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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
PA | Allopathic & Osteopathic Physicians |
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 |
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 |
Street Address |
3400 SPRUCE ST 2000 COURTYARD BUILDING |
City | PHILADELPHIA |
State | PA |
Zip Code | 19104-4206 |
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 |
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 | 207VM0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Maternal & Fetal Medicine |
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. |
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 |
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.