IBS CENTERS FOR ADVANCED FOOD ALLERGY TESTING, LLC (NPI# 1316345085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316345085 |
| Entity Type | Organization |
| Organization Name | IBS CENTERS FOR ADVANCED FOOD ALLERGY TESTING, LLC |
| Practice Address |
1601 Walnut St Suite 501 Philadelphia PA 19102-2944 |
| Practice Telephone | 2155577430 |
| Practice Fax Number | 2156610302 |
| Mailing Telephone | 2155577430 |
| Mailing Fax Number | 2156610302 |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |
| Authorized Official Name | DR. MICHAEL STIERSTORFER (PRESIDENT) |
| Authorized Official Telephone | 2155577430 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD042406E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1601 WALNUT ST SUITE 501 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-2944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110272 | Philadelphia Dental Cosmetics | Dentist | 1601 Walnut St, Suite 822, Philadelphia, PA 19102 | 2020-03-25 |
| 1023653433 | Meryl Claudia Tucker | Social Worker | 1601 Walnut St, Philadelphia, PA 19102-2944 | 2019-11-08 |
| 1093259772 | Jessica Pavelka | Counselor | 1601 Walnut St, Suite 1005, Philadelphia, PA 19102-2944 | 2016-12-14 |
| 1710330972 | Ken Lin Dmd PC | Dentist | 1601 Walnut St, Suite 402, Philadelphia, PA 19102-2944 | 2016-07-22 |
| 1730554809 | Stone Bridge Wellness Pllc | Chiropractor | 1601 Walnut St, Suite 514, Philadelphia, PA 19102-2944 | 2015-12-01 |
| 1538530811 | Erin E Berstler | Marriage & Family Therapist | 1601 Walnut St, Suite 400, Philadelphia, PA 19102-2944 | 2015-10-13 |
| 1639540909 | Dr. April Perrymore and Associates, LLC | Psychologist | 1601 Walnut St, Suite 400, Philadelphia, PA 19102-2944 | 2015-10-13 |
| 1417330309 | Archana N Kasi | Dentist | 1601 Walnut St, Suite 402, Philadelphia, PA 19102-2944 | 2015-07-09 |
| 1093197964 | Pearl Dental LLC | Dentist | 1601 Walnut St, Suite 1111, Philadelphia, PA 19102-2944 | 2015-06-26 |
| 1750768768 | Dr. Steven Solow Dmd PC | Dentist | 1601 Walnut St, Suite 1014, Philadelphia, PA 19102-2944 | 2015-04-28 |
| Find all providers in the same location | ||||
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932740461 | Mark Abdelmalek, Md LLC | Dermatology | 200 N 16th St Ste D, Philadelphia, PA 19102-1225 | 2019-10-07 |
| 1083061048 | Brandon Rowe | Dermatology | 1316 W Ontario St Fl 1, Philadelphia, PA 19140-5220 | 2016-05-19 |
| 1942647078 | Jason Marc Schoenfeld | Dermatology | 9501 Roosevelt Blvd Ste 506, Philadelphia, PA 19114-1030 | 2013-05-30 |
| 1588890669 | Philippe Lafaille | Dermatology | 1200 Locust Street, Philadelphia, PA 19107 | 2009-06-03 |
| 1194950683 | Jisun Cha | Dermatology | 833 Chestnut St Ste 740, Philadelphia, PA 19107-4409 | 2009-05-27 |
| 1962546952 | Susan C. Taylor | Dermatology | 932 Pine St, Philadelphia, PA 19107-6128 | 2007-02-16 |
| 1194833590 | Harold Farber | Dermatology | 9892 Bustleton Avenue, Ste 204 Moss Plaza, Philadelphia, PA 19115 | 2006-08-26 |
| 1770599839 | Seana Patrice Covello | Dermatology | 621 Pine St, Philadelphia, PA 19106-4108 | 2006-07-31 |
| 1528080512 | Kenneth E Wasserman Md PC | Dermatology | 1817 South Broad St, Philadelphia, PA 19148-2115 | 2006-07-25 |
| 1811947351 | James R Treat | Dermatology | 3550 Market St Fl 2, Children's Hospital of Philadelphia - Dermatology Div, Philadelphia, PA 19104-3366 | 2006-05-12 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
Please comment or provide details below to improve the information on IBS CENTERS FOR ADVANCED FOOD ALLERGY TESTING, LLC.
| 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.