MERCY MANAGEMENT OF SEPA (NPI# 1659357762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659357762 |
| Entity Type | Organization |
| Organization Name | MERCY MANAGEMENT OF SEPA |
| Other Organization Name | MMS-RICHARD KANOFF, DO |
| Practice Address |
1501 Lansdowne Ave Suite 308 Mob Darby PA 19023-1333 |
| Mailing Address |
1 W Elm St 2nd Floor Conshohocken PA 19428-2007 |
| Practice Telephone | 6105346142 |
| Practice Fax Number | 6105376136 |
| Mailing Telephone | 6105676964 |
| Mailing Fax Number | 6105676170 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2008-01-11 |
| Authorized Official Name | MR. DOUGLAS C SMITH (VP FINANCIAL SERVICES) |
| Authorized Official Telephone | 6105676964 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE SHIELD | 1544398 | 01 |
| PA | KEYSTONE HEALTH PLAN EAST | 2229023000 | 01 |
| PA | AETNA PPO | 4595900 | 01 |
| PA | 1007787930153 | 05 | |
| PA | OWCP | 1251849000 | 01 |
| PA | KEYSTONE MERCY HEALTH PLA | 30010754 | 01 |
| PA | AETNA HMO | 2610873 | 01 |
| PA | RAILROAD MEDICARE | DA5351 | 01 |
| Other Name | Type Code |
|---|---|
| MMS-Richard Kanoff, DO | 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 |
| 1598289209 | Mercy Management of Sepa | Family Medicine | 2821 Island Ave Ste De, Philadelphia, PA 19153-2300 | 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 |
| Street Address |
1501 LANSDOWNE AVE SUITE 308 MOB |
| City | DARBY |
| State | PA |
| Zip Code | 19023-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401752 | Joseph D Rondeau | Podiatrist | 1501 Lansdowne Ave, Suite 103, Darby, PA 19023-1333 | 2005-07-14 |
| 1275059651 | Mercy Management of Sepa | Pain Medicine | 1501 Lansdowne Ave, Darby, PA 19023-1333 | 2017-08-17 |
| 1851814685 | Mercy Management of Southeastern Pennsylvania | Internal Medicine | 1501 Lansdowne Ave, Darby, PA 19023-1333 | 2017-07-24 |
| 1427570019 | Mercy Management of Southeastern Pennsylvania | Pain Medicine | 1501 Lansdowne Ave, Darby, PA 19023-1333 | 2017-07-14 |
| 1871031666 | Pa Rehab Associates | Non-Pharmacy Dispensing Site | 1501 Lansdowne Ave, Suite 303, Darby, PA 19023-1333 | 2017-02-01 |
| 1770033979 | Emily Lacek | Physician Assistant | 1501 Lansdowne Ave, Suite 205, Darby, PA 19023-1333 | 2016-10-11 |
| 1437548047 | Southeast Pennsylvania Surgical Associates | Surgery | 1501 Lansdowne Ave, Suite 207, Darby, PA 19023-1333 | 2015-01-20 |
| 1477841492 | Tina Hedayat | Internal Medicine | 1501 Lansdowne Ave, Suite 308, Darby, PA 19023-1333 | 2011-07-11 |
| 1205130689 | Richard A Seifert Md PC | Internal Medicine | 1501 Lansdowne Ave, Suite 303, Darby, PA 19023-1333 | 2010-12-29 |
| 1023241809 | Hanh Pham | Physician Assistant | 1501 Lansdowne Ave, Suite 308, Darby, PA 19023-1333 | 2009-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113348 | Ibrahim Abdulkadir Ahmed | Student in an Organized Health Care Education/Training Program | Mercy Catholic Medical Center, 1500 Lansdowne Avenue, Darby, PA 19023 | 2020-07-31 |
| 1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
| 1003476813 | Nicole Tomkowich | Student in an Organized Health Care Education/Training Program | 500 Lansdowne Avenue, Darby, PA 19023 | 2019-06-14 |
