DR. MONIQUE S TANNA (NPI# 1417235003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417235003 |
| Entity Type | Individual |
| Full Name | DR. MONIQUE S TANNA |
| Credential | M.D. |
| Practice Address |
3400 Civic Center Blvd Fl 2 Philadelphia PA 19104-5127 |
| Practice Telephone | 2156154949 |
| Practice Fax Number | 2156150829 |
| Mailing Telephone | 2156154949 |
| Mailing Fax Number | 2156150829 |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD461231 | PA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD461231 | PA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD461231 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
MD461231 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
3400 CIVIC CENTER BLVD FL 2 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-5127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669458287 | David S Frankel | Internal Medicine | 3400 Civic Center Blvd Fl 2, Philadelphia, PA 19104-5127 | 2005-12-15 |
| 1255794368 | Moe Hein Aung | Psychiatry & Neurology | 3400 Civic Center Blvd Fl 2, Philadelphia, PA 19104 | 2016-04-05 |
| 1013345289 | Laura Burger | Nurse Practitioner | 3400 Civic Center Blvd Fl 2, Philadelphia, PA 19104-5127 | 2013-10-24 |
| 1780924340 | Ellen Bethany Napier | Nurse Practitioner | 3400 Civic Center Blvd Fl 2, Philadelphia, PA 19104-5127 | 2013-02-19 |
| 1144548496 | Marie Angelique Guerraty | Internal Medicine | 3400 Civic Center Blvd Fl 2, Philadelphia, PA 19104-5127 | 2010-05-12 |
| 1083806780 | Robert D Schaller | Internal Medicine | 3400 Civic Center Blvd Fl 2, Philadelphia, PA 19104-5127 | 2007-08-16 |
| 1790907673 | Kevin Duffy Jr. | Internal Medicine | 3400 Civic Center Blvd Fl 2, Philadelphia, PA 19104-5127 | 2007-05-02 |
| 1275658114 | Saif Anwaruddin | Internal Medicine | 3400 Civic Center Blvd Fl 2, Philadelphia, PA 19104-5127 | 2007-03-20 |
| 1740212034 | Robert L Wilensky | Internal Medicine | 3400 Civic Center Blvd Fl 2, Philadelphia, PA 19104-5127 | 2006-07-07 |
| 1679503783 | Howard C Herrmann | Internal Medicine | 3400 Civic Center Blvd Fl 2, Philadelphia, PA 19104-5127 | 2006-07-04 |
| Find all providers in the same location | ||||
| 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 Code | 207RA0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Advanced Heart Failure and Transplant Cardiology |
| Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
| Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679108559 | Sarah Jane Miranda | Internal Medicine | 925 Chestnut St, Philadelphia, PA 19107-4216 | 2020-03-11 |
| 1144736620 | Sriram Rao | Internal Medicine | 3400 Civic Center Blvd, 11-162 PCam, Philadelphia, PA 19104-5127 | 2017-12-20 |
| 1275897746 | Michael V Genuardi | Internal Medicine | 3400 Civic Center Blvd, 2 East, Philadelphia, PA 19104-5127 | 2012-06-29 |
| 1770637357 | Hansie Marie Mathelier | Internal Medicine | 51 N 39th St, 2c, Philadelphia, PA 19104 | 2007-01-22 |
| 1821077355 | Robert W Pattillo | Internal Medicine | 51 N 39th St, 4 Hvp, Philadelphia, PA 19104-2640 | 2006-01-12 |
| 1558350447 | Temple University of The Commonwealth System of Higher Education | Internal Medicine | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855592 | Wellspan Medical Group | Internal Medicine | 1575 Bannister St Ste 7, York, PA 17404-4946 | 2020-06-12 |
| 1760793210 | The Heart Group of Lancaster General Health | Internal Medicine | 217 Harrisburg Ave, Lancaster, PA 17603-2962 | 2010-06-30 |
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.