JASON GOLDSMITH (NPI# 1568873875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568873875 |
Entity Type | Individual |
Full Name | JASON GOLDSMITH |
Credential | M.D. |
Practice Address |
422 Curie Blvd 713 Stellar-chance Labs Philadelphia PA 19104-4860 |
Mailing Address |
713 Stellar-chance Labs 422 Curie Blvd Philadelphia PA 19104-6160 |
Practice Telephone | 2158985780 |
Enumeration Date | 2014-05-09 |
Last Update Date | 2016-08-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | MD458267 | PA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301104741 | MI | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356952303 | Jason Goldsmith | Counselor | 9550 Us Highway 19 Ste 202, Port Richey, FL 34668-4648 | 2020-08-13 |
1922198522 | Jason Aidan Goldsmith | Ophthalmology | 65 Mario Capecchi Dr, Salt Lake City, UT 84132-0005 | 2006-10-13 |
Street Address |
422 CURIE BLVD 713 STELLAR-CHANCE LABS |
City | PHILADELPHIA |
State | PA |
Zip Code | 19104-4860 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003209834 | University of Pennsylvania | General Acute Care Hospital | 422 Curie Blvd, 1009c Stellar Chance Laboratories, Philadelphia, PA 19104-4860 | 2015-03-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
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 |
1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
Find all providers in zip 19104 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1790135358 | Jeffrey Anthony Gazzara Jr. | General Practice | 621, 1515 Market Street, Suite 1200, Philadelphia, PA 19102-1921 | 2016-06-14 |
1053788240 | J. Todd Willis, Md Clinic | General Practice | 1003 Holland Avenue, Suite 104, Philadelphia, MS 39350-2180 | 2015-08-24 |
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1003294588 | Health Hero Pa LLC | General Practice | 217 Dickinson St, Philadelphia, PA 19147-6003 | 2015-05-15 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19104 |
Please comment or provide details below to improve the information on JASON GOLDSMITH.
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.