MARTHA KIENZLE


Address: 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319
Phone: 2155901858

MARTHA KIENZLE (NPI# 1407261878) 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) 1407261878
Entity Type Individual
Full Name MARTHA KIENZLE
Credential M.D.
Practice Address 3401 Civic Center Blvd Ste 9329
Philadelphia
PA 19104-4319
Mailing Address 100 E Penn Square
9th Floor North-caa
Philadelphia
PA 19107-3377
Practice Telephone 2155901858
Practice Fax Number 2155901415
Mailing Telephone 2674259309
Mailing Fax Number 2674259331
Enumeration Date 2014-06-24
Last Update Date 2020-08-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LC0200X Anesthesiology
Specialization: Critical Care Medicine
MD462451 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 3401 CIVIC CENTER BLVD STE 9329
City PHILADELPHIA
State PA
Zip Code 19104-4319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326072760 Paul A Stricker Anesthesiology 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 2006-07-10
1952821076 Jayme Leigh Decker Registered Nurse 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 2017-06-20
1164817953 Lenard Babus Anesthesiology 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 2015-03-30
1619374667 Lauren Lewis Nurse Anesthetist, Certified Registered 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104 2014-11-19
1083024376 Grace Shih Anesthesiology 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 2014-05-07
1376953646 Mohammed Issam Habis Anesthesiology 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 2014-05-07
1205254398 Anushree Doshi Anesthesiology 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 2014-04-04
1447678826 Rodrigo Javier Daly Guris Anesthesiology 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 2014-04-02
1548687650 Amanda Jean Bernier O'halloran Pediatrics 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 2014-03-26
1801213210 Samuel Hunter Anesthesiology 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104 2014-03-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
Find all providers in zip 19104

Taxonomy Information

Taxonomy Code 207LC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Critical Care Medicine

Taxonomy Definition

An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205887346 Christine Marie Schlichting Anesthesiology Front Street At Erie Avenue, St. Christopher's Hospital for Children, Philadelphia, PA 19134-1095 2006-05-13
1982698528 Dat D Nguyen Anesthesiology 3400 Spruce St Fl 8, Philadelphia, PA 19104-4229 2005-09-09
1831737139 Ashley Nicole Jaekel Anesthesiology 111 S 11th St, Philadelphia, PA 19107-4824 2019-12-17
1184106122 Temple Faculty Practice Plan, Inc Anesthesiology 3401 N Broad St, Philadelphia, PA 19140-5103 2018-09-06
1649789587 Aria Health Physicain Services Anesthesiology 4900 Frankford Ave, Philadelphia, PA 19124-2618 2017-09-22
1609264720 University of Penn-medical Group Anesthesiology 3400 Spruce St, 6 Dulles, Philadelphia, PA 19104-4238 2014-12-23
1376960567 Vanessa Mazandi Anesthesiology 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2014-03-25
1558794024 Sarah Vivien Harvey Anesthesiology 3400 Spruce St, Philadelphia, PA 19104-4238 2013-08-19
1548608110 Thomas William Dietzman Anesthesiology 3401 Civic Center Blvd, Division of Cardiology, Philadelphia, PA 19104-4319 2013-06-05
1851735005 Ksenia Guvakova Anesthesiology 3400 Spruce St, Philadelphia, PA 19104-4238 2013-04-18
Find all providers in PHILADELPHIA

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City PHILADELPHIA
Zip Code 19104

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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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