DR. N. ISAURA LOPEZ THIBAULT


Address: 9501 Roosevelt Blvd Ste 305, Philadelphia, PA 19114-1028
Phone: 2159694917

DR. N. ISAURA LOPEZ THIBAULT (NPI# 1588663314) 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) 1588663314
Entity Type Individual
Full Name DR. N. ISAURA LOPEZ THIBAULT
Credential M.D.
Practice Address 9501 Roosevelt Blvd Ste 305
Philadelphia
PA 19114-1028
Practice Telephone 2159694917
Practice Fax Number 2159695875
Mailing Telephone 2159694917
Mailing Fax Number 2159695875
Enumeration Date 2005-07-14
Last Update Date 2019-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics MD070092L PA Allopathic & Osteopathic Physicians

Office Location

Street Address 9501 ROOSEVELT BLVD STE 305
City PHILADELPHIA
State PA
Zip Code 19114-1028

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184269888 Stc Pediatrics LLC Pediatrics 9501 Roosevelt Blvd Ste 305, Philadelphia, PA 19114-1028 2019-11-18
1679953145 Noah D Buboltz Pediatrics 9501 Roosevelt Blvd Ste 305, Philadelphia, PA 19114-1028 2015-05-31
1215343249 Erica L Cucinella Pediatrics 9501 Roosevelt Blvd Ste 305, Philadelphia, PA 19114-1028 2014-07-10
1295947497 Amy Bridgeman Pediatrics 9501 Roosevelt Blvd Ste 305, Philadelphia, PA 19114-1028 2007-05-03
1689622953 Alanna M. Kramer Pediatrics 9501 Roosevelt Blvd Ste 305, Philadelphia, PA 19114-1028 2006-05-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164029906 Phuoc Nguyen Nurse Anesthetist, Certified Registered Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 2020-10-05
1053921932 Priyanka Patel Dentist Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 2020-08-05
1215419080 Thomas Patrick Gallagher Specialist/Technologist 2708 Ruth Way, Philadelphia, PA 19114 2018-08-29
1558840223 Alexis Wenger Early Intervention Provider Agency 3810 Aubrey Ave, Phila, PA 19114 2018-08-13
1245759232 Newlands Health Clinic/Center 9625 Frankford Ave., Philadelphia, PA 19114 2017-09-12
1619491453 Nazareth Physician Services Inc Social Worker 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 2017-08-02
1326561606 L.s. Share & Love Support Coordinating Agency, LLC Case Management 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 2017-07-19
1760911952 Charles C Richards II Counselor 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 2017-06-09
1801338686 April Neuls Physical Therapy Assistant 4213 Lackland Place, Philadelphia, PA 19114 2016-11-10
1114317583 Siji Cyriac Physical Therapist 9501 State Road, Philadelphia, PA 19114 2015-01-23
Find all providers in zip 19114

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861036279 Stc Pediatrics LLC Pediatrics 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 2019-10-30
1447818729 Elizabeth Edmondston Tarr Pediatrics 3401 Civic Center Blvd Fl 9nw55, Philadelphia, PA 19104-4319 2019-06-03
1245799337 Jerry Martin Kaplan Pediatrics 2421 Fairmount Ave, Philadelphia, PA 19130-2517 2019-03-18
1992299861 Gayathri Prabhakar Pediatrics 3401 Civic Center Blvd 9nw, Rm 55, Philadelphia, PA 19104-4319 2018-06-14
1992298004 Daniel Rappoport Pediatrics 3401 Civic Center Boulevard, 9nw, Room 55, Philadelphia, PA 19104-4399 2018-06-13
1376069567 Childrens Hospital of Philadelphia Pediatrics 3401 Civic Center Blvd Fl 4, Philadelphia, PA 19104-4319 2017-08-18
1558881581 Isabel Cristina Castillo Hernandez Pediatrics 4500-10, Apt 201b, Philadelphia, PA 19124 2017-06-21
1891225694 Joshua Hruby Sperling Pediatrics 3401 Civic Center Boulevard 9nw, Room 55, The Children's Hospital of Philadelphia, Philadelphia, PA 19104-4399 2017-06-14
1124558911 Salvatore Charles Rametta Pediatrics 3401 Civic Center Boulevard Building 9nw Room 55, Children's Hospital of Philadelphia, Philadelphia, PA 19104 2017-06-14
1922536952 Alyssa Coffin Pediatrics 3401 Civic Center Blvd Fl 9nw, Philadelphia, PA 19104-4319 2017-06-03
Find all providers in PHILADELPHIA

Competitor

Search similar providers

City PHILADELPHIA
Zip Code 19114

Improve Information

Please comment or provide details below to improve the information on DR. N. ISAURA LOPEZ THIBAULT.

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.

Trending Searches