UNIVERSITY OF PENN-MEDICAL GROUP (NPI# 1275921298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275921298 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF PENN-MEDICAL GROUP |
| Practice Address |
51 N 39th St Mob Suite 120 Philadelphia PA 19104-2640 |
| Practice Telephone | 2156627320 |
| Mailing Telephone | 2156627320 |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |
| Authorized Official Name | ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2156627583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
PA | Allopathic & Osteopathic Physicians | |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
PA | Allopathic & Osteopathic Physicians | |
| Y | 208600000X | Surgery | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396193900 | University of Penn-medical Group | Transplant Surgery | 1501 N Cedar Crest Blvd, Suite 110 Liver Transplant, Allentown, PA 18104-2309 | 2016-05-25 |
| 1821451139 | University of Penn-medical Group | Internal Medicine | 554 N Duke St, 3rd Floor Renal Transplant, Lancaster, PA 17602-2225 | 2016-04-04 |
| 1902269210 | University of Penn-medical Group | Surgery | 554 N Duke St, 3rd Floor, Lancaster, PA 17602-2225 | 2016-04-04 |
| 1043670805 | University of Penn-medical Group | Internal Medicine | 554 N Duke St, 3rd Floor Gi Transplant, Lancaster, PA 17602-2225 | 2016-03-07 |
| 1730578667 | University of Penn-medical Group | Internal Medicine | 3400 Spruce St, Ground Floor Donner, Philadelphia, PA 19104-4238 | 2015-01-15 |
| 1073902169 | University of Penn-medical Group | Dermatology | 3400 Spruce St, 2 Rhoads Pavilion, Philadelphia, PA 19104-4238 | 2015-01-13 |
| 1184012569 | University of Penn-medical Group | Clinical Medical Laboratory | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2015-01-07 |
| 1821486846 | University of Penn-medical Group | Marriage & Family Therapist | 3535 Market St, 3rd Floor, Philadelphia, PA 19104-3309 | 2014-12-29 |
| 1740678762 | University of Penn-medical Group | Pathology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2014-12-29 |
| 1811385834 | University of Penn-medical Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 51 N 39th St, 266 Wright Saunders, Philadelphia, PA 19104-2640 | 2014-12-29 |
| Street Address |
51 N 39TH ST MOB SUITE 120 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679570733 | Tanya M Dougherty | Pharmacist | 51 N 39th St, 6th Floor Mutch Building, Philadelphia, PA 19104-2640 | 2005-07-05 |
| 1114527058 | Laureen Delgado | Nurse Practitioner | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-10-29 |
| 1629677331 | Annabell Boreland | Nurse Practitioner | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-10-23 |
| 1174120190 | Kerry Jane Benson | Dietitian, Registered | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-10-02 |
| 1487251591 | Ashley Nichole Williams | Nurse Practitioner | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-10-02 |
| 1245844687 | Matthew Hinton | Pharmacist | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-09-02 |
| 1093323768 | Lindsey Morgan Duboff | Physician Assistant | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-07-20 |
| 1184240830 | Ashley Danielle Kelly | Nurse Anesthetist, Certified Registered | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-06-18 |
| 1992321863 | Cassie Deann Prendergast | Nurse Anesthetist, Certified Registered | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-06-17 |
| 1972126951 | Theresa Marie Carbone | Registered Nurse | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1962993170 | Brian M Till | Surgery | 1015 Walnut Street, Suite 620 Curtis, Philadelphia, PA 19107-5005 | 2018-05-23 |
| 1356838932 | Walker Lyons | Surgery | 1015 Walnut St Ste 210, Philadelphia, PA 19107-5005 | 2018-04-18 |
| 1790213114 | Matthew Paul Mullarkey | Surgery | 3401 N Broad St Ste C405, Philadelphia, PA 19140-5103 | 2017-05-30 |
| 1528424090 | Zhen Lu | Surgery | 5401 Old York Rd # Klein101, Philadelphia, PA 19141-3030 | 2016-01-13 |
| 1235517996 | David Kim | Surgery | 3401 N Broad St # 3ppc388, Philadelphia, PA 19140 | 2015-05-14 |
| 1578941282 | Amanda Elizabeth Deliere | Surgery | 3400 N Broad St, Philadelphia, PA 19140-5104 | 2015-05-13 |
| 1649660804 | Deviney Rattigan | Surgery | 1110 Lombard St Apt 24, Philadelphia, PA 19147-1206 | 2015-01-27 |
| 1346676988 | Aviva Wallace Kaplin | Surgery | 20 E Abington Ave, Philadelphia, PA 19118-3410 | 2013-09-15 |
| 1619300571 | Roshin Thomas | Surgery | 8815 Germantown Ave Fl 2, Philadelphia, PA 19118-2722 | 2013-08-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.