MERCY MANAGEMENT OF SEPA


Address: 2701 Holme Ave Ste 305, Phila, PA 19152-2029
Phone: 2153353886

MERCY MANAGEMENT OF SEPA (NPI# 1427573492) 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) 1427573492
Entity Type Organization
Organization Name MERCY MANAGEMENT OF SEPA
Other Organization Name MMSEPA SURGICAL SPECIALTY
Practice Address 2701 Holme Ave Ste 305
Phila
PA 19152-2029
Mailing Address 1 W Elm St
Conshohocken
PA 19428-4108
Practice Telephone 2153353886
Mailing Telephone 6105676964
Enumeration Date 2017-08-10
Last Update Date 2018-03-17
Authorized Official Name AMIEE BRENNAN (CREDENTIALING SUPERVISOR)
Authorized Official Telephone 6105676964
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207T00000X Neurological Surgery Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
Allopathic & Osteopathic Physicians
N 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
MMSEPA Surgical Specialty Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
1501 Lansdowne Ave Ste 307, Darby, PA 190231333 6105346170 6105346159
1500 Lansdowne Ave Ste G103, Darby, PA 190231200
501 S 54th St Ste 186, Phila, PA 191431900 2157489530 2157489199
1001 Baltimore Pike Ste 109, Springfield, PA 190642852 6105675408
1503 Lansdowne Ave Ste 3003, Darby, PA 190231308 4844946862 4844948414
501 S 54th St Ste 227, Phila, PA 191431900 2157489653 2157489667
1501 Lansdowne Ave Fl Mob1, Darby, PA 190231333 2157489653
1575 N 52nd St Ste 800, Phila, PA 191314741 2157489653 2157489667

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1710403191 Mercy Management of Sepa Urology 501 S 54th St Ste 227, Phila, PA 19143-1900 2017-08-17
1447776729 Mercy Management of Sepa Internal Medicine 1501 Lansdowne Ave Ste 302, Darby, PA 19023-1333 2017-08-17
1255857538 Mercy Management of Sepa Internal Medicine 1501 Lansdowne Ave Ste 305, Darby, PA 19023-1333 2017-08-17
1972027688 Mercy Management of Sepa Family Medicine 501 S 54th St Ste 26, Philadelphia, PA 19143-1900 2017-08-03
1982128690 Mercy Management of Sepa Internal Medicine 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 2017-08-03
1598289209 Mercy Management of Sepa Family Medicine 2821 Island Ave Ste De, Philadelphia, PA 19153-2300 2017-08-03
1932623857 Mercy Management of Sepa Social Worker 1575 N 52nd St Ste 800, Philadelphia, PA 19131 2017-08-02
1285158105 Mercy Management of Sepa Family Medicine 925 Providence Rd Ste 8/9, Secane, PA 19018-2920 2017-08-02
1740704667 Mercy Management of Sepa Family Medicine 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 2017-08-02
1831189612 Mercy Management of Sepa Internal Medicine 5630 Chestnut St, Philadelphia, PA 19139-3232 2005-10-24

Office Location

Street Address 2701 HOLME AVE STE 305
City PHILA
State PA
Zip Code 19152-2029

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861918708 Nazareth Physician Services Obstetrics & Gynecology 2701 Holme Ave Ste 305, Phila, PA 19152-2029 2017-08-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801412416 Vishak Hari Kumar Student in an Organized Health Care Education/Training Program 2601 Holme Ave., Philadelphia, PA 19152 2020-06-19
1093298325 Friendly Smile Dental Inc Clinic/Center 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 2018-09-12
1659857720 Jaini Desai Behavior Technician 2982 Welsh Rd, Philadelphia, PA 19152 2018-07-12
1578066395 Alexis Turbin Physician Assistant 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 2018-03-18
1215452982 Nazareth Physician Services Inc Social Worker 2630 Holme Ave Ste 101, Philadelphia, PA 19152 2017-08-03
1437671955 Anca & Leo LLC Home Health 9107 Revere St Ste 1, Philadelphia, PA 19152 2017-07-17
1407377435 Erin O'neill Mcdermott Nurse Practitioner 1906 Tustin St., Philadelphia, PA 19152 2017-06-29
1700307766 Vinayasree Shyam Internal Medicine 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 2017-06-29
1497292833 Joy & Comfort Home Care Home Health 2303 Stanwood St, Philadelphia, PA 19152 2017-01-24
1700320330 Anna Lvovna Blinava Pharmacist 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 2016-12-16
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841336146 Harvey J. Lerner Surgery 2300 E. Allegheny Ave, Phila, PA 19134 2007-01-30
1881630432 Fawzi P Habboushe Surgery Pepper Pavilion Ste 1100, One Graduate Plaza, Phila, PA 19146 2006-06-21
1164427894 Alan Jay Meltzer Surgery 2110 Spruce St, Phila, PA 19103-6596 2005-06-17
1205972510 Oncology Associates, Ltd Surgery 2300 E. Allegheny Ave, Phila, PA 19134 2007-01-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568060655 Western Pa Surgery Center, Beaver County Branch, LLC Surgery 103 Pleasant Dr, Aliquippa, PA 15001-1333 2020-10-12
1558977546 Abington Memorial Hospital Surgery 2701 Blair Mill Rd Ste 17, Willow Grove, PA 19090-1041 2020-09-16
1518579762 St. Luke's Physician Group Inc. Surgery 3735 Nazareth Rd Ste 303, Easton, PA 18045-8338 2020-08-19
1417565847 St. Luke's Physician Group Inc. Surgery 5325 Northgate Dr Ste 204, Bethlehem, PA 18017-9413 2020-07-22
1073135935 Amr Mohamed Elsayed Surgery 36 N 13th St Apt 2, Allentown, PA 18102-4300 2020-05-14
1346878436 Beaver Valley Foot Clinic PC Surgery 20555 Route 19 Ste D, Cranberry Township, PA 16066-7525 2020-04-01
1922653914 Tower Health Medical Group Surgery 301 S 7th Ave Ste 3070, West Reading, PA 19611-1495 2019-08-06
1558916833 Allegheny Clinic Surgery 4815 Liberty Avenue Suite 215, Pittsburgh, PA 15224-2156 2019-08-05
1548820350 St. Luke's Physician Group, Inc Surgery 575 S 9th St Ste 8, Lehighton, PA 18235-2517 2019-06-14
1538725700 Golla Ent Surgery 107 Gamma Dr Ste 110, Pittsburgh, PA 15238-2917 2019-05-14
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Competitor

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City PHILA
Zip Code 19152

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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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