PHILADELPHIA FIGHT (NPI# 1487082608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487082608 |
| Entity Type | Organization |
| Organization Name | PHILADELPHIA FIGHT |
| Practice Address |
1233 Locust St Fl 4 Philadelphia PA 19107-5459 |
| Mailing Address |
1233 Locust St Fl 3 Philadelphia PA 19107-5400 |
| Practice Telephone | 2157901788 |
| Practice Fax Number | 2157325490 |
| Mailing Telephone | 2159854448 |
| Mailing Fax Number | 2157321145 |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | BARBARA BUNGY (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2155258640 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100747222 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1417 Locust St Fl 2, Philadelphia, PA 191023829 | 2153441632 | 2155648606 |
| 1207 Chestnut St Fl 3, Philadelphia, PA 191074131 | 2677250252 | 2157321046 |
| 1211 Chestnut St Fl 6, Philadelphia, PA 191074103 | 2159854448 | |
| 1207 Chestnut St Fl 5, Philadelphia, PA 191074131 | 2155258600 | 2157321145 |
| 1207 Chestnut St Fl 4, Philadelphia, PA 191074131 | 2155253046 | 2155671617 |
| 315 S Broad St, Philadelphia, PA 191075213 | 2677250252 | 2157321046 |
| 1233 Locust St Fl 4, Philadelphia, PA 191075459 | 2157901788 | 2157325490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679744783 | Philadelphia Fight | Clinic/Center | 1233 Locust St, Suite 500, Philadelphia, PA 19107-5453 | 2008-03-17 |
| 1760507859 | Philadelphia Fight | Internal Medicine | 1233 Locust St Fl 4, Philadelphia, PA 19107-5459 | 2007-03-20 |
| Street Address |
1233 LOCUST ST FL 4 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265571152 | Karam C Mounzer | Internal Medicine | 1233 Locust St Fl 4, Philadelphia, PA 19107-5459 | 2007-02-06 |
| 1447621289 | Kimberly Burkhardt | Dietitian, Registered | 1233 Locust St Fl 4, Philadelphia, PA 19107-5459 | 2015-10-19 |
| 1629403852 | Lanelta R Nobles | Pharmacist | 1233 Locust St Fl 4, Philadelphia, PA 19107-5459 | 2013-09-06 |
| 1245475052 | Roseanne Koslin Cantor | Psychologist | 1233 Locust St Fl 4, Philadelphia, PA 19107-5459 | 2008-12-08 |
| 1730376872 | Angela Jo Kapalko | Physician Assistant | 1233 Locust St Fl 4, Philadelphia, PA 19107-5459 | 2007-10-03 |
| 1073716296 | Stacey Trooskin | Internal Medicine | 1233 Locust St Fl 4, Philadelphia, PA 19107-5459 | 2007-06-06 |
| 1346362076 | Elizabeth W Schmidt | Nurse Practitioner | 1233 Locust St Fl 4, Philadelphia, PA 19107-5459 | 2007-04-04 |
| 1912026832 | Sarah E Smith | Physician Assistant | 1233 Locust St Fl 4, Philadelphia, PA 19107-5459 | 2007-03-29 |
| 1760507859 | Philadelphia Fight | Internal Medicine | 1233 Locust St Fl 4, Philadelphia, PA 19107-5459 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1508478157 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 2463 Emerald St, Philadelphia, PA 19125-1236 | 2020-08-17 |
| 1255943809 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 3116 Frankford Ave, Philadelphia, PA 19134-3827 | 2020-08-17 |
| 1467063396 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 1952 E Allegheny Ave, Philadelphia, PA 19134-3122 | 2020-08-13 |
| 1275151607 | Greater Philadelphia Health Action Incorporated | Clinic/Center | 1717 W Allegheny Ave, Philadelphia, PA 19132-1606 | 2020-07-13 |
| 1679133268 | Public Health Management Corporation | Clinic/Center | 315 S Broad St, Philadelphia, PA 19107-5213 | 2019-06-17 |
| 1821589615 | Covenant House, Inc | Clinic/Center | 2385 W Cheltenham Ave., Philadelphia, PA 19150 | 2018-05-29 |
| 1225536568 | Delaware Valley Community Health, Inc. | Clinic/Center | 400 W Allegheny Ave Bldg 5b, Philadelphia, PA 19133-3639 | 2018-01-31 |
| 1073037826 | Greater Philadelphia Health Action Inc. | Clinic/Center | 5630 Vine Street, Philadelphia, PA 19139-4703 | 2017-08-02 |
| 1225552177 | Greater Philadelphia Health Action Inc. | Clinic/Center | 3301 Tasker Street, Philadelphia, PA 19145-9996 | 2017-08-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on PHILADELPHIA FIGHT.
| 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.