UNIVERSITY OF PENN-MEDICAL GROUP


Address: 3400 Spruce St, 2 Silverstein Building, Philadelphia, PA 19104-4238
Phone: 2156623340

UNIVERSITY OF PENN-MEDICAL GROUP (NPI# 1598153603) 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) 1598153603
Entity Type Organization
Organization Name UNIVERSITY OF PENN-MEDICAL GROUP
Practice Address 3400 Spruce St
2 Silverstein Building
Philadelphia
PA 19104-4238
Practice Telephone 2156623340
Mailing Telephone 2156623340
Enumeration Date 2014-12-26
Last Update Date 2014-12-26
Authorized Official Name ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2156627583
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207QS0010X Family Medicine
Specialization: Sports Medicine
PA Allopathic & Osteopathic Physicians
N 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
PA Allopathic & Osteopathic Physicians
N 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
PA Allopathic & Osteopathic Physicians
N 207XS0117X Orthopaedic Surgery
Specialization: Orthopaedic Surgery of the Spine
PA Allopathic & Osteopathic Physicians
N 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
PA Allopathic & Osteopathic Physicians
N 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
PA Allopathic & Osteopathic Physicians
N 207XX0801X Orthopaedic Surgery
Specialization: Orthopaedic Trauma
PA Allopathic & Osteopathic Physicians
N 208100000X Physical Medicine & Rehabilitation PA Allopathic & Osteopathic Physicians
N 208200000X Plastic Surgery PA Allopathic & Osteopathic Physicians
Y 207X00000X Orthopaedic Surgery PA Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1396193900 University of Penn-medical Group Transplant Surgery 1501 N Cedar Crest Blvd, Suite 110 Liver Transplant, Allentown, PA 18104-2309 2016-05-25
1821451139 University of Penn-medical Group Internal Medicine 554 N Duke St, 3rd Floor Renal Transplant, Lancaster, PA 17602-2225 2016-04-04
1902269210 University of Penn-medical Group Surgery 554 N Duke St, 3rd Floor, Lancaster, PA 17602-2225 2016-04-04
1043670805 University of Penn-medical Group Internal Medicine 554 N Duke St, 3rd Floor Gi Transplant, Lancaster, PA 17602-2225 2016-03-07
1730578667 University of Penn-medical Group Internal Medicine 3400 Spruce St, Ground Floor Donner, Philadelphia, PA 19104-4238 2015-01-15
1073902169 University of Penn-medical Group Dermatology 3400 Spruce St, 2 Rhoads Pavilion, Philadelphia, PA 19104-4238 2015-01-13
1184012569 University of Penn-medical Group Clinical Medical Laboratory 3400 Spruce St, Philadelphia, PA 19104-4238 2015-01-07
1821486846 University of Penn-medical Group Marriage & Family Therapist 3535 Market St, 3rd Floor, Philadelphia, PA 19104-3309 2014-12-29
1740678762 University of Penn-medical Group Pathology 3400 Spruce St, Philadelphia, PA 19104-4238 2014-12-29
1811385834 University of Penn-medical Group Thoracic Surgery (Cardiothoracic Vascular Surgery) 51 N 39th St, 266 Wright Saunders, Philadelphia, PA 19104-2640 2014-12-29

Office Location

Street Address 3400 SPRUCE ST
2 SILVERSTEIN BUILDING
City PHILADELPHIA
State PA
Zip Code 19104-4238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063415966 Samuel Isaiah Parry Obstetrics & Gynecology 3400 Spruce St, Philadelphia, PA 19104-4238 2005-05-24
1831790609 Renate Marie Balitzky Registered Nurse 3400 Spruce St, Philadelphia, PA 19104-4238 2020-11-06
1053911156 Jordan Charles Templeton Physician Assistant 3400 Spruce St, Philadelphia, PA 19104-4274 2020-10-28
1992305304 Alyssa N Volpe Registered Nurse 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-27
1700486115 Christina Haddow Registered Nurse 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-27
1629677497 Marissa Leigh Berlant Physician Assistant 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-22
1811595523 Kristen Gilgen Anesthesiology 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-14
1962014654 Stacey Pham Nurse Practitioner 3400 Spruce St, Philadelphia, PA 19104-4238 2020-08-23
1265040109 Abdullah T Almuqate Pathology 3400 Spruce St, Philadelphia, PA 19104-4238 2020-07-16
1952928541 Stefen Andrianus Student in an Organized Health Care Education/Training Program 3400 Spruce St, Philadelphia, PA 19104-4238 2020-06-29
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Providers in the same zip code

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 Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932708492 Sunnyvale Orthopaedic and Rehabilitation Clinic Orthopaedic Surgery 1419 N 75th St, Philadelphia, PA 19151-2901 2020-10-25
1770120537 Marcel Orthopedics LLC Orthopaedic Surgery 3717 Chestnut St Apt 202.m, Philadelphia, PA 19104-3164 2019-11-28
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1295245694 Hr Physician Services Orthopaedic Surgery 7500 Central Ave Ste 108, Philadelphia, PA 19111-2431 2017-10-11
1760912372 Qingwu Kong Orthopaedic Surgery 230 N Broad St., Philadelphia, PA 19102 2017-06-15
1467981647 Colin Ackerman Orthopaedic Surgery 3401 N Broad St Fl 5, Philadelphia, PA 19140-5103 2017-06-09
1790104578 Talia Chapman Orthopaedic Surgery 1015 Chestnut St Ste 801, Philadelphia, PA 19107-4308 2014-04-09
1285991091 Grant H Garcia Orthopaedic Surgery 23 S 23rd St Unit 3l, Philadelphia, PA 19103 2012-04-18
1598053365 Amrit Singh Khalsa Orthopaedic Surgery 3737 Market St Fl 8, Philadelphia, PA 19104-5545 2011-07-14
1568752392 Matthew Steven Wilson Orthopaedic Surgery 834 Chestnut Street, Suite G-114, The Philadelphia Hand Center, Philadelphia, PA 19107 2011-04-13
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City PHILADELPHIA
Zip Code 19104

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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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