UNIVERSITY OF PENN-MEDICAL GROUP (NPI# 1285022202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285022202 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF PENN-MEDICAL GROUP |
| Practice Address |
3737 Market St 9th Floor Philadelphia PA 19104-5545 |
| Practice Telephone | 2156628777 |
| Mailing Telephone | 2156628777 |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2015-09-01 |
| 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 |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
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 |
3737 MARKET ST 9TH FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-5545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124011473 | Sami L Khella | Psychiatry & Neurology | 3737 Market St, 8th Floor, Philadelphia, PA 19104-5545 | 2005-08-23 |
| 1750988077 | Alexander Govshievich | Student in an Organized Health Care Education/Training Program | 3737 Market St, Philadelphia, PA 19104-5545 | 2020-10-09 |
| 1144858887 | Aymen Alqazzaz | Student in an Organized Health Care Education/Training Program | 3737 Market St, Philadelphia, PA 19104-5545 | 2020-03-30 |
| 1437787058 | Ashleigh N Bush | Student in an Organized Health Care Education/Training Program | 3737 Market St, Philadelphia, PA 19104-5545 | 2020-03-30 |
| 1790313302 | Kathleen Collins | Student in an Organized Health Care Education/Training Program | 3737 Market St, Philadelphia, PA 19104-5545 | 2020-03-30 |
| 1497383277 | Mitchell James Hallman | Student in an Organized Health Care Education/Training Program | 3737 Market St, Philadelphia, PA 19104-5545 | 2020-03-29 |
| 1003378688 | Kelsey Young | Student in an Organized Health Care Education/Training Program | 3737 Market St, Philadelphia, PA 19104-5545 | 2019-04-03 |
| 1205397031 | Kendall Mieko Masada | Student in an Organized Health Care Education/Training Program | 3737 Market St, Philadelphia, PA 19104-5545 | 2019-03-26 |
| 1770043374 | Jayme Mendelsohn | Family Medicine | 3737 Market St, Philadelphia, PA 19104-5545 | 2019-03-21 |
| 1487111373 | Christopher Hvisdas | Pharmacist | 3737 Market St, Philadelphia, PA 19104-5545 | 2019-02-27 |
| 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 | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174551642 | Brian Jeffrey Sennett | Internal Medicine | 235 S 33rd St, Weightman Hall, 1st Floor, Philadelphia, PA 19104-6322 | 2006-06-30 |
| 1679873970 | Maenpaa Sports Medicine LLC | Internal Medicine | 829 Spruce St, Suite308, Philadelphia, PA 19107-5752 | 2010-11-02 |
| 1225278963 | Tara Lyn Cuda, D.o., P.C. | Internal Medicine | 2230 S Broad St, Philadelphia, PA 19145-3950 | 2009-02-20 |
| 1306987318 | David M. Josephson | Internal Medicine | 3535 Market St, Suite 100, Philadelphia, PA 19104-3309 | 2007-02-11 |
| 1881754463 | Neil P Sheth | Internal Medicine | 800 Spruce St, 1 Cathcart, Philadelphia, PA 19107-6130 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043674971 | Justin Luhovey | Internal Medicine | 2027 Lebanon Church Rd, West Mifflin, PA 15122-2461 | 2016-04-06 |
| 1821473570 | Drmc - Penn Highlands Internal Med Clearfield 93390 | Internal Medicine | 531c Hannah St, Clearfield, PA 16830-1209 | 2015-07-23 |
| 1073956397 | Ravi Kiran Ved | Internal Medicine | 1307 Federal St Ste 2, Pittsburgh, PA 15212-4769 | 2013-04-17 |
| 1891036166 | Tower Health Medical Group | Internal Medicine | 1350 Broadcasting Rd Ste 201, Wyomissing, PA 19610-3229 | 2013-03-11 |
| 1417219361 | Orthopaedic Surgery and Sports Medicine Group, PC | Internal Medicine | 254 Lancaster Ave, Malvern, PA 19355-3087 | 2012-06-15 |
| 1184944167 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Internal Medicine | 1 Bartol Ave, Ste 100, Ridley Park, PA 19078-2214 | 2010-06-02 |
| 1992974679 | Edward Anthony Gusick IIi | Internal Medicine | 1201 Grampian Blvd, Suite 2f, Williamsport, PA 17701-1965 | 2008-02-26 |
| 1649448218 | Megan Marie Groh Miller | Internal Medicine | 9104 Babcock Blvd., Suite 2120, Pittsburgh, PA 15237 | 2008-02-15 |
| 1811186133 | Matthew Ross Flanagan | Internal Medicine | 100 Medical Blvd, Canonsburg, PA 15317-9762 | 2007-10-23 |
| 1730129792 | Joseph M Stellabotte | Internal Medicine | 1 Bartol Ave, Suite 100, Ridley Park, PA 19078-2214 | 2006-06-07 |
| Find all providers with the same taxonomy | ||||
| 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.