FOX CHASE CANCER CENTER MEDICAL GROUP, INC


Address: 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434
Phone: 2157286900

FOX CHASE CANCER CENTER MEDICAL GROUP, INC (NPI# 1518231695) 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) 1518231695
Entity Type Organization
Organization Name FOX CHASE CANCER CENTER MEDICAL GROUP, INC
Other Organization Name GEN SURG ASSOC OF FCCC, MGI
Practice Address 333 Cottman Ave
Fox Chase Cancer Center
Philadelphia
PA 19111-2434
Mailing Address 2450 W Hunting Park Ave
Philadelphia
PA 19129-1302
Practice Telephone 2157286900
Mailing Telephone 2157286900
Mailing Fax Number 2157282773
Enumeration Date 2012-03-07
Last Update Date 2018-06-14
Authorized Official Name TONYA WOODARD (CREDENTIALING/MANAGER)
Authorized Official Telephone 2157073911
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 1026888280033 05
PA 1026888280005 05
PA 1026888280027 05

Other Provider/Organization Names

Other Name Type Code
Gen Surg Assoc of FCCC, MGI Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
2365 Heritage Center Dr, Furlong, PA 189251280 2157286900 2157282773
2701 Dekalb Pike, Norristown, PA 194011820 8883692487 2157282773

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1801160981 Fox Chase Cancer Center Medical Group, Inc Psychologist 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1710251897 Fox Chase Cancer Center Medical Group, Inc Psychiatry & Neurology 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1073887154 Fox Chase Cancer Center Medical Group, Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1457625535 Fox Chase Cancer Center Medical Group, Inc Otolaryngology 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1538433610 Fox Chase Cancer Center Medical Group, Inc Internal Medicine 333 Cottman Ave, West Bldg/cru, Philadelphia, PA 19111-2434 2012-03-07
1528332608 Fox Chase Cancer Center Medical Group, Inc Radiology 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1427322502 Fox Chase Cancer Center Medical Group, Inc Urology 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1992079073 Fox Chase Cancer Center Medical Group, Inc Internal Medicine 333 Cottman Ave, Philadelphia, PA 19111-2434 2012-03-07
1447524525 Fox Chase Cancer Center Medical Group, Inc Internal Medicine 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07
1891069977 Fox Chase Cancer Center Medical Group, Inc Internal Medicine 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 2012-03-07

Office Location

Street Address 333 COTTMAN AVE
FOX CHASE CANCER CENTER
City PHILADELPHIA
State PA
Zip Code 19111-2434

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356347504 Sangeeta K Tyerech Radiology 333 Cottman Ave, Philadelphia, PA 19111 2005-06-22
1114524097 Bernadette Golarz Nurse Anesthetist, Certified Registered 333 Cottman Ave, Philadelphia, PA 19111-2434 2020-10-05
1023625878 Nallely Hernandez Internal Medicine 333 Cottman Ave, Philadelphia, PA 19111-2497 2020-09-25
1780298612 Jean Marie Arlt Psychologist 333 Cottman Ave, Philadelphia, PA 19111-2434 2020-09-08
1811500549 Facundo Iriarte Surgery 333 Cottman Ave, Philadelphia, PA 19111-2497 2020-08-24
1275157455 Temple University Hospital, Inc General Acute Care Hospital 333 Cottman Ave, Philadelphia, PA 19111-2434 2020-06-03
1548898836 Hannah Rosenstein Campbell Genetic Counselor, MS 333 Cottman Ave, Philadelphia, PA 19111-2434 2020-03-31
1285281238 Senthuran Tharmalingam Surgery 333 Cottman Ave, Philadelphia, PA 19111-2497 2019-08-23
1619452885 Max David Lefton Surgery 333 Cottman Ave, Philadelphia, PA 19111-2434 2018-10-03
1730669425 Christopher Mkl Yao Otolaryngology 333 Cottman Ave, Philadelphia, PA 19111-2497 2018-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164036026 Grace Agency Incorporated Home Health 433 Longshore Ave, Philadelphia, PA 19111 2020-09-08
1124517750 Dana Christine Campetti Physician Assistant 700 Cottman Ave Ste 201, Philadelphia, PA 19111 2018-05-09
1235654286 Dorotea Mutabdzic Surgery Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 2017-08-11
1952841041 Personal Care Home C&g Point of Service 6176 Newtown Ave, Philadelphia, PA 19111 2017-03-08
1477006849 Fox Chase Cancer Center Clinic/Center 333 Cottman Ave., Philadelphia, PA 19111 2016-08-02
1578927521 Peter Whooley Student in an Organized Health Care Education/Training Program Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 2016-04-06
1043673783 Matthew Holzerman Physical Therapy Assistant 1148 Tabor Plz, Philadelphia, PA 19111 2016-03-31
1831563329 Aging With Care Inc Home Health 1614 Loney St, Philadelphia, PA 19111 2015-11-20
1043687551 Kenneth Marsaglia II Preventive Medicine 8414 Bridle Road, Philadelphia, PA 19111 2015-09-01
1700220514 Lorraine A Tauriello Counselor 716 Ripley St, Philadelphia, PA 19111 2013-04-23
Find all providers in zip 19111

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
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
1962993170 Brian M Till Surgery 1015 Walnut Street, Suite 620 Curtis, Philadelphia, PA 19107-5005 2018-05-23
1356838932 Walker Lyons Surgery 1015 Walnut St Ste 210, Philadelphia, PA 19107-5005 2018-04-18
1790213114 Matthew Paul Mullarkey Surgery 3401 N Broad St Ste C405, Philadelphia, PA 19140-5103 2017-05-30
1528424090 Zhen Lu Surgery 5401 Old York Rd # Klein101, Philadelphia, PA 19141-3030 2016-01-13
1235517996 David Kim Surgery 3401 N Broad St # 3ppc388, Philadelphia, PA 19140 2015-05-14
1578941282 Amanda Elizabeth Deliere Surgery 3400 N Broad St, Philadelphia, PA 19140-5104 2015-05-13
1649660804 Deviney Rattigan Surgery 1110 Lombard St Apt 24, Philadelphia, PA 19147-1206 2015-01-27
1346676988 Aviva Wallace Kaplin Surgery 20 E Abington Ave, Philadelphia, PA 19118-3410 2013-09-15
1619300571 Roshin Thomas Surgery 8815 Germantown Ave Fl 2, Philadelphia, PA 19118-2722 2013-08-14
Find all providers in PHILADELPHIA

Competitor

Search similar providers

City PHILADELPHIA
Zip Code 19111

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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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