BLUE SHIELD | 341418 | 01 |
| PA | FIRST PRIORITY HEALTH | 815012 | 01 |
| Street Address |
1603 E WADSWORTH AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19150-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750710315 | Dominique Etienne | Physician Assistant | 1603 E Wadsworth Ave, Philadelphia, PA 19150-1019 | 2013-11-04 |
| 1417132929 | Penrose Medical Center, Inc | Clinic/Center | 1603 E Wadsworth Ave, Philadelphia, PA 19150-1019 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821589615 | Covenant House, Inc | Clinic/Center | 2385 W Cheltenham Ave., Philadelphia, PA 19150 | 2018-05-29 |
| 1326553074 | Prime Health Pharmacy LLC | Pharmacy | 1514 Wadsworth Ave, Philadelphia, PA 19150 | 2017-12-04 |
| 1609319797 | Ivy Hill Rehab Center LLC | Skilled Nursing Facility | 140 Ivy Hill Road, Wyndmoor, PA 19150 | 2016-11-22 |
| 1831563857 | Kutest Kids | Early Intervention Provider Agency | 7811 Cedarbrook Avenue, Philadelphia, PA 19150 | 2015-11-16 |
| 1487044020 | Stefanie Black | Pharmacy Technician | 2527 Target Pharmacy, Philadelphia, PA 19150 | 2015-02-04 |
| 1003206590 | Fatima Jackson | Pharmacy Technician | 2527 Shoppers Lane, Cheltenham Square Mall, Philadelphia, PA 19150 | 2015-02-04 |
| 1215351762 | Hilltop Medical Associates, PC | General Practice | 2350 W. Cheltenham Ave, Philadelphia, PA 19150 | 2014-02-04 |
| 1801219472 | Fatima Bangura | Registered Nurse | Excel Medical Center, LLC, 7515 Stenton Avenue, Philadelphia, PA 19150 | 2014-02-01 |
| 1386082089 | Enjalee Jennifer Thomas-finnagan | Behavioral Analyst | 8324 Temple Rd, Phila, PA 19150 | 2013-06-05 |
| 1235572538 | Blessy Mathew | Nurse Practitioner | 2385 Cheltenham Avenue, Philadelphia, PA 19150 | 2013-04-17 |
| Find all providers in zip 19150 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254744 | Neil Leon Darby | Emergency Medicine | 706a S Colorado St, Philadelphia, PA 19146-1915 | 2019-03-19 |
| 1023515384 | Lisa Michelle Friedland | Emergency Medicine | 1020 Sansom St, Suite 1651b, Philadelphia, PA 19107 | 2018-04-11 |
| 1326543034 | Daniel Du Pont | Emergency Medicine | 3400 Civic Center Blvd Bldg 421, Philadelphia, PA 19104 | 2018-03-26 |
| 1053827485 | Prohealth Leaders LLC | Emergency Medicine | 9963 Bustleton Ave, Philadelphia, PA 19115-1557 | 2017-12-21 |
| 1841729340 | Mark Ramzy | Emergency Medicine | 230 North Broad St, Hahnemann University Hospital, Philadelphia, PA 19102 | 2017-06-08 |
| 1871020347 | Benjamin Ariel Bloom | Emergency Medicine | 1316 W Ontario St Fl 10, Philadelphia, PA 19140-5220 | 2017-05-16 |
| 1730575283 | Elaine Smith | Emergency Medicine | 1020 Sansom St Ste 1651b, Philadelphia, PA 19107-5002 | 2015-04-11 |
| 1295120251 | Stephen Hallisey | Emergency Medicine | 3400 Spruce St Hospital of The University of Pa, Department of Emergency Medicine Ground Floor Ravdin, Philadelphia, PA 19104-4238 | 2015-04-06 |
| 1831505254 | Gerald Whelan | Emergency Medicine | 39 Summit St, Philadelphia, PA 19118-2832 | 2014-07-07 |
| 1679987374 | John Benjamin | Emergency Medicine | 245 N. 15th Street, Philadelphia, PA 19102 | 2014-06-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19150 |
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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.