UNIV OF PENN - OB-GYN


Address: 3400 Spruce St, 2000 Courtyard Building, Philadelphia, PA 19104-4206
Phone: 2156622982

UNIV OF PENN - OB-GYN (NPI# 1295856771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295856771
Entity Type Organization
Organization Name UNIV OF PENN - OB-GYN
Practice Address 3400 Spruce St
2000 Courtyard Building
Philadelphia
PA 19104-4206
Mailing Address 3624 Market St
Suite 560w
Philadelphia
PA 19104-2614
Practice Telephone 2156622982
Mailing Telephone 2156622286
Enumeration Date 2007-04-03
Last Update Date 2020-08-22
Authorized Official Name ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2156627583
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VM0101X Obstetrics & Gynecology
Specialization: Maternal & Fetal Medicine
PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA KEYSTONE MERCY 1012027 01
PA MAMSI 273227 01
PA AETNA 490662 01
PA BLUE SHIELD 532383 01
PA HEALTHPARTNERS 25607 01
PA HEALTHNET 2Y20350 01
PA KEYSTONE 0372782000 01
NJ 7298609 05
PA 1007448840 05
PA RAILROAD MEDICARE DA9430 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1659492122 Univ of Penn - Ob-gyn Obstetrics & Gynecology 801 Spruce St, 8th Floor, Philadelphia, PA 19107-5701 2007-04-03
1386765857 Univ of Penn - Ob-gyn Obstetrics & Gynecology 800 Walnut St, 10th Floor, Philadelphia, PA 19107-5109 2007-04-03
1861528754 Univ of Penn - Ob-gyn Obstetrics & Gynecology 3701 Market St, 7th and 8th Floor, Philadelphia, PA 19104-5502 2007-02-26

Office Location

Street Address 3400 SPRUCE ST
2000 COURTYARD BUILDING
City PHILADELPHIA
State PA
Zip Code 19104-4206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063415966 Samuel Isaiah Parry Obstetrics & Gynecology 3400 Spruce St, Philadelphia, PA 19104-4238 2005-05-24
1831790609 Renate Marie Balitzky Registered Nurse 3400 Spruce St, Philadelphia, PA 19104-4238 2020-11-06
1053911156 Jordan Charles Templeton Physician Assistant 3400 Spruce St, Philadelphia, PA 19104-4274 2020-10-28
1992305304 Alyssa N Volpe Registered Nurse 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-27
1700486115 Christina Haddow Registered Nurse 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-27
1629677497 Marissa Leigh Berlant Physician Assistant 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-22
1811595523 Kristen Gilgen Anesthesiology 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-14
1962014654 Stacey Pham Nurse Practitioner 3400 Spruce St, Philadelphia, PA 19104-4238 2020-08-23
1265040109 Abdullah T Almuqate Pathology 3400 Spruce St, Philadelphia, PA 19104-4238 2020-07-16
1952928541 Stefen Andrianus Student in an Organized Health Care Education/Training Program 3400 Spruce St, Philadelphia, PA 19104-4238 2020-06-29
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207VM0101X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Maternal & Fetal Medicine

Taxonomy Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255540159 Richard Douglas Ross Obstetrics & Gynecology 2131 Saint James St, Philadelphia, PA 19103-4804 2007-05-21
1598247439 Temple Faculty Practice Plan, Inc Obstetrics & Gynecology 3401 N Broad St, Philadelphia, PA 19140-5103 2018-09-06
1518451681 Einstein Practice Plan, Inc. Obstetrics & Gynecology 5501 Old York Rd, Philadelphia, PA 19141-3018 2018-06-21
1134578594 Fei Cai Obstetrics & Gynecology 3400 Spruce St, Philadelphia, PA 19104-4238 2016-06-07
1568732071 Shelly Soni Obstetrics & Gynecology 3400 Spruce St, Philadelphia, PA 19104 2012-01-01
1063731669 Adi Hirshberg Obstetrics & Gynecology 3400 Spruce St, Philadelphia, PA 19104-4238 2010-05-21
1184898322 Jefferson University Physicians Obstetrics & Gynecology 833 Chestnut St, Suite 630, Philadelphia, PA 19107-4414 2008-04-18
1083892376 Juliana Sanchez Gebb Obstetrics & Gynecology 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2008-02-08
1710021498 Julie Suzanne Moldenhauer Obstetrics & Gynecology 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2007-02-16
1083756183 Nahla Khalek Obstetrics & Gynecology 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2007-02-13
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City PHILADELPHIA
Zip Code 19104

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Dataset Information

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.

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