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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Temple Faculty Orthopedics & Sports Medicine Associates | Doing Business As Name - Organization |
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 |
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 |
Street Address |
3509 N BROAD ST |
City | PHILADELPHIA |
State | PA |
Zip Code | 19140-4105 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 19140 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
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 |
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 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19140 |
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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.