DR. JEFFREY MATTHEW BARROSO (NPI# 1376771600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376771600 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY MATTHEW BARROSO |
| Credential | M.D. |
| Practice Address |
125 S 11th St Suite 204 Foerderer Pavilion Philadelphia PA 19107-4949 |
| Mailing Address |
833 Chestnut St Suite 210 Philadelphia PA 19107-4414 |
| Practice Telephone | 2159555638 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2017-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MT196024 | PA | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MT196024 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
125 S 11TH ST SUITE 204 FOERDERER PAVILION |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356584650 | Ping Gong | Pathology | 125 S 11th St, Suite 204 Foerderer Pavilion, Philadelphia, PA 19107-4949 | 2009-04-16 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407499148 | Tower Drexel Academic Medical Group LLC | Psychiatry & Neurology | 160 E Erie Ave Fl 2, Philadelphia, PA 19134-1011 | 2019-10-25 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1073033874 | Sarah Miller | Psychiatry & Neurology | 100 E Lehigh Ave Ste 305b, Philadelphia, PA 19125-1012 | 2017-06-22 |
| 1659800175 | Michael William Pelekanos | Psychiatry & Neurology | 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 | 2017-06-08 |
| 1063940187 | Travis J Dichoso | Psychiatry & Neurology | 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2017-06-02 |
| 1104354778 | Julian Camilo Artunduaga | Psychiatry & Neurology | 100 E Lehigh Ave Bldg Suit105, Philadelphia, PA 19125-1012 | 2017-05-26 |
| 1538691340 | Lea Fowler Hecht | Psychiatry & Neurology | 3207 Baring St, Apt. 2, Philadelphia, PA 19104-2510 | 2017-03-30 |
| 1962941021 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 808 S Swanson St, Philadelphia, PA 19147-4330 | 2017-02-21 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1649620089 | Matthew Parker | Psychiatry & Neurology | 2040 Market St Apt 1121, Philadelphia, PA 19103-3369 | 2016-06-16 |
| 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.