PRESBYTERIAN MULTI-SPECIALTY GROUP


Address: 51 N 39th St, 3910 Building, 2nd Floor, Philadelphia, PA 19104-2640
Phone: 2156622289

PRESBYTERIAN MULTI-SPECIALTY GROUP (NPI# 1437279858) 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) 1437279858
Entity Type Organization
Organization Name PRESBYTERIAN MULTI-SPECIALTY GROUP
Practice Address 51 N 39th St
3910 Building, 2nd Floor
Philadelphia
PA 19104-2640
Mailing Address 3624 Market St
Suite 560w
Philadelphia
PA 19104-2614
Practice Telephone 2156622289
Mailing Telephone 2156622286
Enumeration Date 2007-03-30
Last Update Date 2020-08-22
Authorized Official Name ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2156622286
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 207N00000X Dermatology PA Allopathic & Osteopathic Physicians
X 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
PA Allopathic & Osteopathic Physicians
X 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
PA Allopathic & Osteopathic Physicians
X 207RR0500X Internal Medicine
Specialization: Rheumatology
PA Allopathic & Osteopathic Physicians
X 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 1007726820 05
PA HEALTHPARTNERS 16972 01
PA BLUE SHIELD 767057 01
PA AETNA 472891 01
PA KEYSTONE MERCY 1046781 01
PA KEYSTONE 0710826000 01

Office Location

Street Address 51 N 39TH ST
3910 BUILDING, 2ND FLOOR
City PHILADELPHIA
State PA
Zip Code 19104-2640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679570733 Tanya M Dougherty Pharmacist 51 N 39th St, 6th Floor Mutch Building, Philadelphia, PA 19104-2640 2005-07-05
1114527058 Laureen Delgado Nurse Practitioner 51 N 39th St, Philadelphia, PA 19104-2640 2020-10-29
1629677331 Annabell Boreland Nurse Practitioner 51 N 39th St, Philadelphia, PA 19104-2640 2020-10-23
1174120190 Kerry Jane Benson Dietitian, Registered 51 N 39th St, Philadelphia, PA 19104-2640 2020-10-02
1487251591 Ashley Nichole Williams Nurse Practitioner 51 N 39th St, Philadelphia, PA 19104-2640 2020-10-02
1245844687 Matthew Hinton Pharmacist 51 N 39th St, Philadelphia, PA 19104-2640 2020-09-02
1093323768 Lindsey Morgan Duboff Physician Assistant 51 N 39th St, Philadelphia, PA 19104-2640 2020-07-20
1184240830 Ashley Danielle Kelly Nurse Anesthetist, Certified Registered 51 N 39th St, Philadelphia, PA 19104-2640 2020-06-18
1992321863 Cassie Deann Prendergast Nurse Anesthetist, Certified Registered 51 N 39th St, Philadelphia, PA 19104-2640 2020-06-17
1972126951 Theresa Marie Carbone Registered Nurse 51 N 39th St, Philadelphia, PA 19104-2640 2020-05-25
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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
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932740461 Mark Abdelmalek, Md LLC Dermatology 200 N 16th St Ste D, Philadelphia, PA 19102-1225 2019-10-07
1083061048 Brandon Rowe Dermatology 1316 W Ontario St Fl 1, Philadelphia, PA 19140-5220 2016-05-19
1942647078 Jason Marc Schoenfeld Dermatology 9501 Roosevelt Blvd Ste 506, Philadelphia, PA 19114-1030 2013-05-30
1588890669 Philippe Lafaille Dermatology 1200 Locust Street, Philadelphia, PA 19107 2009-06-03
1194950683 Jisun Cha Dermatology 833 Chestnut St Ste 740, Philadelphia, PA 19107-4409 2009-05-27
1962546952 Susan C. Taylor Dermatology 932 Pine St, Philadelphia, PA 19107-6128 2007-02-16
1194833590 Harold Farber Dermatology 9892 Bustleton Avenue, Ste 204 Moss Plaza, Philadelphia, PA 19115 2006-08-26
1770599839 Seana Patrice Covello Dermatology 621 Pine St, Philadelphia, PA 19106-4108 2006-07-31
1528080512 Kenneth E Wasserman Md PC Dermatology 1817 South Broad St, Philadelphia, PA 19148-2115 2006-07-25
1811947351 James R Treat Dermatology 3550 Market St Fl 2, Children's Hospital of Philadelphia - Dermatology Div, Philadelphia, PA 19104-3366 2006-05-12
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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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