MRS. KSENIA SMIRNOV (NPI# 1346680519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346680519 |
| Entity Type | Individual |
| Full Name | MRS. KSENIA SMIRNOV |
| Credential | CRNP |
| Practice Address |
9880 Bustleton Ave Suite 208 Philadelphia PA 19115-2185 |
| Mailing Address |
700 Mason Dr Warminster PA 18974-2706 |
| Practice Telephone | 2156770667 |
| Practice Fax Number | 2156771063 |
| Mailing Telephone | 2672430671 |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP012947 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9880 BUSTLETON AVE SUITE 208 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-2185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356700835 | Pennsylvania Center for Dental Implants and Periodontics, LLC | Dentist | 9880 Bustleton Ave, Suite 211-212, Philadelphia, PA 19115-2185 | 2016-02-12 |
| 1568765857 | Stephen E Band | Dentist | 9880 Bustleton Ave, Philadelphia, PA 19115-2185 | 2010-12-08 |
| 1003129685 | Janna Prater | Internal Medicine | 9880 Bustleton Ave, Suite 220, Philadelphia, PA 19115-2185 | 2010-07-23 |
| 1891010229 | Albert Einstein Medical Center | Pharmacy | 9880 Bustleton Ave, Suite 332, Philadelphia, PA 19115-2185 | 2010-03-29 |
| 1760604755 | Tatyana Shekhterman | Physical Therapist | 9880 Bustleton Ave, Philadelphia, PA 19115-2185 | 2007-05-02 |
| 1467679738 | Jane Mayrin | Internal Medicine | 9880 Bustleton Ave, Ste 220, Philadelphia, PA 19115-2185 | 2007-04-19 |
| 1144306275 | Robert A Levine | Dentist | 9880 Bustleton Ave, Suite 211-212, Philadelphia, PA 19115-2185 | 2006-10-31 |
| 1417031923 | Pennsylvania Center for Dental Implants and Periodontics | Dentist | 9880 Bustleton Ave, #211-212, Philadelphia, PA 19115-2185 | 2006-10-24 |
| 1023110152 | Lisa K. Jablon | Surgery | 9880 Bustleton Ave, Suite 205, Philadelphia, PA 19115-2185 | 2006-09-01 |
| 1962513564 | Richard H. Greenberg | Surgery | 9880 Bustleton Ave, Suite 205, Philadelphia, PA 19115-2185 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
| Find all providers in zip 19115 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841834710 | Joseph Mascaro | Nurse Practitioner | 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 | 2019-11-04 |
| 1780185835 | Neva White | Nurse Practitioner | 211 S 9th St Ste 300, Philadelphia, PA 19107-6810 | 2018-02-23 |
| 1790298487 | Anne Kathryn Henner | Nurse Practitioner | 925 Chestnut St Ste 420a, Philadelphia, PA 19107-4247 | 2017-11-16 |
| 1174052997 | Cynthia Wheeler | Nurse Practitioner | 925 Chestnut St # 421d, Philadelphia, PA 19107-4216 | 2017-06-06 |
| 1740716893 | Liliya Gurevich | Nurse Practitioner | 7906 Frontenac St, Philadelphia, PA 19111-2902 | 2017-05-11 |
| 1235589664 | Juliana Omile | Nurse Practitioner | 7521 Woodcrest Ave, Philadelphia, PA 19151-2702 | 2016-06-16 |
| 1275980468 | Joji Thomas | Nurse Practitioner | 9659 Sandanne Rd, Philadelphia, PA 19115-2727 | 2016-05-18 |
| 1073988374 | Cristhi Wilson-brown | Nurse Practitioner | 521 W Girard Ave, Philadelphia, PA 19123-1428 | 2015-12-11 |
| 1932579984 | Tierney A Fisher | Nurse Practitioner | 3737 Market St Fl 10, Philadelphia, PA 19104-5545 | 2015-10-03 |
| 1306223813 | Anthony Yaroslav Fisun | Nurse Practitioner | 2008 President St, Philadelphia, PA 19115-2607 | 2015-05-04 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19115 |
Please comment or provide details below to improve the information on MRS. KSENIA SMIRNOV.
| 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.