| 1497220131 | Margaret Kathleen Halloran | Nurse Practitioner | 1501 Lansdowne Ave Mob, 1st Floor, Darby, PA 19023 | 2018-10-09 |
| 1427428705 | Peter Goanue | Counselor | 207 North 2nd Street, Darby, PA 19023 | 2015-09-30 |
| 1518363696 | Trucompanion Transportation Service | Non-emergency Medical Transport (VAN) | 100 N 6th Street Apt 2, Darby, PA 19023 | 2014-11-17 |
| 1366872269 | Chirman Beatty | Licensed Practical Nurse | 400 S. 5th St Apt A9, Darby, PA 19023 | 2013-11-14 |
| 1639514151 | Advanced Nursing Care Inc | Nursing Care | 217 Clifton Avenue, Suite # 8, Collingdale, PA 19023 | 2013-05-10 |
| 1114277191 | Ayesha Farooq | Dentist | 14 Macdave Blvd, Gentle Dental, Collingdale, PA 19023 | 2012-09-17 |
| 1366736787 | Gi Medical Associates | Internal Medicine | 320 Macdade Blvd., Collingdale, PA 19023 | 2011-06-02 |
| Find all providers in zip 19023 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710267976 | Mardavij Hamedani | Surgery | 1500 Lansdowne Ave, M.s # 078, Darby, PA 19023-1200 | 2011-08-19 |
| 1538329503 | Karen J Kish | Surgery | 1500 Lansdowne Ave Ste G103, Darby, PA 19023-1200 | 2008-06-13 |
| 1437548047 | Southeast Pennsylvania Surgical Associates | Surgery | 1501 Lansdowne Ave, Suite 207, Darby, PA 19023-1333 | 2015-01-20 |
| 1760707509 | Lars Johan Marcus Sandberg | Surgery | 1500 Lansdowne Ave, Mezzanine Floor, Darby, PA 19023-1200 | 2010-04-05 |
| 1134246929 | Ali S Ahmadinejad Md | Surgery | 1501 Lansdowne Ave, Siute 207, Darby, PA 19023-1333 | 2007-03-25 |
| 1053382861 | Ali S Ahmadinejad | Surgery | 1501 Lansdowne Ave, Suite 207, Darby, PA 19023-1333 | 2006-01-30 |
| 1477537876 | Prashanth R Ramachandra | Surgery | 1501 Lansdowne Ave, Suite 307, Darby, PA 19023-1333 | 2005-11-30 |
| 1194707380 | Mercy Management of Southeastern Pennsylvania | Surgery | 1501 Lansdowne Ave, Suite 305, Darby, PA 19023-1333 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060655 | Western Pa Surgery Center, Beaver County Branch, LLC | Surgery | 103 Pleasant Dr, Aliquippa, PA 15001-1333 | 2020-10-12 |
| 1558977546 | Abington Memorial Hospital | Surgery | 2701 Blair Mill Rd Ste 17, Willow Grove, PA 19090-1041 | 2020-09-16 |
| 1518579762 | St. Luke's Physician Group Inc. | Surgery | 3735 Nazareth Rd Ste 303, Easton, PA 18045-8338 | 2020-08-19 |
| 1417565847 | St. Luke's Physician Group Inc. | Surgery | 5325 Northgate Dr Ste 204, Bethlehem, PA 18017-9413 | 2020-07-22 |
| 1073135935 | Amr Mohamed Elsayed | Surgery | 36 N 13th St Apt 2, Allentown, PA 18102-4300 | 2020-05-14 |
| 1346878436 | Beaver Valley Foot Clinic PC | Surgery | 20555 Route 19 Ste D, Cranberry Township, PA 16066-7525 | 2020-04-01 |
| 1922653914 | Tower Health Medical Group | Surgery | 301 S 7th Ave Ste 3070, West Reading, PA 19611-1495 | 2019-08-06 |
| 1558916833 | Allegheny Clinic | Surgery | 4815 Liberty Avenue Suite 215, Pittsburgh, PA 15224-2156 | 2019-08-05 |
| 1548820350 | St. Luke's Physician Group, Inc | Surgery | 575 S 9th St Ste 8, Lehighton, PA 18235-2517 | 2019-06-14 |
| 1538725700 | Golla Ent | Surgery | 107 Gamma Dr Ste 110, Pittsburgh, PA 15238-2917 | 2019-05-14 |
| 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.