PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM (NPI# 1659349694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659349694 |
| Entity Type | Organization |
| Organization Name | PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM |
| Practice Address |
800 Spruce St Phila PA 19107-6130 |
| Mailing Address |
1500 Market St Upper Mezzanine Phila PA 19102-2100 |
| Practice Telephone | 2157620630 |
| Practice Fax Number | 2157620754 |
| Mailing Telephone | 2157620630 |
| Mailing Fax Number | 2157620754 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2008-09-29 |
| Authorized Official Name | MR. THOMAS MCCORMICK JR. (AVP FINANCE) |
| Authorized Official Telephone | 2157620888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336304062 | Pennsylvania Hospital of The University of Pennsylvania Health System | Clinic/Center | 1840 South St, Phila, PA 19146-7411 | 2008-07-22 |
| Street Address |
800 SPRUCE ST |
| City | PHILA |
| State | PA |
| Zip Code | 19107-6130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043587884 | Melissa Dunleavy | Registered Nurse | 800 Spruce St, Phila, PA 19107-6130 | 2011-11-22 |
| 1649590910 | Silke Heinisch | Student in an Organized Health Care Education/Training Program | 800 Spruce St, Phila, PA 19107-6130 | 2010-06-09 |
| 1265766968 | Pennsylvania Hospital | General Acute Care Hospital | 800 Spruce St, 5 Preston, Phila, PA 19107-6130 | 2009-09-28 |
| 1740214428 | Steven A Glasser | Anesthesiology | 800 Spruce St, Phila, PA 19107-6130 | 2006-07-10 |
| 1629000559 | Frank Ferrara | Anesthesiology | 800 Spruce St, Phila, PA 19107-6130 | 2006-07-07 |
| 1831129188 | Michael Burns | Anesthesiology | 800 Spruce St, Phila, PA 19107-6130 | 2006-07-03 |
| 1053340828 | Guido Ascanio | Anesthesiology | 800 Spruce St, Phila, PA 19107-6130 | 2006-07-02 |
| 1659300432 | David Banov | Anesthesiology | 800 Spruce St, Phila, PA 19107-6130 | 2006-07-02 |
| 1508895327 | Dana E Daidone | Anesthesiology | 800 Spruce St, Phila, PA 19107-6130 | 2006-07-02 |
| 1245269992 | Paul Forzley | Anesthesiology | 800 Spruce St, Phila, PA 19107-6130 | 2006-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750445110 | Presbyterian Medical Center of The Univ of Pa Health System | Clinic/Center | 51 N 39th St, Phila, PA 19104-2640 | 2006-12-20 |
| 1770647133 | Hospital of The University of Pa | Clinic/Center | 3400 Spruce St, Phila, PA 19104-4206 | 2006-12-20 |
| 1881798320 | Albert Einstein Medical Center | Clinic/Center | 5501 Old York Rd, Phila, PA 19141-3018 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157123 | Fresenius Medical Care Southwest Pittsburgh, LLC | Clinic/Center | 3 Robinson Plz Ste 110, Pittsburgh, PA 15205-1018 | 2020-08-31 |
| 1295344307 | Isd Renal Inc | Clinic/Center | 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 | 2020-07-24 |
| 1225647332 | Isd Renal Inc | Clinic/Center | 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 | 2020-07-24 |
| 1336758549 | Isd Renal Inc | Clinic/Center | 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 | 2020-07-24 |
| 1992323976 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 300 Cedar Ridge Dr Ste 302, Pittsburgh, PA 15205-1159 | 2020-07-07 |
| 1750906574 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 9333 State Route 61, Coal Township, PA 17866-4170 | 2020-06-09 |
| 1407479124 | Dialysis Clinic Inc | Clinic/Center | 1603 Carmody Ct Ste 103, Sewickley, PA 15143-8859 | 2020-05-28 |
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1336774181 | Elkonson Dialysis LLC | Clinic/Center | 350 Tri County Ln, Rostraver Township, PA 15012-1990 | 2020-03-11 |
| 1417599168 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 8000c Derry St, Harrisburg, PA 17111-5200 | 2019-10-15 |
| Find all providers with the same taxonomy | ||||
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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.