UNIV OF PENN - OB-GYN (NPI# 1659492122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659492122 |
| Entity Type | Organization |
| Organization Name | UNIV OF PENN - OB-GYN |
| Practice Address |
801 Spruce St 8th Floor Philadelphia PA 19107-5701 |
| Mailing Address |
3624 Market St Suite 560w Philadelphia PA 19104-2614 |
| Practice Telephone | 2158296385 |
| Mailing Telephone | 2156622286 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2156627583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA | 2735949 | 01 |
| PA | KEYSTONE | 0052759000 | 01 |
| PA | 1007448840 | 05 | |
| PA | RAILROAD MEDICARE | CG4675 | 01 |
| PA | BLUE SHIELD | 065511 | 01 |
| PA | KEYSTONE MERCY | 1012028 | 01 |
| PA | MAMSI | 273502 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386765857 | Univ of Penn - Ob-gyn | Obstetrics & Gynecology | 800 Walnut St, 10th Floor, Philadelphia, PA 19107-5109 | 2007-04-03 |
| 1295856771 | Univ of Penn - Ob-gyn | Obstetrics & Gynecology | 3400 Spruce St, 2000 Courtyard Building, Philadelphia, PA 19104-4206 | 2007-04-03 |
| 1861528754 | Univ of Penn - Ob-gyn | Obstetrics & Gynecology | 3701 Market St, 7th and 8th Floor, Philadelphia, PA 19104-5502 | 2007-02-26 |
| Street Address |
801 SPRUCE ST 8TH FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250386 | Spruce Mri Associates | Radiology | 801 Spruce St, Philadelphia, PA 19107-5701 | 2005-07-21 |
| 1669860854 | University of Penn-medical Group | Clinic/Center | 801 Spruce St, 8th Floor, Philadelphia, PA 19107-5701 | 2014-12-23 |
| 1437569993 | Diana Nointin | Student in an Organized Health Care Education/Training Program | 801 Spruce St, 10th Floor, Philadelphia, PA 19107-5701 | 2014-05-05 |
| 1700185485 | Sara Ann Folit-weinberg | Obstetrics & Gynecology | 801 Spruce St, Philadelphia, PA 19107-5701 | 2011-03-21 |
| 1275718611 | Lena Marie Flower | Nurse Practitioner | 801 Spruce St, 8th Floor, Philadelphia, PA 19107-5701 | 2008-01-04 |
| 1942341185 | Penncare Pennsylvania Hospitalist Associates | Non-Pharmacy Dispensing Site | 801 Spruce St, 3e, Philadelphia, PA 19107-5701 | 2007-02-09 |
| 1356496301 | Suleena Kansal Kalra | Obstetrics & Gynecology | 801 Spruce St, 7th Floor, Philadelphia, PA 19107-5701 | 2007-01-23 |
| 1407911449 | Rebecca Michelle Mazar | Obstetrics & Gynecology | 801 Spruce St, Philadelphia, PA 19107-5701 | 2006-12-27 |
| 1669554978 | Joyce Rachel Rubin | Internal Medicine | 801 Spruce St, Spruce Building, Suite 3e, Philadelphia, PA 19107-5701 | 2006-10-19 |
| 1356450548 | Univ of Penn- Ob-gyn | Obstetrics & Gynecology | 801 Spruce St, 8th Floor, Philadelphia, PA 19107-5701 | 2006-08-30 |
| 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 | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356433528 | Marianne Ruby | Obstetrics & Gynecology | 1015 Chestnut St Ste 601, Suite 601, Philadelphia, PA 19107-4306 | 2006-09-28 |
| 1407885114 | Caleb B. Kallen | Obstetrics & Gynecology | 834 Chestnut Street, Suite 300, Philadelphia, PA 19107-5127 | 2006-07-03 |
| 1336537448 | University of Penn-medical Group | Obstetrics & Gynecology | 3701 Market St, 3rd Floor, Philadelphia, PA 19104-5502 | 2014-12-26 |
| 1912160680 | Winifred Mak | Obstetrics & Gynecology | 3400 Spruce St, 1 Maloney, Philadelphia, PA 19104-4206 | 2008-07-03 |
| 1194999326 | Jefferson University Physicians | Obstetrics & Gynecology | 833 Chestnut St, Suite 630, Philadelphia, PA 19107-4414 | 2008-04-18 |
| 1316169261 | Lorraine C King Md PC | Obstetrics & Gynecology | 834 Chestnut St, Suite M 207, Philadelphia, PA 19107-5127 | 2007-05-02 |
| 1861528754 | Univ of Penn - Ob-gyn | Obstetrics & Gynecology | 3701 Market St, 7th and 8th Floor, Philadelphia, PA 19104-5502 | 2007-02-26 |
| 1326192337 | Philadelphia Health & Education Corp | Obstetrics & Gynecology | 4190 City Ave, Rowland Hall, Suite 418, Philadelphia, PA 19131-1626 | 2007-01-23 |
| 1528125903 | Frances Batzer Baylson | Obstetrics & Gynecology | 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127 | 2007-01-03 |
| 1104983766 | Benjamin Gocial | Obstetrics & Gynecology | 833 Chestnut St, 1st Floor, Philadelphia, PA 19107-4414 | 2007-01-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.