STC PEDIATRICS LLC


Address: 160 E Erie Ave, Philadelphia, PA 19134-1011
Phone: 2154278413

STC PEDIATRICS LLC (NPI# 1396389805) 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) 1396389805
Entity Type Organization
Organization Name STC PEDIATRICS LLC
Other Organization Name ST. CHRISTOPHERS PEDIATRIC ASSOCIATES GENETICS - E. ERIE AVENUE
Practice Address 160 E Erie Ave
Philadelphia
PA 19134-1011
Mailing Address Po Box 13579
Reading
PA 19612-3579
Practice Telephone 2154278413
Enumeration Date 2019-10-29
Last Update Date 2019-12-17
Authorized Official Name GARY CONNER (CEO)
Authorized Official Telephone 4846286161
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207SG0201X Medical Genetics
Specialization: Clinical Genetics (M.D.)
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
St. Christophers Pediatric Associates Genetics - E. Erie Avenue Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912516279 Stc Pediatrics LLC Pediatrics 3601 A St Fl Family, Philadelphia, PA 19134-1043 2020-07-23
1932722881 Stc Pediatrics LLC Orthopaedic Surgery 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 2020-05-27
1649806217 Stc Pediatrics LLC Pediatrics 160 E Erie Ave Fl 3, Philadelphia, PA 19134-1011 2020-03-16
1033753439 Stc Pediatrics LLC Pediatrics 500 York Rd Ste 250, Jenkintown, PA 19046-2870 2019-10-30
1861036279 Stc Pediatrics LLC Pediatrics 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 2019-10-30
1639713944 Stc Pediatrics LLC Pediatrics 1201 Langhorne Newtown Rd Ste 401, Langhorne, PA 19047-1201 2019-10-30
1548804909 Stc Pediatrics LLC Psychiatry & Neurology 100 Kings Way E Ste C, Sewell, NJ 08080-2238 2019-10-29
1962046474 Stc Pediatrics LLC Pediatrics 301 Oxford Valley Rd Ste 1201, Yardley, PA 19067-7706 2019-10-29
1508466913 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-10-27
1548867476 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-10-05

Office Location

Street Address 160 E ERIE AVE
City PHILADELPHIA
State PA
Zip Code 19134-1011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114919040 Gabriel Hauser Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2005-08-17
1932700150 Alexandria Nicole Torrisi Physician Assistant 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-11-04
1508466913 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-10-27
1548867476 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-10-05
1760009450 Cassandra Anne Pantano Nurse Practitioner 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-06-29
1366068488 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-06-24
1992326789 Kerby Zeisloft Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-05-03
1467073353 Neil Himanshu Patel Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-05-01
1629699665 Rose B Bayer Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-04-30
1972124931 Neha Jadhav Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-04-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871137208 My Philadelphia Pharmacy Inc Pharmacy 2901 E Thompson St, Front Store, Philadelphia, PA 19134 2019-10-29
1588125793 Bret Johnson Student in an Organized Health Care Education/Training Program Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 2019-03-29
1053881672 Ana Y Almanzar Psychologist 3513 North Water Street, Philadelphia, PA 19134 2018-11-27
1861974206 Stephanie C Curtis Registered Nurse St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 2018-09-01
1700371978 Kristi Ford Nurse Practitioner 160 E Erie Ave # 21542, Philadelphia, PA 19134 2018-06-28
1700370178 Natalie Martinez Case Manager/Care Coordinator 3528 I St Ste 1, Philadelphia, PA 19134 2018-06-19
1205352309 Personal Injury Clinic PC Chiropractor 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 2017-08-21
1306376280 Port Richmond Counseling Practices Clinic/Center 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 2017-06-14
1760864441 Jason Roy Toews Pediatrics 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 2015-06-18
1376933291 David Tanney Yusavitz Nurse Practitioner 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 2015-01-30
Find all providers in zip 19134

Taxonomy Information

Taxonomy Code 207SG0201X
Grouping Allopathic & Osteopathic Physicians
Classification Medical Genetics
Specialization Clinical Genetics (M.D.)

Taxonomy Definition

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922317759 Mindy Li Medical Genetics 3615 Civic Center Blvd, Children's Hosp of Philadelphia, Room 1002 Abramson Res. Bldg, Dept of Medical Genetics, Philadelphia, PA 19104-4399 2010-09-28
1083857858 Reena Natwarlal Jethva Medical Genetics 3601 A Street, 3rd Floor Acp, Suite 3314, St. Christopher's Hospital for Children, Philadelphia, PA 19134-1095 2009-04-09
1649324955 Ghodrat P Sholevar Medical Genetics 618 W Lehigh Ave, Philadelphia, PA 19133 2007-01-23
1699878678 Adele Schneider Medical Genetics 840 Walnut St Ste 1210, Philadelphia, PA 19107-5109 2006-09-06
1871139691 Stc Opco LLC Medical Genetics 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-11-27
1336650456 Kim Choong Wen Ng Medical Genetics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2017-10-16
1396199543 Rose Guo Medical Genetics 3401 Civic Center Blvd, Division of Human Genetics, Philadelphia, PA 19104 2016-04-13
1750776225 Theodore George Drivas Medical Genetics 3400 Civic Center Blvd, Ste 3005, Philadelphia, PA 19104-5127 2015-04-01
1518355627 University of Penn-medical Group Medical Genetics 3400 Spruce St, 8 Ravdin, Philadelphia, PA 19104-4238 2014-12-26
1639581598 Alanna Strong Medical Genetics 3401 Civic Center Blvd, Division of Genetics, Philadelphia, PA 19104 2014-05-27
Find all providers in PHILADELPHIA

Competitor

Search similar providers

City PHILADELPHIA
Zip Code 19134

Improve Information

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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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