JEFFERSON UNIVERSITY PHYSICIANS (NPI# 1306333695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306333695 |
| Entity Type | Organization |
| Organization Name | JEFFERSON UNIVERSITY PHYSICIANS |
| Other Organization Name | JEFFERSON OB/GYN UROGYNECOLOGY ASSOCIATES |
| Practice Address |
833 Chestnut St Frnt 1 Philadelphia PA 19107-4420 |
| Mailing Address |
615 Chestnut St Fl 14 Philadelphia PA 19106-4404 |
| Practice Telephone | 2159555000 |
| Practice Fax Number | 2159236436 |
| Mailing Telephone | 2159559628 |
| Mailing Fax Number | 2159552420 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |
| Authorized Official Name | MARY SQUADRONI (SUPERVISOR CREDENTIALING) |
| Authorized Official Telephone | 2159559457 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Jefferson OB/GYN Urogynecology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487819900 | Jefferson University Physicians | Special Hospital | 900 Walnut Street, Jefferson Hospital for Neuroscience, Philadelphia, PA 19107 | 2008-07-24 |
| 1467626689 | Jefferson University Physicians | Radiology | 111 S 11th St Ste G3390, Philadelphia, PA 19107-4824 | 2008-04-18 |
| 1952860975 | Jefferson University Physicians | Allergy & Immunology | 1015 Chestnut St Ste 1300, Philadelphia, PA 19107-4313 | 2019-03-19 |
| 1033564315 | Jefferson University Physicians | Dentist | 833 Chestnut St, Suite 630, Philadelphia, PA 19107-4414 | 2016-04-25 |
| 1487030763 | Jefferson University Physicians | Internal Medicine | 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 | 2015-08-10 |
| 1609250604 | Jefferson University Physicians | Internal Medicine | 833 Chestnut St, Suite 630, Philadelphia, PA 19107-4414 | 2015-07-20 |
| 1376932616 | Jefferson University Physicians | Internal Medicine | 225 E City Ave, Suite 109, Bala Cynwyd, PA 19004-1704 | 2015-01-09 |
| 1407270903 | Jefferson University Physicians | Internal Medicine | 834 Walnut St, Suite 110, Philadelphia, PA 19107-5109 | 2014-02-05 |
| 1932449717 | Jefferson University Physicians | Internal Medicine | 925 Chestnut St Ste 420, Philadelphia, PA 19107-4216 | 2013-02-15 |
| 1437425360 | Jefferson University Physicians | Nutritionist | 615 Chestnut St, 14th Floor, Philadelphia, PA 19106-4495 | 2012-03-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Jefferson University Physicians | 100 College Building 1025 Walnut Street, Philadelphia, Pennsylvania 19107 |
| Street Address |
833 CHESTNUT ST FRNT 1 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124058227 | Jack Ludmir | Obstetrics & Gynecology | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2006-07-04 |
| 1861050288 | Aref Tarek Senno | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2019-05-31 |
| 1649833203 | Simone Nicole Reaves | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2019-04-19 |
| 1891358891 | Katrina Anne Marcinkowski | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2019-04-16 |
| 1578026944 | Makenzie Lynn Perdue | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2019-04-11 |
| 1164985636 | Kavisha Khanuja | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2019-04-10 |
| 1417415258 | Methodist Associates In Healthcare, Inc. | Obstetrics & Gynecology | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2019-03-12 |
| 1104314137 | Zimeng Gao | Obstetrics & Gynecology | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2018-04-25 |
| 1821585118 | Arielle Rose Effron | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2018-04-23 |
| 1316434194 | Connie Du Cao | Obstetrics & Gynecology | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2018-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417415258 | Methodist Associates In Healthcare, Inc. | Obstetrics & Gynecology | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2019-03-12 |
| 1871067116 | Temple Faculty Practice Plan, Inc | Obstetrics & Gynecology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2019-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588080147 | John Anderson | Obstetrics & Gynecology | 520 Campus Rd, Wyomissing, PA 19610-2216 | 2014-03-06 |
| 1114226396 | Nabila Noor | Obstetrics & Gynecology | 1770 Bathgate Rd Ste 401, Bethlehem, PA 18017-7334 | 2011-03-27 |
| 1396992400 | Sonya Nichole Ephraim | Obstetrics & Gynecology | 3050 Hamilton Blvd Ste 200, Allentown, PA 18103-3691 | 2008-08-20 |
| 1619123825 | Luis Manuel Espaillat Rijo | Obstetrics & Gynecology | 419 S Broad St Unit 4, Lansdale, PA 19446-3703 | 2008-08-07 |
| 1669414488 | Vincent R Lucente | Obstetrics & Gynecology | 3050 Hamilton Blvd., Suite 200, Allentown, PA 18103-3628 | 2006-06-13 |
| 1790785012 | Crisanta Sage Claydon | Obstetrics & Gynecology | 1098 W. Baltimore Pike, Suite 3404, Riddle Health Center 3, Media, PA 19063 | 2005-07-28 |
| 1861054629 | Grand View Hospital | Obstetrics & Gynecology | 419 S Broad St Unit 4, Lansdale, PA 19446-3703 | 2019-07-02 |
| 1982022877 | Linda Burkett | Obstetrics & Gynecology | 300 Halket St Ste 610, Pittsburgh, PA 15213-3108 | 2014-03-28 |
| 1629406988 | Christiana Care Health Services Inc | Obstetrics & Gynecology | 161 Wilmington W Chester Pike, Concord Health Center, Chadds Ford, PA 19317-9041 | 2013-10-24 |
| 1568808566 | Patricia Lynn Hudson | Obstetrics & Gynecology | 175 Martin Ave Ste 105, Ephrata, PA 17522-1761 | 2013-05-16 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.