FOX CHASE CANCER CENTER MEDICAL GROUP, INC


Address: 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434
Phone: 2157282581

FOX CHASE CANCER CENTER MEDICAL GROUP, INC (NPI# 1528332608) 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) 1528332608
Entity Type Organization
Organization Name FOX CHASE CANCER CENTER MEDICAL GROUP, INC
Other Organization Name RADONC 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 2157282581
Practice Fax Number 2152144038
Mailing Telephone 2157282581
Mailing Fax Number 2152144038
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 2085R0001X Radiology
Specialization: Radiation Oncology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 1026888280036 05
PA 1026888280028 05
PA 1026888280015 05

Other Provider/Organization Names

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
2701 Dekalb Pike, Norristown, PA 194011820 8883692487 2152144038
2365 Heritage Center Dr, Furlong, PA 189251280 2157282581 2152144038

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
1518231695 Fox Chase Cancer Center Medical Group, Inc 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
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
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912433632 Victor Eric Chen Radiology 111 S 11th St # G301, Philadelphia, PA 19107 2017-05-02
1346635455 Adam Christopher Mueller Radiology 111 S 11th St Ste G-301, Philadelphia, PA 19107-4824 2015-04-06
1487916193 Sonam Sharma Radiology 3400 Civic Blvd, Philadelphia, PA 19104-4206 2012-06-10
1245439017 Edward M Marchan Radiology 909 Walnut St Fl 3, Department of Neurosurgery Thomas Jefferson Univ, Philadelphia, PA 19107-5211 2007-07-12
1710052212 Thomas J Galloway Radiology 333 Coltman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 2006-11-21
1811910854 William T Grizos Radiology 8835 Germantown Ave., Philadelphia, PA 19118-2718 2006-07-25
1972525400 Shari Rudoler Radiology Knights & Red Lion Roads, Philadelphia, PA 19114 2006-07-24
1730135393 Voichita Bar Ad Radiology 111 S. 11th Street, Bodine Center Jefferson Radiation Oncology Associates, Philadelphia, PA 19107 2006-05-25
1467403121 Patrick M Tripp Radiology 3400 Civic Center, Pcam - Radiation Oncology Trc 2 West, Philadelphia, PA 19104 2006-05-15
1548249287 William R Rate Radiology 3400 Civic Center Blvd., Concourse Level, Philadelphia, PA 19104-4306 2006-01-11
Find all providers in PHILADELPHIA

Competitor

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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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