MS. DEANNA L HAUGH (NPI# 1669578860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669578860 |
| Entity Type | Individual |
| Full Name | MS. DEANNA L HAUGH |
| Other Name | DEANNA WALSH |
| Credential | CRN P |
| Practice Address |
7500 Central Ave Suite 104 Philadelphia PA 19111-2430 |
| Mailing Address |
Po Box 820933 Suite 105 Philadelphia PA 19182-0933 |
| Practice Telephone | 2157420712 |
| Practice Fax Number | 2157425218 |
| Mailing Telephone | 2157420712 |
| Mailing Fax Number | 2157425218 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2013-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP008307 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE GROUP TPI | 597586 | 01 |
| PA | RAILROAD MEDICARE TPI GROUP | CD4829 | 01 |
| PA | MEDICAID GROUP WITH TEMPLE PHYSICIANS INC | 1007278000 | 01 |
| Street Address |
7500 CENTRAL AVE SUITE 104 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215931043 | Janice Zingaretti Herman | Nurse Anesthetist, Certified Registered | 7500 Central Ave, Suite 208b, Philadelphia, PA 19111-2430 | 2005-06-09 |
| 1104358332 | Denise Cooper | Technician, Other | 7500 Central Ave, Suite 203, Philadelphia, PA 19111-2430 | 2017-03-28 |
| 1457897779 | La Fortaleza Physical Therapy Center Inc | Occupational Therapist | 7500 Central Ave, Physician Building, Ste 102, Philadelphia, PA 19111-2430 | 2017-01-10 |
| 1740641414 | Temple Physicians Inc | General Practice | 7500 Central Ave, Suite 107a, Philadelphia, PA 19111-2430 | 2016-03-09 |
| 1912372947 | Jaclyn Marie Timoney | Nurse Practitioner | 7500 Central Ave, Suite 104, Philadelphia, PA 19111-2430 | 2015-12-02 |
| 1275903015 | Mylin Diaz | Specialist/Technologist, Other | 7500 Central Ave, Suite 203, Philadelphia, PA 19111-2430 | 2015-10-06 |
| 1124495833 | Temple Physicians Inc | Internal Medicine | 7500 Central Ave, Suite 202, Philadelphia, PA 19111-2430 | 2015-08-28 |
| 1255773875 | John M Bauso | Physical Therapist | 7500 Central Ave, Philadelphia, PA 19111-2430 | 2013-07-24 |
| 1912258476 | Temple Physicians Inc | Dietitian, Registered | 7500 Central Ave, Suite 104, Philadelphia, PA 19111-2430 | 2012-09-25 |
| 1932455565 | Janet M Wong | Nurse Practitioner | 7500 Central Ave, Suite 208, Physicians Office Building, Philadelphia, PA 19111-2430 | 2012-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922619642 | Michelle Marie Platzer | Nurse Practitioner | 1238 N Mascher St, Philadelphia, PA 19122-4617 | 2020-08-14 |
| 1801411855 | Betty Sophia Glauberzon | Nurse Practitioner | 1810 Rittenhouse Sq Apt 2104, Philadelphia, PA 19103-5830 | 2020-06-15 |
| 1356966717 | Lorraine Denise Hicks | Nurse Practitioner | 7923 Gilbert St, Philadelphia, PA 19150-2505 | 2020-06-11 |
| 1740813682 | Marina Rakitskaya | Nurse Practitioner | 9816 Bonner St, Philadelphia, PA 19115-2304 | 2020-02-19 |
| 1841755014 | Kristen M Wright | Nurse Practitioner | 925 Chestnut St Apt 323a, Philadelphia, PA 19107-4216 | 2019-02-01 |
| 1649745241 | Chermal Rondell Moore | Nurse Practitioner | 1017 W Beacon St, Philadelphia, MS 39350-3218 | 2018-10-10 |
| 1588148175 | Eileen Mangabat Hummel | Nurse Practitioner | 3900 Woodland Ave # 127, Philadelphia, PA 19104-4551 | 2018-09-19 |
| 1225532344 | Stacy Lynn Brix | Nurse Practitioner | 4417 N 6th St # 2319, Philadelphia, PA 19140-2319 | 2018-03-22 |
| 1275037087 | Esther Andreessen | Nurse Practitioner | 3457 Eden St, Philadelphia, PA 19114-3605 | 2018-03-19 |
| 1265931570 | Maia Lindsey Francis | Nurse Practitioner | 2301 E Allegheny Ave Ste 203, Philadelphia, PA 19134-4427 | 2018-02-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
Please comment or provide details below to improve the information on MS. DEANNA L HAUGH.
| 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.