TEMPLE FACULTY PRACTICE PLAN, INC


Address: 3509 N Broad St, Philadelphia, PA 19140-4105
Phone: 2157072111

TEMPLE FACULTY PRACTICE PLAN, INC (NPI# 1245713908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245713908
Entity Type Organization
Organization Name TEMPLE FACULTY PRACTICE PLAN, INC
Other Organization Name TEMPLE FACULTY ORTHOPEDICS & SPORTS MEDICINE ASSOCIATES
Practice Address 3509 N Broad St
Philadelphia
PA 19140-4105
Mailing Address 2450 W Hunting Park Ave
Philadelphia
PA 19129-1302
Practice Telephone 2157072111
Practice Fax Number 2157072324
Mailing Telephone 2157072111
Mailing Fax Number 2157072324
Enumeration Date 2018-09-10
Last Update Date 2018-09-10
Authorized Official Name TONYA WOODARD (DIRECTOR REVENUE CYCLE)
Authorized Official Telephone 2157073911
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Temple Faculty Orthopedics & Sports Medicine Associates Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
515 Pennsylvania Ave, Fort Washington, PA 190343314 2156410700 2156410637
333 Cottman Ave, Philadelphia, PA 191112434 2157072111 2157072324
1200 Constitution Ave Bldg 489, Philadelphia, PA 191121329 2675923200 8883933880
1001 Diamond St, Philadelphia, PA 191221204 2157072111 2157072324
1800 N Broad St, Philadelphia, PA 191213302 2157072111 2157072324
8815 Germantown Ave, Philadelphia, PA 191182722 2152488947 2152488782
11000 Roosevelt Blvd, Philadelphia, PA 191163961 2152146655 2152146654
3401 N Broad St, Philadelphia, PA 191405103 2157072111 2157072324

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1043849656 Temple Faculty Practice Plan, Inc Radiology 41922 N Mill Dr, Magnolia, TX 77354-1850 2020-04-06
1316573124 Temple Faculty Practice Plan, Inc Family Medicine 1316 W Ontario St, Philadelphia, PA 19140-5220 2020-03-13
1609412279 Temple Faculty Practice Plan, Inc Case Manager/Care Coordinator 1316 W Ontario St, Philadelphia, PA 19140-5220 2019-11-19
1194361766 Temple Faculty Practice Plan, Inc Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5103 2019-11-19
1790346187 Temple Faculty Practice Plan, Inc Clinic/Center 3401 N Broad St, Philadelphia, PA 19140-5103 2019-06-26
1871067116 Temple Faculty Practice Plan, Inc Obstetrics & Gynecology 3401 N Broad St, Philadelphia, PA 19140-5103 2019-01-21
1891278933 Temple Faculty Practice Plan, Inc Speech-Language Pathologist 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-14
1396228508 Temple Faculty Practice Plan, Inc Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-13
1992288112 Temple Faculty Practice Plan, Inc Urology 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-13
1467935825 Temple Faculty Practice Plan, Inc Physical Medicine & Rehabilitation 3401 N Broad St, Philadelphia, PA 19140-5103 2018-09-12

Office Location

Street Address 3509 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19140-4105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669466793 Riyaz Bashir Internal Medicine 3509 N Broad St, Philadelphia, PA 19140-5103 2005-09-05
1750841151 Chloe Beiler Physician Assistant 3509 N Broad St, Philadelphia, PA 19140-4105 2019-03-21
1770068041 Chirantan Vinodbhai Mangukia Thoracic Surgery (Cardiothoracic Vascular Surgery) 3509 N Broad St, Philadelphia, PA 19140-4105 2018-10-02
1891278933 Temple Faculty Practice Plan, Inc Speech-Language Pathologist 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-14
1396228508 Temple Faculty Practice Plan, Inc Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-13
1992288112 Temple Faculty Practice Plan, Inc Urology 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-13
1023591781 Temple Faculty Practice Plan, Inc Otolaryngology 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-10
1154804839 Temple Faculty Practice Plan, Inc Physical Therapist 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-10
1902389646 Temple Faculty Practice Plan, Inc Neurological Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-10
1093298887 Temple Faculty Practice Plan, Inc Psychiatry & Neurology 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225640519 Desirea Grant Registered Nurse 2000 W. Venango Street, Phila, PA 19140 2020-08-19
1306316104 Carmen Doumit Dentist 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 2018-12-05
1780150375 Samantha Marina Felix Counselor 3803-3805 N 5th St, Philadelphia, PA 19140 2018-10-22
1518485135 Holly Marie Barbee Dietitian, Registered 4417 N 6th St., Philadelphia, PA 19140 2017-09-04
1033630892 Jessica Anne Tang Otolaryngology 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 2017-07-03
1710416870 Narsis Aminian Internal Medicine 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 2017-06-12
1629527338 Alaa Khatib Pharmacist 4616-4650 N. Broad Street, Philadelphia, PA 19140 2016-09-23
1548716160 Direct Home Health Care In Home Supportive Care 3550 N 9th St, Philadelphia, PA 19140 2016-09-01
1306399225 Zaima Choudhry Student in an Organized Health Care Education/Training Program Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 2016-07-27
1891145504 Saji Mathew Pharmacist 4530n 5th Street, Philadelphia, PA 19140 2016-06-14
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790323517 Einstein Practice Plan Inc Orthopaedic Surgery 5501 Old York Rd Bldg Fl4, Philadelphia, PA 19141-3018 2019-12-11
1780622639 Michael James Mandarino Jr. Orthopaedic Surgery 2832 Belmont Ave, Philadelphia, PA 19131-1519 2006-06-03
1730140153 Kevin Blake Freedman Orthopaedic Surgery 925 Chestnut St, Fl 5, Rothman Institute, Philadelphia, PA 19107-4216 2006-03-28
1306833132 Temple University of The Commonwealth System of Higher Education Orthopaedic Surgery 7604 Central Ave, Philadelphia, PA 19111-2433 2005-10-06
1366961237 Holy Family University Orthopaedic Surgery 9801 Frankford Ave, Philadelphia, PA 19114-2009 2017-09-12
1669871026 Theresa Julia Christina Pazionis Orthopaedic Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2014-08-21
1790121507 Daniel Lim Orthopaedic Surgery 3400 Spruce St, Philadelphia, PA 19104 2013-05-20
1669714671 Jamie Lyn Engel Orthopaedic Surgery 3401 N Broad St, Philadelphia, PA 19140-5103 2013-03-18
1164788832 Julie Shaner Orthopaedic Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2012-04-07
1679899462 David K Galos Orthopaedic Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2010-04-19
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Competitor

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City PHILADELPHIA
Zip Code 19140

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Dataset Information

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.

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