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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1026888280036 | 05 | |
PA | 1026888280028 | 05 | |
PA | 1026888280015 | 05 |
Other Name | Type Code |
---|---|
RadOnc Assoc of FCCC, MGI | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
2701 Dekalb Pike, Norristown, PA 194011820 | 8883692487 | 2152144038 |
2365 Heritage Center Dr, Furlong, PA 189251280 | 2157282581 | 2152144038 |
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 |
Street Address |
333 COTTMAN AVE FOX CHASE CANCER CENTER |
City | PHILADELPHIA |
State | PA |
Zip Code | 19111-2434 |
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 |
Find all providers in the same location |
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 Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
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 |
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 |
City | PHILADELPHIA |
Zip Code | 19111 |
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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.