TOWER DREXEL ACADEMIC MEDICAL GROUP LLC (NPI# 1346872116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346872116 |
| Entity Type | Organization |
| Organization Name | TOWER DREXEL ACADEMIC MEDICAL GROUP LLC |
| Other Organization Name | SPORTS MEDICINE TOWER HEALTH MEDICAL GROUP BROAD STREET |
| Practice Address |
219 N Broad St 8th Fl Philadelphia PA 19107-1519 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 2157625145 |
| Practice Fax Number | 2157625467 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | GARY CONNER (VP & CFO) |
| Authorized Official Telephone | 4846288181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SPORTS MEDICINE TOWER HEALTH MEDICAL GROUP BROAD STREET | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995938 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 3401 Market St Ste 105b, Philadelphia, PA 19104-3315 | 2019-10-29 |
| 1811530512 | Tower Drexel Academic Medical Group LLC | Psychologist | 1427 Vine St Fl 1, Philadelphia, PA 19102-1031 | 2019-10-25 |
| 1205479904 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St 8fl, Philadelphia, PA 19107-1507 | 2019-10-25 |
| 1407499148 | Tower Drexel Academic Medical Group LLC | Psychiatry & Neurology | 160 E Erie Ave Fl 2, Philadelphia, PA 19134-1011 | 2019-10-25 |
| 1215570916 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St Fl 6, Philadelphia, PA 19107-1519 | 2019-10-25 |
| 1003459702 | Tower Drexel Academic Medical Group LLC | Psychologist | 4700 Wissahickon Ave Ste C102, Philadelphia, PA 19144-4248 | 2019-10-25 |
| 1306479829 | Tower Drexel Academic Medical Group LLC | Family Medicine | 10 Shurs Ln Ste 206, Philadelphia, PA 19127-2123 | 2020-02-13 |
| 1225660095 | Tower Drexel Academic Medical Group LLC | Family Medicine | 3401 Market St Ste 105a, Philadelphia, PA 19104-3315 | 2020-02-10 |
| 1144868084 | Tower Drexel Academic Medical Group LLC | Family Medicine | 10 Shurs Ln Ste 206, Philadelphia, PA 19127-2123 | 2019-12-11 |
| 1386281608 | Tower Drexel Academic Medical Group LLC | Psychiatry & Neurology | 1513 Race St, Philadelphia, PA 19102-1125 | 2019-12-05 |
| Street Address |
219 N BROAD ST 8TH FL |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356917 | Jeffrey Brian Hoag | Internal Medicine | 219 N Broad St, 9th Floor, Philadelphia, PA 19107-1519 | 2005-06-20 |
| 1629638374 | Osama Mufti | Ophthalmology | 219 N Broad St, Philadelphia, PA 19107-1519 | 2019-06-15 |
| 1538510730 | Emily Gnatt | Audiologist | 219 N Broad St, 10th Floor, Philadelphia, PA 19107-1519 | 2016-06-29 |
| 1295100493 | Jessica Cerasoli | Physician Assistant | 219 N Broad St, Philadelphia, PA 19107-1519 | 2015-12-14 |
| 1992129522 | Zachari Breeding | Dietitian, Registered | 219 N Broad St, 9th Floor, Philadelphia, PA 19107-1519 | 2014-02-18 |
| 1588915649 | Danielle Elizabeth Brown | Physician Assistant | 219 N Broad St, 7th Floor, Philadelphia, PA 19107-1519 | 2012-09-28 |
| 1487918611 | Andrew Ow | Family Medicine | 219 N Broad St, 1st Floor, Philadelphia, PA 19107-1519 | 2012-07-03 |
| 1396006508 | Jing Xing Zhang | Dermatology | 219 N Broad St, 4th Floor, Philadelphia, PA 19107-1519 | 2012-06-04 |
| 1114286614 | Kelly Anne Williamson | Ophthalmology | 219 N Broad St, 3rd Floor, Philadelphia, PA 19107-1519 | 2012-05-04 |
| 1144518200 | Safiyyah Bhatti | Internal Medicine | 219 N Broad St, 6th Floor, Philadelphia, PA 19107-1519 | 2011-07-11 |
| Find all providers in the same location | ||||
| 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 | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306912183 | Thongchai Vorasingha | Family Medicine | 627 W Ritner St, Philadelphia, PA 19148-3848 | 2006-11-25 |
| 1174577712 | Bruce Donald Hopper Jr. | Family Medicine | 1618 South St, Ground Floor, Philadelphia, PA 19146-1542 | 2006-05-19 |
| 1669086872 | Rothman Orthopaedics of Florida | Family Medicine | 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206 | 2020-09-04 |
| 1306479829 | Tower Drexel Academic Medical Group LLC | Family Medicine | 10 Shurs Ln Ste 206, Philadelphia, PA 19127-2123 | 2020-02-13 |
| 1225660095 | Tower Drexel Academic Medical Group LLC | Family Medicine | 3401 Market St Ste 105a, Philadelphia, PA 19104-3315 | 2020-02-10 |
| 1144868084 | Tower Drexel Academic Medical Group LLC | Family Medicine | 10 Shurs Ln Ste 206, Philadelphia, PA 19127-2123 | 2019-12-11 |
| 1619490752 | Meeting Point Health PC | Family Medicine | 441 Lyceum Ave, Philadelphia, PA 19128 | 2017-07-20 |
| 1326579327 | Caitlin Nicholson | Family Medicine | 3737 Market St, 9th Floor, Philadelphia, PA 19104-5545 | 2017-03-22 |
| 1598153603 | University of Penn-medical Group | Family Medicine | 3400 Spruce St, 2 Silverstein Building, Philadelphia, PA 19104-4238 | 2014-12-26 |
| 1023438041 | Michael Maloney | Family Medicine | 3737 Market St, 9th Fl, Philadelphia, PA 19104-5548 | 2014-04-17 |
| Find all providers in PHILADELPHIA | ||||
| 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.