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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DN002725 | PA | Dietary & Nutritional Service Providers |
| Street Address |
3551 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-4160 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 19140 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| 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 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
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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.