DR. FLAVIUS F. GUGLIELMO


Address: 111 S 11th St, Suite 3390, Philadelphia, PA 19107-4824
Phone: 2159552900

DR. FLAVIUS F. GUGLIELMO (NPI# 1346246642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346246642
Entity Type Individual
Full Name DR. FLAVIUS F. GUGLIELMO
Credential MD
Practice Address 111 S 11th St
Suite 3390
Philadelphia
PA 19107-4824
Practice Telephone 2159552900
Practice Fax Number 2159231562
Mailing Telephone 2159552900
Mailing Fax Number 2159231562
Enumeration Date 2005-06-22
Last Update Date 2015-03-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
MD037502E PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 5043506 05
PA 101978449 05

Office Location

Street Address 111 S 11TH ST
SUITE 3390
City PHILADELPHIA
State PA
Zip Code 19107-4824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265046569 Sherman John Torres Nurse Anesthetist, Certified Registered 111 S 11th St, Philadelphia, PA 19107-4824 2020-09-03
1609489376 Andrew Michael Mcguire Registered Nurse 111 S 11th St, Philadelphia, PA 19107-4824 2020-08-24
1326657420 Daniel Joseph Leehan Pharmacist 111 S 11th St, Philadelphia, PA 19107-4824 2020-07-24
1013539436 Kashyap Rajendra Chauhan Internal Medicine 111 S 11th St, Philadelphia, PA 19107-4824 2020-05-07
1134749385 Maria Mattioli Nurse Practitioner 111 S 11th St, Philadelphia, PA 19107-4824 2020-04-17
1598392151 Amine Sahmoud Student in an Organized Health Care Education/Training Program 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-24
1346877198 Abigail M O'connell Nurse Practitioner 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-23
1396370342 Alexandra Elder Student in an Organized Health Care Education/Training Program 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-10
1134754252 Christopher James Neely Student in an Organized Health Care Education/Training Program 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-09
1477187698 Grace Pae Nurse Practitioner 111 S 11th St, Philadelphia, PA 19107-4824 2020-02-26
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063067635 Jefferson University Radiology Associates, LLC Radiology 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 2019-08-09
1033649975 Dinh-huy Do Nguyen Radiology 5501 Old York Rd Ste 363, Philadelphia, PA 19141-3018 2017-06-13
1467809418 Jeffrey Burgess Radiology 1215 Spruce St Apt 201, Philadelphia, PA 19107-5620 2016-05-19
1649632399 Myron Blumberg Radiology 317 S 22nd St, Philadelphia, PA 19103-6528 2016-03-22
1144633074 Daniel Robert Wahl Radiology 3400 Spruce Street - 1 Silverstein, Department of Radiology / Abdominal Imaging, Philadelphia, PA 19104 2014-06-09
1235564337 Ron Benjamin Radiology 2055 E Fletcher St, Philadelphia, PA 19125 2013-09-08
1831454867 Ryan Michael Bonshock Radiology 4220 Market St Fl 2, Philadelphia, PA 19104-3007 2012-07-05
1730498601 Robert A Perkins Jr. Radiology 132 S 10th St Ste 1099j, Philadelphia, PA 19107-5244 2010-09-27
1457677007 Michael Richard Acord Radiology 3401 Civic Blvd, Division of Radiology, Philadelphia, PA 19104 2010-04-07
1780918375 Mollie Mcginley Radiology 1835 Arch St, Apartment 305, Philadelphia, PA 19103-2712 2009-09-29
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City PHILADELPHIA
Zip Code 19107

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Dataset Information

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.

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