TED PARRIS (NPI# 1336113828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336113828 |
| Entity Type | Individual |
| Full Name | TED PARRIS |
| Credential | MD |
| Practice Address |
7600 Central Ave Philadelphia PA 19111-4105 |
| Mailing Address |
2450 W Hunting Park Ave Philadelphia PA 19129-1302 |
| Practice Telephone | 2157224600 |
| Practice Fax Number | 2157221370 |
| Mailing Telephone | 2157224600 |
| Mailing Fax Number | 2157221370 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2018-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD024896E | PA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD024896E | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3509 N Broad St, Philadelphia, PA 191404105 | 2157078484 | 2157073946 |
| Street Address |
7600 CENTRAL AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902206 | Jeanes Hospital | General Acute Care Hospital | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2005-06-15 |
| 1356981443 | Temple University Hospital, Inc | General Acute Care Hospital | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2020-01-07 |
| 1205472461 | Dana Pieretti | Nurse Practitioner | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2019-11-22 |
| 1154962413 | Kendra Anne Petruny | Physician Assistant | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2019-10-07 |
| 1497234983 | Melinda Susan Brown | Physician Assistant | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2018-08-07 |
| 1578088696 | Haena Kim | Nurse Anesthetist, Certified Registered | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2017-08-09 |
| 1780111377 | Sheila Bird | Nurse Practitioner | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2017-05-15 |
| 1063866101 | Melissa Lacombe | Family Medicine | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2016-04-14 |
| 1215392378 | Temple Physicians Inc | Urology | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2015-12-16 |
| 1962870931 | Michael Squillace | Nurse Anesthetist, Certified Registered | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2015-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841798121 | Coordinated Health of Penn, LLC | Internal Medicine | 1700 Market St Ste 1005a104, Philadelphia, PA 19103-3913 | 2018-01-31 |
| 1124409826 | Sanjog Kalra | Internal Medicine | 5501 Old York Road, 3rd Floor Levy Building, Albert Einstein Medical Center-division of Cardiology, Philadelphia, PA 19141 | 2015-06-18 |
| 1821069659 | Manoj Khandelwal | Internal Medicine | 5735 Ridge Ave Ste 100a, Philadelphia, PA 19128-1746 | 2006-01-30 |
| 1851854517 | Cpa Care of Penn II, LLC | Internal Medicine | 1700 Market St Ste 1005a104, Philadelphia, PA 19103-3913 | 2019-04-10 |
| 1679036339 | Cpa Care of Penn, LLC | Internal Medicine | 1700 Market St Ste 1005a104, Philadelphia, PA 19103-3913 | 2019-04-10 |
| 1225576978 | Clinical Nephrology Assoc Inc PC | Internal Medicine | 235 N Broad St, Suite 100, Philadelphia, PA 19107 | 2017-02-02 |
| 1043758790 | Metropolitan Nephrology Associates, PC | Internal Medicine | 235 N Broad St, Suite 100, Philadelphia, PA 19107 | 2017-02-02 |
| 1316388853 | Edo Birati | Internal Medicine | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2013-07-12 |
| 1881990281 | The Cardiology Group, P.a. | Internal Medicine | 51 N 39th St, Philadelphia, PA 19104-2640 | 2011-02-02 |
| 1992936306 | Taisei John Kobayashi | Internal Medicine | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2009-08-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
Please comment or provide details below to improve the information on TED PARRIS.
| 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.