SHIRLEY M FUNG (NPI# 1346336930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346336930 |
| Entity Type | Individual |
| Full Name | SHIRLEY M FUNG |
| Credential | MD |
| Practice Address |
1015 Chestnut St Ste 1300 Philadelphia PA 19107-4398 |
| Practice Telephone | 2159237685 |
| Practice Fax Number | 2159238230 |
| Mailing Telephone | 2159237685 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 418839 | PA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 231928 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
418839 | PA | Allopathic & Osteopathic Physicians |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
418839 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1015 CHESTNUT ST STE 1300 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952860975 | Jefferson University Physicians | Allergy & Immunology | 1015 Chestnut St Ste 1300, Philadelphia, PA 19107-4313 | 2019-03-19 |
| 1942643705 | Megan Katherine Ford | Internal Medicine | 1015 Chestnut St Ste 1300, Philadelphia, PA 19107-4313 | 2013-04-11 |
| 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 | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467494096 | Karin Flynn-rodden | Internal Medicine | 1629 S Broad St, Philadelphia, PA 19148 | 2006-06-11 |
| 1548804966 | Stc Pediatrics LLC | Internal Medicine | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
| 1396002820 | Priya Jayesh Patel | Internal Medicine | 3737 Market St, Fl 3, Philadelphia, PA 19104-5501 | 2012-04-22 |
| 1760579601 | Drew Weissman | Internal Medicine | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2006-10-10 |
| 1043226996 | Jonathan M Spergel | Internal Medicine | 3550 Market St Fl 3, Children's Hospital of Philadelphia - Allergy & Immun, Philadelphia, PA 19104-3365 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639731516 | Bob Harry Reid | Internal Medicine | 48 Lakeside Trl, Fairfield, PA 17320-8222 | 2019-07-01 |
| 1538666789 | Joseph A. Diconcetto, Md, PC | Internal Medicine | 5325 Northgate Dr Ste 104, Bethlehem, PA 18017-9412 | 2018-04-12 |
| 1801127469 | Chestnut Hill Allergy and Asthma Associates, LLC | Internal Medicine | 8200 Flourtown Ave Ste 4, Wyndmoor, PA 19038 | 2010-01-21 |
| 1952949562 | Stc Pediatrics LLC | Internal Medicine | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-12-13 |
| 1124366869 | Ajsza Matela | Internal Medicine | 500 University Dr, Hershey, PA 17033-2360 | 2013-01-30 |
| 1467790220 | Nikolaos Maniatis | Internal Medicine | 3459 5th Ave, Muh, 628nw, Pittsburgh, PA 15213-3236 | 2013-01-29 |
| 1194040303 | Quyen Nguyen | Internal Medicine | 3459 5th Ave, Department of Pulmonary, Allergy, and Critical Care Med, Pittsburgh, PA 15213-3236 | 2010-03-30 |
| 1093932493 | John Kemp | Internal Medicine | 500 University Dr, H088, Hershey, PA 17033-2360 | 2007-04-19 |
| 1679799043 | Pma Medical Specialists Allergy | Internal Medicine | 824 Main St, Suite 100, Phoenixville, PA 19460-4478 | 2007-04-17 |
| 1992897201 | Jakub Lekach, Md | Internal Medicine | 536 E Drinker St, Dunmore, PA 18512-2481 | 2006-09-28 |
| 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.