MICHAEL WALTER SZYMENDERA


Address: 3551 N Broad St, Philadelphia, PA 19140-4160
Phone: 2154304000

MICHAEL WALTER SZYMENDERA (NPI# 1376101410) 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) 1376101410
Entity Type Individual
Full Name MICHAEL WALTER SZYMENDERA
Credential RND
Practice Address 3551 N Broad St
Philadelphia
PA 19140-4160
Practice Telephone 2154304000
Enumeration Date 2019-06-04
Last Update Date 2019-06-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered DN002725 PA Dietary & Nutritional Service Providers

Office Location

Street Address 3551 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19140-4160

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902804370 Luz Perez-schwartz Anesthesiology 3551 N Broad St, Philadelphia, PA 19140-4160 2005-07-11
1760966956 Giana Indelicato Nurse Practitioner 3551 N Broad St, Philadelphia, PA 19140-4160 2018-09-24
1023506276 Shriners Hospitals for Children Anesthesiology 3551 N Broad St, Philadelphia, PA 19140-4160 2018-04-24
1144725151 Ellen Kligerman Waters Nurse Practitioner 3551 N Broad St, Philadelphia, PA 19140-4160 2018-03-30
1548711617 Melissa Torres Cramer Physician Assistant 3551 N Broad St, Philadelphia, PA 19140-4160 2016-10-24
1083067029 Emily Stankoski Physician Assistant 3551 N Broad St, Philadelphia, PA 19140-4160 2016-07-14
1336537042 Pediatric Orthotic and Prosthetic Services- Northeast, LLC Prosthetic/Orthotic Supplier 3551 N Broad St, Philadelphia, PA 19140 2015-01-05
1023426749 Melodee Arevalo Mendoza Nurse Practitioner 3551 N Broad St, Philadelphia, PA 19140-4160 2014-07-25
1659615706 Shriners Hospitals for Children Orthopaedic Surgery 3551 N Broad St, Philadelphia, PA 19140-4160 2012-11-15
1043566177 Maria Belen De Jose Maria Galve Anesthesiology 3551 N Broad St, Philadelphia, PA 19140-4160 2012-07-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225640519 Desirea Grant Registered Nurse 2000 W. Venango Street, Phila, PA 19140 2020-08-19
1306316104 Carmen Doumit Dentist 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 2018-12-05
1780150375 Samantha Marina Felix Counselor 3803-3805 N 5th St, Philadelphia, PA 19140 2018-10-22
1518485135 Holly Marie Barbee Dietitian, Registered 4417 N 6th St., Philadelphia, PA 19140 2017-09-04
1033630892 Jessica Anne Tang Otolaryngology 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 2017-07-03
1710416870 Narsis Aminian Internal Medicine 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 2017-06-12
1629527338 Alaa Khatib Pharmacist 4616-4650 N. Broad Street, Philadelphia, PA 19140 2016-09-23
1548716160 Direct Home Health Care In Home Supportive Care 3550 N 9th St, Philadelphia, PA 19140 2016-09-01
1306399225 Zaima Choudhry Student in an Organized Health Care Education/Training Program Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 2016-07-27
1891145504 Saji Mathew Pharmacist 4530n 5th Street, Philadelphia, PA 19140 2016-06-14
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932716685 Nicole Behner Dietitian, Registered 1824 Stanwood St, Philadelphia, PA 19152-2619 2020-09-28
1235743048 Lauren Davidheiser Dietitian, Registered 2212 Almond St, Philadelphia, PA 19125-3605 2020-08-31
1730799222 Hannah Pfohl Dietitian, Registered 1136 N American St Unit 114, Philadelphia, PA 19123-1677 2020-08-09
1851901771 Laura Michelle Cresta Dietitian, Registered 1030 N 2nd St Unit 303, Philadelphia, PA 19123-1595 2020-08-05
1386253318 Porrazza Nutrition LLC Dietitian, Registered 2417 Welsh Rd Ste 21118, Philadelphia, PA 19114-2213 2020-07-27
1326665464 Michelle Giacometti Dietitian, Registered 442 Naomi St, Philadelphia, PA 19128-3618 2020-07-05
1649897026 Jennifer Andia Warshaw Dietitian, Registered 408 Regatta Dr, Philadelphia, PA 19146-5247 2020-07-01
1437774890 Kylie Anne Mckenzie Dietitian, Registered 800 Admirals Way Unit 1841, Philadelphia, PA 19146-5241 2020-06-11
1063049914 Kaitlyn Marie Willwerth Dietitian, Registered 350 S 15th St, Philadelphia, PA 19102-4919 2020-03-23
1134751522 Anabelle Harari Clebaner Dietitian, Registered 9211 Ambassador Pl Fl 2, Philadelphia, PA 19115-4610 2020-02-04
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Competitor

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City PHILADELPHIA
Zip Code 19140

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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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