DONNA L ENDY (NPI# 1316004567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316004567 |
| Entity Type | Individual |
| Full Name | DONNA L ENDY |
| Credential | D.M.D. |
| Practice Address |
1500 Locust St Suite 1408 Philadelphia PA 19102-4329 |
| Mailing Address |
1402 W Broad St Quakertown PA 18951-1110 |
| Practice Telephone | 2157324450 |
| Practice Fax Number | 2157359886 |
| Mailing Telephone | 2155367705 |
| Mailing Fax Number | 2155367740 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2018-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
035484 | PA | Dental Providers |
| Street Address |
1500 LOCUST ST SUITE 1408 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-4329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902299258 | Keystone Diagnostics LLC | Clinic/Center | 1500 Locust St, Ste 3305, Philadelphia, PA 19102-4329 | 2015-03-11 |
| 1427463058 | Abhishek Kumar | Radiology | 1500 Locust St, Apt 2218, Philadelphia, PA 19102-4329 | 2014-06-23 |
| 1790063865 | Nishi Talati | Radiology | 1500 Locust St, Apt 2218, Philadelphia, PA 19102-4338 | 2011-07-23 |
| 1699090787 | Andrea Goldblum Blau | Physical Therapist | 1500 Locust St, Apt. 2911, Philadelphia, PA 19102-4329 | 2010-03-31 |
| 1144491754 | Neurology Pa LLC | Specialist | 1500 Locust St, 4406, Philadelphia, PA 19102-4329 | 2008-03-23 |
| 1447455464 | Lena Lerner | Plastic Surgery | 1500 Locust St, #4007, Philadelphia, PA 19102-4329 | 2007-06-19 |
| 1144361767 | James Torosian | Dentist | 1500 Locust St, Suite 1408, Philadelphia, PA 19102-4329 | 2007-02-08 |
| 1023175080 | Edwin Rosenberg | Dentist | 1500 Locust St, Suite 1408, Philadelphia, PA 19102-4329 | 2007-01-02 |
| 1164517140 | Center City Periodontists, P.C. | Dentist | 1500 Locust St, Suite 1413, Philadelphia, PA 19102-4329 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235792458 | Fany Briseyda Ocampo | Dentist | 2137 Welsh Rd Ste 2a, Philadelphia, PA 19115-4963 | 2019-04-15 |
| 1992261036 | Manal Sabir | Dentist | 2200 Benjamin Franklin Pkwy Apt S1603, Philadelphia, PA 19130-3618 | 2019-02-13 |
| 1104378611 | Natalie Amoa | Dentist | 8021b Castor Ave, Philadelphia, PA 19152-2733 | 2016-10-31 |
| 1558720094 | Fathi Elgaddari | Dentist | 1500 Locust St Apt 1715, Philadelphia, PA 19102-4337 | 2016-02-11 |
| 1790185528 | David Paul Semeniuk | Dentist | 3223 N Broad St Rm 302, Philadelphia, PA 19140-5007 | 2014-08-28 |
| 1740616895 | Periodontal Consultants PC | Dentist | 2546 S Broad St Rear, Philadelphia, PA 19145-4638 | 2013-09-20 |
| 1942548664 | Peter Robert Hunt | Dentist | 266 S 21st St, Philadelphia, PA 19103-4860 | 2013-01-31 |
| 1083999759 | Merriam Seyedain | Dentist | 3223 N Broad St Ste 2a07, Philadelphia, PA 19140-5007 | 2011-10-13 |
| 1710275284 | Juan Carlos Cabrera | Dentist | 220 S 16th St Ste 901, Philadelphia, PA 19102-3309 | 2011-07-18 |
| 1982867412 | Scott Nakamura | Dentist | 240 S 4th St # 300, Philadelphia, PA 19106-3722 | 2008-07-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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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.