MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANI (NPI# 1265956973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265956973 |
| Entity Type | Organization |
| Organization Name | MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANI |
| Other Organization Name | MMSEPA P PCP CHESTNUT OFFICE |
| Practice Address |
5630 Chestnut St Philadelphia PA 19139 |
| Mailing Address |
1 W Elm St Conshohocken PA 19428-4108 |
| Practice Telephone | 2157483100 |
| Mailing Telephone | 6105676964 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2018-06-28 |
| Authorized Official Name | BETH HOPKINS (DIRECTOR BILLING) |
| Authorized Official Telephone | 6105675239 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
PA | Behavioral Health & Social Service Providers | |
| Y | 207Q00000X | Family Medicine | PA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MMSEPA P PCP Chestnut Office | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689227209 | Mercy Management of Southeastern Pennsylvani | Internal Medicine | 5901 Market St, Philadelphia, PA 19139-3117 | 2019-07-23 |
| 1235601238 | Mercy Management of Southeastern Pennsylvani | Internal Medicine | 1001 Baltimore Pike, Suite 14ll, Springfield, PA 19064-2800 | 2019-01-02 |
| 1821560350 | Mercy Management of Southeastern Pennsylvani | Internal Medicine | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2018-12-21 |
| 1699278895 | Mercy Management of Southeastern Pennsylvani | Otolaryngology | 1501 Lansdowne Ave Ste 209, Darby, PA 19023-1333 | 2018-03-14 |
| 1508842691 | Mercy Management of Southeastern Pennsylvani | Internal Medicine | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2005-12-20 |
| Street Address |
5630 CHESTNUT ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831189612 | Mercy Management of Sepa | Internal Medicine | 5630 Chestnut St, Philadelphia, PA 19139-3232 | 2005-10-24 |
| 1346756947 | Esther C Bliss | Registered Nurse | 5630 Chestnut St, Philadelphia, PA 19139-3232 | 2017-12-18 |
| 1588776645 | Renal Center of Philadelphia, LLC | Clinic/Center | 5630 Chestnut St, Fl 2, Philadelphia, PA 19139-3232 | 2006-08-31 |
| 1740227438 | Daniel M Jones | Physician Assistant | 5630 Chestnut St, Philadelphia, PA 19139-3232 | 2006-06-01 |
| 1780674309 | Noreen P Lewis | Family Medicine | 5630 Chestnut St, Philadelphia, PA 19139-3232 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
| 1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
| 1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
| 1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
| 1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
| 1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
| 1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
| 1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
| 1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
| Find all providers in zip 19139 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| 1225648140 | Action Health Centers Inc | Family Medicine | 1006 W Lehigh Ave Ste 200, Philadelphia, PA 19133-1640 | 2020-08-05 |
| 1285289876 | Visiting Doctors Inc | Family Medicine | 2338 S Broad St Ste 1, Philadelphia, PA 19145-4450 | 2019-08-09 |
| 1770137218 | Health Care At Northeast Philadelphia LLC | Family Medicine | 3353 Cottman Avenue, Philadelphia, PA 19149-1603 | 2019-08-01 |
| 1679131585 | Aria Health Physician Services | Family Medicine | 3998 Red Lion Rd Ste 204, Philadelphia, PA 19114-1440 | 2019-06-05 |
| 1689232597 | Aria Health Physician Services | Family Medicine | 5000 Frankford Ave Ste 1, Philadelphia, PA 19124-2620 | 2019-06-05 |
| 1174096432 | Temple University of The Commonwealth System of Higher Education | Family Medicine | 2300 W Master St Ste 109b, Philadelphia, PA 19121-4739 | 2019-01-09 |
| 1679043152 | Prevention Point Philadelphia | Family Medicine | 2913-15 Kensington Ave, Philadelphia, PA 19134-3016 | 2018-11-28 |
| 1700362266 | Wes Corporation | Family Medicine | 5000 N 13th St, Philadelphia, PA 19141-3533 | 2018-07-17 |
| 1376046508 | Philly Medical and Rehab Associates | Family Medicine | 6401 Rising Sun Ave, Philadelphia, PA 19111-5228 | 2018-03-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19139 |
Please comment or provide details below to improve the information on MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANI.
| 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.