JEFFERSON UNIVERSITY PHYSCIANS (NPI# 1508031287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508031287 |
| Entity Type | Organization |
| Organization Name | JEFFERSON UNIVERSITY PHYSCIANS |
| Other Organization Name | ANESTHESIOLOGY |
| Practice Address |
833 Chestnut St Suite 630 Philadelphia PA 19107-4414 |
| Practice Telephone | 2159550800 |
| Mailing Telephone | 2159550800 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | JOHN OGUNKEYE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2159552562 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD | 559586 | 01 |
| NJ | 7633301 | 05 | |
| PA | AETNA | 31568 | 01 |
| PA | INDEPENDENCE BLUE CROSS | 0510573000 | 01 |
| PA | KEYSTONE MERCY | 33013 | 01 |
| Other Name | Type Code |
|---|---|
| Anesthesiology | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588136055 | Jefferson University Physcians | Physician Assistant | 1020 Sansom St Fl 10, Philadelphia, PA 19107-5002 | 2018-12-21 |
| 1912477324 | Jefferson University Physcians | Internal Medicine | 3 Crescent Dr Fl 2, Philadelphia, PA 19112-1016 | 2018-11-28 |
| Street Address |
833 CHESTNUT ST SUITE 630 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310821 | Akhil K Das | Urology | 833 Chestnut St, Suite 703, Philadelphia, PA 19107-4414 | 2005-07-14 |
| 1285263228 | Melissa Lily Chiu | Physical Therapist | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2020-04-02 |
| 1639707995 | Hannah Nelkin Facey | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2020-03-31 |
| 1043846991 | David C Peters | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2020-03-22 |
| 1598320699 | Danielle Gould Tsevat | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2019-05-03 |
| 1467015024 | Victoria Adedoja Adewale | Obstetrics & Gynecology | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2019-04-19 |
| 1447712484 | Michael Bozzi | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2019-04-01 |
| 1578046603 | Jessica Blair Dijulio | Dermatology | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2018-09-14 |
| 1063990802 | Lisa Marie Burkholder | Social Worker | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2018-08-03 |
| 1255829123 | Olivia Marie Seecof | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Philadelphia, PA 19107-4414 | 2018-04-26 |
| Find all providers in the same location | ||||
| 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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497313332 | Marsha Metzger Silberstein | Anesthesiology | 50 S 16th St Unit 4006, Philadelphia, PA 19102-2531 | 2019-06-05 |
| 1518487420 | Michael Adam Glick | Anesthesiology | 111 South 11th Street, Suite 8290, Philadelphia, PA 19107 | 2017-06-21 |
| 1386908812 | Elizabeth Mburu | Anesthesiology | 5501 Old York Rd Ste 3006, Philadelphia, PA 19141-3018 | 2012-06-29 |
| 1144518481 | Olubukola Opeyemi Olla | Anesthesiology | 401 S 16th St, Apt 4f, Philadelphia, PA 19146-1661 | 2011-07-20 |
| 1598056228 | Myrna Mariano Tan | Anesthesiology | 100 East Lehigh Ave., Espiscopal Hospital, Philadelphia, PA 19125 | 2011-04-28 |
| 1780987610 | Ar Medical PC | Anesthesiology | 6100 Woodland Ave, Philadelphia, PA 19142-3224 | 2010-12-15 |
| 1780833970 | Mohammad M Keykhah | Anesthesiology | 245 N 15th St # Ms 310, Philadelphia, PA 19102-1101 | 2008-09-12 |
| 1467618132 | Mahwish Raza | Anesthesiology | 111 Walnut Street, Philadelphia, PA 19107 | 2008-08-01 |
| 1427257955 | Mario C Deangelis | Anesthesiology | 1418 Pemberton St, Philadelphia, PA 19146-2108 | 2007-07-14 |
| 1174732929 | Nancy Chou Macgarvey | Anesthesiology | 36th and Spruce Streets, 8th Fl, Philadelphia, PA 19103 | 2007-05-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.