STC OPCO LLC (NPI# 1285277251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285277251 |
| Entity Type | Organization |
| Organization Name | STC OPCO LLC |
| Other Organization Name | ST CHRISTOPHER'S HOSPITAL FOR CHILDREN - AMBULATORY CARE |
| Practice Address |
160 E Erie Ave Philadelphia PA 19134-1011 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 2154275000 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2020-01-02 |
| Authorized Official Name | GARY CONNER (VP & CFO) |
| Authorized Official Telephone | 4846288181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ST CHRISTOPHER'S HOSPITAL FOR CHILDREN - AMBULATORY CARE | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Old York Road, Suite 251, Jenkintown, PA 19046 | 2154275000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139691 | Stc Opco LLC | Medical Genetics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1033755855 | Stc Opco LLC | Clinic/Center | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1942846761 | Stc Opco LLC | Allergy & Immunology | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1437795234 | Stc Opco LLC | Dentist | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1154967974 | Stc Opco LLC | Radiology | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1992341713 | Stc Opco LLC | Pathology | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1295371011 | Stc Opco LLC | Internal Medicine | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1619513439 | Stc Opco LLC | Emergency Medicine | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1194368167 | Stc Opco LLC | Medicare Defined Swing Bed Unit | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-23 |
| Street Address |
160 E ERIE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19134-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919040 | Gabriel Hauser | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2005-08-17 |
| 1932700150 | Alexandria Nicole Torrisi | Physician Assistant | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-11-04 |
| 1508466913 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-27 |
| 1548867476 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-05 |
| 1760009450 | Cassandra Anne Pantano | Nurse Practitioner | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-06-29 |
| 1366068488 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-06-24 |
| 1992326789 | Kerby Zeisloft | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-05-03 |
| 1467073353 | Neil Himanshu Patel | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-05-01 |
| 1629699665 | Rose B Bayer | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-04-30 |
| 1972124931 | Neha Jadhav | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| 1588125793 | Bret Johnson | Student in an Organized Health Care Education/Training Program | Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 | 2019-03-29 |
| 1053881672 | Ana Y Almanzar | Psychologist | 3513 North Water Street, Philadelphia, PA 19134 | 2018-11-27 |
| 1861974206 | Stephanie C Curtis | Registered Nurse | St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 | 2018-09-01 |
| 1700371978 | Kristi Ford | Nurse Practitioner | 160 E Erie Ave # 21542, Philadelphia, PA 19134 | 2018-06-28 |
| 1700370178 | Natalie Martinez | Case Manager/Care Coordinator | 3528 I St Ste 1, Philadelphia, PA 19134 | 2018-06-19 |
| 1205352309 | Personal Injury Clinic PC | Chiropractor | 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 | 2017-08-21 |
| 1306376280 | Port Richmond Counseling Practices | Clinic/Center | 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 | 2017-06-14 |
| 1760864441 | Jason Roy Toews | Pediatrics | 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2015-06-18 |
| 1376933291 | David Tanney Yusavitz | Nurse Practitioner | 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 | 2015-01-30 |
| Find all providers in zip 19134 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820754 | The Nava Center, Inc. | Clinic/Center | 1334 S 18th St, Philadelphia, PA 19146-4647 | 2020-11-01 |
| 1023620135 | Neshoba County General Hospital-nursing Home | Clinic/Center | 406 Stribling St, Philadelphia, MS 39350-3344 | 2020-08-19 |
| 1043775711 | New Vitae, Inc. | Clinic/Center | 27 S. 55th Street, Philadelphia, PA 19139-3247 | 2019-02-06 |
| 1184132219 | Neshoba County General Hospital | Clinic/Center | 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 | 2018-01-10 |
| 1699288142 | Rogers Memorial Hospital Inc | Clinic/Center | 1 Winding Dr Ste 106, Philadelphia, PA 19131-2907 | 2017-11-07 |
| 1952753238 | American Rehabilitation Counseling Center LLC | Clinic/Center | 8305-15 Ridge Ave, Philadelphia, PA 19128-1722 | 2016-07-11 |
| 1750736088 | Mark Wilson | Clinic/Center | 5313 Ogden St, Philadelphia, PA 19139-1438 | 2016-04-23 |
| 1023485265 | Greater Philadelphia Health Action Inc. | Clinic/Center | 1408 S. Broad St., 2nd Floor, Philadelphia, PA 19146-4808 | 2015-08-24 |
| 1407233125 | Rediclinic of Pa, LLC | Clinic/Center | 7418-32 Oxford Avenue, Philadelphia, PA 19111-3023 | 2015-05-01 |
| 1912397118 | Physical Corrective Solutions, LLC | Clinic/Center | 2644 Lefevre St Ste A, Suite A, Philadelphia, PA 19137-1733 | 2015-01-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19134 |
Please comment or provide details below to improve the information on STC OPCO LLC.
| 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.