MITCHELL JASON MARDER (NPI# 1285673319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285673319 |
| Entity Type | Individual |
| Full Name | MITCHELL JASON MARDER |
| Credential | D.O. |
| Practice Address |
9331 Old Bustleton Ave Suite 101 Philadelphia PA 19115-4204 |
| Mailing Address |
Po Box 820933 Philadelphia PA 19182-0933 |
| Practice Telephone | 2156731520 |
| Practice Fax Number | 2156731980 |
| Mailing Telephone | 2156731520 |
| Mailing Fax Number | 2156731980 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2013-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS009943L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001803010 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659597243 | Mitchell L Marder | Dentist | 822 Ne Northgate Way, Seattle, WA 98125-7312 | 2007-04-18 |
| 1245325133 | Mitchell J Marder | Optometrist | 4923 Coconut Creek Pkwy, Coconut Creek, FL 33063 | 2006-10-04 |
| Street Address |
9331 OLD BUSTLETON AVE SUITE 101 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285632802 | Thomas J Cullen Jr. | Psychologist | 9331 Old Bustleton Ave, Suite 101, Philadelphia, PA 19115-4634 | 2005-07-08 |
| 1902200876 | Tri-state Sport and Spine, Pllc | Chiropractor | 9331 Old Bustleton Ave, Suite 101, Philadelphia, PA 19115-4204 | 2014-10-21 |
| 1205245040 | Temple Physicians Inc | Family Medicine | 9331 Old Bustleton Ave, Suite 202, Philadelphia, PA 19115-4204 | 2014-08-06 |
| 1164841946 | Temple Physicians Inc | Emergency Medicine | 9331 Old Bustleton Ave, Suite 100a, Philadelphia, PA 19115-4204 | 2014-04-09 |
| 1598188401 | Carla S Cuoci-malin | Family Medicine | 9331 Old Bustleton Ave, Suite100a, Philadelphia, PA 19115-4204 | 2014-01-28 |
| 1538443908 | Michael R Dougherty | Chiropractor | 9331 Old Bustleton Ave, 101, Philadelphia, PA 19115-4204 | 2011-10-04 |
| 1770740599 | Parkwood Family Chiropractic, Inc. | Chiropractor | 9331 Old Bustleton Ave, Suite 101, Philadelphia, PA 19115-4204 | 2008-05-20 |
| 1457489320 | Temple Physicians Inc. | Obstetrics & Gynecology | 9331 Old Bustleton Ave, 2nd Floor, Philadelphia, PA 19115-4634 | 2007-03-01 |
| 1841334109 | Cullen Psychological Services, PC | Psychologist | 9331 Old Bustleton Ave, Suite 101, Philadelphia, PA 19115-4634 | 2007-02-19 |
| 1427100304 | Temple Physicians Inc. | Internal Medicine | 9331 Old Bustleton Ave, Suite 201, Philadelphia, PA 19115-4634 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
| Find all providers in zip 19115 | ||||
| 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 | 19115 |
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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.