JORGE SAM (NPI# 1245724301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245724301 |
| Entity Type | Individual |
| Full Name | JORGE SAM |
| Credential | RN |
| Practice Address |
111 S 11th St Philadelphia PA 19107-4824 |
| Mailing Address |
111 S 11th St Ste 8490 Philadelphia PA 19107-4824 |
| Practice Telephone | 2159556161 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN590397 | PA | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 S 11th St, Philadelphia, PA 191074824 | 2159556161 |
| Street Address |
111 S 11TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346246642 | Flavius F. Guglielmo | Radiology | 111 S 11th St, Suite 3390, Philadelphia, PA 19107-4824 | 2005-06-22 |
| 1265046569 | Sherman John Torres | Nurse Anesthetist, Certified Registered | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-09-03 |
| 1609489376 | Andrew Michael Mcguire | Registered Nurse | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-08-24 |
| 1326657420 | Daniel Joseph Leehan | Pharmacist | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-07-24 |
| 1013539436 | Kashyap Rajendra Chauhan | Internal Medicine | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-05-07 |
| 1134749385 | Maria Mattioli | Nurse Practitioner | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-04-17 |
| 1598392151 | Amine Sahmoud | Student in an Organized Health Care Education/Training Program | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-03-24 |
| 1346877198 | Abigail M O'connell | Nurse Practitioner | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-03-23 |
| 1396370342 | Alexandra Elder | Student in an Organized Health Care Education/Training Program | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-03-10 |
| 1134754252 | Christopher James Neely | Student in an Organized Health Care Education/Training Program | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437233 | Joseph O Ampong | Registered Nurse | 1037 Magee Ave, Philadelphia, PA 19111-4815 | 2020-11-05 |
| 1184223927 | Eric Narvaez Bedoya | Registered Nurse | 2201 Tremont St Apt 341, Philadelphia, PA 19115-5041 | 2020-10-22 |
| 1609482074 | Resurreccion Ortigas | Registered Nurse | 1332 Elbridge St, Philadelphia, PA 19111-5511 | 2020-09-21 |
| 1114533668 | Janette Bisnar Bediya | Registered Nurse | 2201 Tremont St Apt E341, Philadelphia, PA 19115-5091 | 2020-09-21 |
| 1841806247 | Kathryn Castro | Registered Nurse | 2301 Tremont St Apt I406, Philadelphia, PA 19115-5076 | 2020-09-21 |
| 1053927434 | Mary Ann Testado | Registered Nurse | 9219 Blue Grass Rd # Appt1, Philadelphia, PA 19114-4370 | 2020-09-21 |
| 1780290262 | Shamona Nophesia Griffiths | Registered Nurse | 936 Brighton St Apt 2, Philadelphia, PA 19111-4129 | 2020-09-19 |
| 1033729561 | Iyatunde Garrett | Registered Nurse | 7615 Dickens Ave, Philadelphia, PA 19153-1310 | 2020-08-10 |
| 1699383067 | Anisa Lynn Ray | Registered Nurse | 5045 Walnut St Apt 3, Philadelphia, PA 19139-3688 | 2020-07-21 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.