DR. ADAM SETH BODZIN (NPI# 1366651416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366651416 |
Entity Type | Individual |
Full Name | DR. ADAM SETH BODZIN |
Credential | M.D. |
Practice Address |
1100 Walnut St Fl 5 Philadelphia PA 19107-4944 |
Practice Telephone | 2159554888 |
Mailing Telephone | 2159554888 |
Mailing Fax Number | 2159237957 |
Enumeration Date | 2007-05-22 |
Last Update Date | 2018-11-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204F00000X | Transplant Surgery | MD440817 | PA | Allopathic & Osteopathic Physicians |
N | 204F00000X | Transplant Surgery | 336099908 | IL | Allopathic & Osteopathic Physicians |
N | 204F00000X | Transplant Surgery | A125543 | CA | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | MD440817 | PA | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | MT190678 | PA | Allopathic & Osteopathic Physicians |
Street Address |
1100 WALNUT ST FL 5 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19107-4944 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790762516 | Wilbur B. Bowne | Surgery | 1100 Walnut St Fl 5, Philadelphia, PA 19107 | 2005-12-22 |
1831452051 | Sagar Shailesh Kadakia | Surgery | 1100 Walnut St Fl 5, Philadelphia, PA 19107-4944 | 2012-06-21 |
1982964375 | David Lapham | Surgery | 1100 Walnut St Fl 5, Philadelphia, PA 19107-4944 | 2012-05-21 |
1225340615 | Jaime M Glorioso | Surgery | 1100 Walnut St Fl 5, Philadelphia, PA 19107 | 2010-07-14 |
1023337821 | Tyler Ross Grenda | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1100 Walnut St Fl 5, Philadelphia, PA 19107-4944 | 2010-05-19 |
1003040353 | Geoffrey Wayne Krampitz | Surgery | 1100 Walnut St Fl 5, Philadelphia, PA 19107 | 2009-05-14 |
1558414011 | Susanna Matsen Nazarian | Surgery | 1100 Walnut St Fl 5, Philadelphia, PA 19107-4944 | 2007-01-19 |
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 | 204F00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Transplant Surgery |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942687686 | Konstantinos Zorbas | Transplant Surgery | 3401 N. Board Street, Parkinson Pavilion - Zone C Suite 450, Philadelphia, PA 19140 | 2015-05-01 |
1538598214 | Frederick Vyas | Transplant Surgery | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2013-11-04 |
1952657835 | Somnath Chattopadhyay | Transplant Surgery | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2012-07-30 |
1548531312 | Rajeev Ranjan Sinha | Transplant Surgery | 2200 Benjamin Franklin Pkwy, Apt N-1702, Philadelphia, PA 19130-3601 | 2012-01-25 |
1437458577 | Akira Shiose | Transplant Surgery | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2011-03-15 |
1528212933 | Kwan Nang Lau | Transplant Surgery | 3401 N Broad St, 4th Fl Parkinson Pavilion, Philadelphia, PA 19140-5103 | 2008-11-12 |
1346491677 | Rolando Stalin Campos Flores | Transplant Surgery | 5401 Old York Rd, Suite 509, Philadelphia, PA 19141-3030 | 2008-10-06 |
1770601627 | Trustees of The University of Pennsylvania | Transplant Surgery | 3400 Spruce St, 4th Floor Silverstein, Philadelphia, PA 19104-4206 | 2007-03-27 |
1043354616 | Gary S Xiao | Transplant Surgery | 216 N Broad St, 5th Fl, Philadelphia, PA 19102-1121 | 2007-02-16 |
1992809610 | Drexel University | Transplant Surgery | 216 N Broad St, 5th Floor Feinstein, Philadelphia, PA 19102-1121 | 2006-09-12 |
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.