MERCY MANAGEMENT OF SEPA (NPI# 1598289209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598289209 |
| Entity Type | Organization |
| Organization Name | MERCY MANAGEMENT OF SEPA |
| Other Organization Name | MMSEPA F PCP EASTWICK OFFICE |
| Practice Address |
2821 Island Ave Ste De Philadelphia PA 19153-2300 |
| Mailing Address |
1 W Elm St Conshohocken PA 19428-4108 |
| Practice Telephone | 2158636110 |
| Practice Fax Number | 2158636111 |
| Mailing Telephone | 6105676964 |
| Mailing Fax Number | 6105675420 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Authorized Official Name | AMIEE BRENNAN (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 6105676964 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MMSEPA F PCP Eastwick Office | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
| 1447776729 | Mercy Management of Sepa | Internal Medicine | 1501 Lansdowne Ave Ste 302, Darby, PA 19023-1333 | 2017-08-17 |
| 1255857538 | Mercy Management of Sepa | Internal Medicine | 1501 Lansdowne Ave Ste 305, Darby, PA 19023-1333 | 2017-08-17 |
| 1427573492 | Mercy Management of Sepa | Neurological Surgery | 2701 Holme Ave Ste 305, Phila, PA 19152-2029 | 2017-08-10 |
| 1972027688 | Mercy Management of Sepa | Family Medicine | 501 S 54th St Ste 26, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1982128690 | Mercy Management of Sepa | Internal Medicine | 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1285158105 | Mercy Management of Sepa | Family Medicine | 925 Providence Rd Ste 8/9, Secane, PA 19018-2920 | 2017-08-02 |
| 1740704667 | Mercy Management of Sepa | Family Medicine | 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 | 2017-08-02 |
| 1831189612 | Mercy Management of Sepa | Internal Medicine | 5630 Chestnut St, Philadelphia, PA 19139-3232 | 2005-10-24 |
| Street Address |
2821 ISLAND AVE STE DE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19153-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029013 | Trinh Phuong Nguyen | Physical Therapist | 2906-2908 Island Avenue, Philadelphia, PA 19153 | 2020-10-05 |
| 1356869960 | Smiles Art Inc | Dentist | 2801 Island Ave 7, Philadelphia, PA 19153 | 2017-09-04 |
| 1770947533 | Mega Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2707 S 86th St, Philadelphia, PA 19153 | 2016-04-07 |
| 1447569967 | West Philadelphia Community Mental Health Consortium | Community Based Residential Treatment Facility, Mental Illness | 7100 Lindberg Blvd, Philadelphia, PA 19153 | 2010-10-01 |
| 1053620583 | West Philadelphia Community Mental Health Consortium | Community Based Residential Treatment Facility, Mental Illness | 7900 Lindberg Blvd, Philadelphia, PA 19153 | 2010-10-01 |
| 1285823666 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3000 Island Ave., Ste. 8, Philadelphia, PA 19153 | 2007-10-22 |
| 1568581098 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 7000 Holstein Ave., Philadelphia, PA 19153 | 2007-03-28 |
| 1528101524 | Corliss Hobson | Nurse Practitioner | 7307 Merganser Pl, Philadelphia, PA 19153 | 2007-02-15 |
| 1164523064 | Thrift Drug Inc | Durable Medical Equipment & Medical Supplies | 2512 Island Avenue, Philadelphia, PA 19153 | 2006-09-26 |
| 1407825482 | Ronald Wayne Kimball | Ophthalmology | 7701 Lindbergh Blvd, Ste 713, Philadelphia, PA 19153 | 2006-03-14 |
| Find all providers in zip 19153 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| 1225648140 | Action Health Centers Inc | Family Medicine | 1006 W Lehigh Ave Ste 200, Philadelphia, PA 19133-1640 | 2020-08-05 |
| 1285289876 | Visiting Doctors Inc | Family Medicine | 2338 S Broad St Ste 1, Philadelphia, PA 19145-4450 | 2019-08-09 |
| 1770137218 | Health Care At Northeast Philadelphia LLC | Family Medicine | 3353 Cottman Avenue, Philadelphia, PA 19149-1603 | 2019-08-01 |
| 1679131585 | Aria Health Physician Services | Family Medicine | 3998 Red Lion Rd Ste 204, Philadelphia, PA 19114-1440 | 2019-06-05 |
| 1689232597 | Aria Health Physician Services | Family Medicine | 5000 Frankford Ave Ste 1, Philadelphia, PA 19124-2620 | 2019-06-05 |
| 1174096432 | Temple University of The Commonwealth System of Higher Education | Family Medicine | 2300 W Master St Ste 109b, Philadelphia, PA 19121-4739 | 2019-01-09 |
| 1679043152 | Prevention Point Philadelphia | Family Medicine | 2913-15 Kensington Ave, Philadelphia, PA 19134-3016 | 2018-11-28 |
| 1700362266 | Wes Corporation | Family Medicine | 5000 N 13th St, Philadelphia, PA 19141-3533 | 2018-07-17 |
| 1376046508 | Philly Medical and Rehab Associates | Family Medicine | 6401 Rising Sun Ave, Philadelphia, PA 19111-5228 | 2018-03-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19153 |
Please comment or provide details below to improve the information on MERCY MANAGEMENT OF SEPA.
| 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.