DAVID A BLANCO (NPI# 1619198769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619198769 |
Entity Type | Individual |
Full Name | DAVID A BLANCO |
Credential | MD |
Practice Address |
Erie Ave At Fron St - Scpa Gastroenterology Nelson Pavilion Ste 2045 Philadelphia PA 19134 |
Mailing Address |
535 Pine St Apt 2nd Philadelphia PA 19106-4110 |
Practice Telephone | 2154276778 |
Mailing Telephone | 9179525328 |
Mailing Fax Number | 2154276782 |
Enumeration Date | 2007-05-02 |
Last Update Date | 2011-04-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
MT189341 | PA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376536730 | David Blanco | Dentist | 557 Broad St, Providence, RI 02907-1403 | 2005-08-31 |
1285716902 | David Patricio Blanco | Dentist | 4370 S Redwood Rd, Salt Lake City, UT 84123-2223 | 2006-10-20 |
Street Address |
ERIE AVE AT FRON ST - SCPA GASTROENTEROLOGY NELSON PAVILION STE 2045 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19134 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
1588125793 | Bret Johnson | Student in an Organized Health Care Education/Training Program | Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 | 2019-03-29 |
1053881672 | Ana Y Almanzar | Psychologist | 3513 North Water Street, Philadelphia, PA 19134 | 2018-11-27 |
1861974206 | Stephanie C Curtis | Registered Nurse | St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 | 2018-09-01 |
1700371978 | Kristi Ford | Nurse Practitioner | 160 E Erie Ave # 21542, Philadelphia, PA 19134 | 2018-06-28 |
1700370178 | Natalie Martinez | Case Manager/Care Coordinator | 3528 I St Ste 1, Philadelphia, PA 19134 | 2018-06-19 |
1205352309 | Personal Injury Clinic PC | Chiropractor | 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 | 2017-08-21 |
1306376280 | Port Richmond Counseling Practices | Clinic/Center | 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 | 2017-06-14 |
1760864441 | Jason Roy Toews | Pediatrics | 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2015-06-18 |
1376933291 | David Tanney Yusavitz | Nurse Practitioner | 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 | 2015-01-30 |
Find all providers in zip 19134 |
Taxonomy Code | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053496133 | Joan S. Dipalma | Pediatrics | Dupont At Jefferson-chestnut, 1015 Chestnut Street Suite 601, Philadelphia, PA 19107-4306 | 2006-10-26 |
1689759789 | Sheeja K. Abraham | Pediatrics | 1015 Chestnut Street Suite 601, Nemours Childrens Clinic, Philadelphia, Philadelphia, PA 19107-4306 | 2006-10-26 |
1134763535 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-30 |
1942724190 | Jessica Breton | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2017-07-31 |
1710417480 | Antonietta D'urso | Pediatrics | 3401 Civic Center Blvd, Department of Pediatric Gastroenterology, Philadelphia, PA 19104-4319 | 2017-06-15 |
1912438037 | Naomi Elaine Butler Tjaden | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2017-03-21 |
1093160475 | Sharon Wolfson | Pediatrics | 3401 Civic Center Blvd, Division of Gastroenterology, Philadelphia, PA 19104 | 2016-05-04 |
1346604147 | Eliana Shaul | Pediatrics | 3401 Civic Center Blvd, Department of Pediatric Gastroenterology, Philadelphia, PA 19104 | 2016-04-07 |
1467816413 | Noor Nema | Pediatrics | 3401 Civic Center Blvd, Division of Gastroenterology, Philadelphia, PA 19104 | 2016-04-06 |
1619357621 | Sharmistha Rudra | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104 | 2015-06-04 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19134 |
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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.