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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD028513E | PA | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Holy Family Sports Medicine | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | HOLY FAMILY UNIVERSITY | 9801 Frankford Ave, Philadelphia, PA 19114-2009 |
Street Address |
9801 FRANKFORD AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19114-2009 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
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 |
1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
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 |
Find all providers in zip 19114 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
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 |
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 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19114 |
Please comment or provide details below to improve the information on HOLY FAMILY UNIVERSITY.
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.