DR. BRIAN L VANDERBEEK (NPI# 1659539617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659539617 |
| Entity Type | Individual |
| Full Name | DR. BRIAN L VANDERBEEK |
| Credential | MD |
| Practice Address |
3801 Filbert St Philadelphia PA 19104 |
| Practice Telephone | 2156628100 |
| Mailing Telephone | 2156628100 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2018-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | MD443467 | PA | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
MD443467 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
3801 FILBERT ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912933607 | Laura M Kosseim | Internal Medicine | 3801 Filbert St, Mab, Suite 102, Philadelphia, PA 19104-2640 | 2006-06-24 |
| 1558864975 | Stephanie Barndt | Nurse Practitioner | 3801 Filbert St, Philadelphia, PA 19104-2640 | 2018-03-12 |
| 1285141051 | Katie Michelle Stonelake | Internal Medicine | 3801 Filbert St, 4 Hvp, Philadelphia, PA 19104-2640 | 2018-01-03 |
| 1962917088 | Kevin Patrick Lewis | Nurse Practitioner | 3801 Filbert St, Philadelphia, PA 19104 | 2017-12-12 |
| 1104282359 | Katayoon Baradaran Ebrahimi | Ophthalmology | 3801 Filbert St, Philadelphia, PA 19104-2640 | 2016-01-04 |
| 1417329574 | Erin D Finnegan | Nurse Practitioner | 3801 Filbert St, Philadelphia, PA 19104-2640 | 2015-10-28 |
| 1164802971 | Yoav Karpenshif | Internal Medicine | 3801 Filbert St, Mab Ste 102, Philadelphia, PA 19104 | 2015-06-05 |
| 1821484239 | Xisui Shirley Chen | Internal Medicine | 3801 Filbert St, Mab Ste 102, Philadelphia, PA 19104-2640 | 2015-04-13 |
| 1982963096 | Karen Elizabeth Revere | Ophthalmology | 3801 Filbert St, Philadelphia, PA 19104-2640 | 2012-05-09 |
| 1093084675 | Gina Marie Poppiti | Physician Assistant | 3801 Filbert St, Philadelphia, PA 19104 | 2011-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104873223 | Philadelphia Retina Associates PC | Ophthalmology | 2701 Holme Ave Ste 303, Philadelphia, PA 19152-2029 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735261 | Infinity Retina LLC | Ophthalmology | 100 Granite Dr Ste 7, Media, PA 19063-5134 | 2020-06-23 |
| 1093230500 | Retina and Vitreous of Delaware Valley, PC | Ophthalmology | 42 E Street Rd Ste 46, West Chester, PA 19382-8412 | 2017-08-04 |
| 1235174483 | Roy David Brod | Ophthalmology | 2150 Harrisburg Pike Ste 370, Lancaster, PA 17601-2644 | 2006-06-19 |
| 1063408987 | Robert C Kleiner | Ophthalmology | 124 Dekalb Pike, North Wales, PA 19454-1853 | 2005-09-26 |
| 1669941522 | Marie Helene Errera | Ophthalmology | 203 Lothrop Street, Upmc Eye Center/ Department of Ophthalmology, Pittsburgh, PA 15213 | 2018-11-20 |
| 1508335746 | Eye Key Retina Pllc | Ophthalmology | 1806 Swamp Pike Ste 400, Gilbertsville, PA 19525-9307 | 2018-11-16 |
| 1366894982 | Pravak & Associates PC | Ophthalmology | 800 Ostrum St Ste 100, Fountain Hill, PA 18015-1010 | 2016-07-07 |
| 1003166000 | Bradford Sgrignoli | Ophthalmology | 4100 Linglestown Rd, Harrisburg, PA 17112-1071 | 2012-09-17 |
| 1245490663 | Salman Porbandarwalla | Ophthalmology | 2150 Harrisburg Pike Ste 370, Lancaster, PA 17601-2644 | 2008-06-10 |
| 1992886758 | Sachin B Patel | Ophthalmology | 210 N State St, Clarks Summit, PA 18411-1008 | 2006-10-18 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.