HOLY FAMILY UNIVERSITY


Address: 9801 Frankford Ave, Philadelphia, PA 19114-2009
Phone: 9723674845

HOLY FAMILY UNIVERSITY (NPI# 1366961237) 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) 1366961237
Entity Type Organization
Organization Name HOLY FAMILY UNIVERSITY
Other Organization Name HOLY FAMILY SPORTS MEDICINE
Practice Address 9801 Frankford Ave
Philadelphia
PA 19114-2009
Mailing Address 5050 Spring Valley Rd
Dallas
TX 75244-3995
Practice Telephone 9723674845
Enumeration Date 2017-09-12
Last Update Date 2017-09-12
Authorized Official Name MOUZON BASS III (AGENT)
Authorized Official Telephone 9723674845
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
MD028513E PA Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Holy Family Sports Medicine Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities HOLY FAMILY UNIVERSITY 9801 Frankford Ave, Philadelphia, PA 19114-2009

Office Location

Street Address 9801 FRANKFORD AVE
City PHILADELPHIA
State PA
Zip Code 19114-2009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811223951 Elaine Maruca Nurse Practitioner 9801 Frankford Ave, Philadelphia, PA 19114-2009 2009-10-25
1801342878 Janet Panek Specialist/Technologist 9801 Frankford Ave, Philadelphia, PA 19114-2009 2016-08-30
1447617667 Erin Spaulding Specialist/Technologist 9801 Frankford Ave, Philadelphia, PA 19114 2016-01-19

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NPI Name Taxonomy Address Enumeration
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1215419080 Thomas Patrick Gallagher Specialist/Technologist 2708 Ruth Way, Philadelphia, PA 19114 2018-08-29
1558840223 Alexis Wenger Early Intervention Provider Agency 3810 Aubrey Ave, Phila, PA 19114 2018-08-13
1245759232 Newlands Health Clinic/Center 9625 Frankford Ave., Philadelphia, PA 19114 2017-09-12
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1801338686 April Neuls Physical Therapy Assistant 4213 Lackland Place, Philadelphia, PA 19114 2016-11-10
1114317583 Siji Cyriac Physical Therapist 9501 State Road, Philadelphia, PA 19114 2015-01-23
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790323517 Einstein Practice Plan Inc Orthopaedic Surgery 5501 Old York Rd Bldg Fl4, Philadelphia, PA 19141-3018 2019-12-11
1780622639 Michael James Mandarino Jr. Orthopaedic Surgery 2832 Belmont Ave, Philadelphia, PA 19131-1519 2006-06-03
1730140153 Kevin Blake Freedman Orthopaedic Surgery 925 Chestnut St, Fl 5, Rothman Institute, Philadelphia, PA 19107-4216 2006-03-28
1306833132 Temple University of The Commonwealth System of Higher Education Orthopaedic Surgery 7604 Central Ave, Philadelphia, PA 19111-2433 2005-10-06
1245713908 Temple Faculty Practice Plan, Inc Orthopaedic Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2018-09-10
1669871026 Theresa Julia Christina Pazionis Orthopaedic Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2014-08-21
1790121507 Daniel Lim Orthopaedic Surgery 3400 Spruce St, Philadelphia, PA 19104 2013-05-20
1669714671 Jamie Lyn Engel Orthopaedic Surgery 3401 N Broad St, Philadelphia, PA 19140-5103 2013-03-18
1164788832 Julie Shaner Orthopaedic Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2012-04-07
1679899462 David K Galos Orthopaedic Surgery 3509 N Broad St, Philadelphia, PA 19140-4105 2010-04-19
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Competitor

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City PHILADELPHIA
Zip Code 19114

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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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