MARK J KOTAPKA (NPI# 1679542799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679542799 |
| Entity Type | Individual |
| Full Name | MARK J KOTAPKA |
| Credential | MD |
| Practice Address |
5401 Old York Road Klein Bldg, Ste 501 Philadelphia PA 19141 |
| Mailing Address |
101 E Olney Ave 400 Philadelphia PA 19120-2421 |
| Practice Telephone | 2154566127 |
| Practice Fax Number | 2154577602 |
| Mailing Telephone | 2154567000 |
| Mailing Fax Number | 2152542599 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2010-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | PA MD040762E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001288060 | 05 |
| Street Address |
5401 OLD YORK ROAD KLEIN BLDG, STE 501 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619944626 | Jacqueline Bowers | Internal Medicine | 5401 Old York Road, Einstein Internal Medicine Associates/hospitalists, Philadelphia, PA 19141 | 2006-03-08 |
| 1326396151 | Joel Schifter | Student in an Organized Health Care Education/Training Program | 5401 Old York Road, Klein Suite 363, Philadelphia, PA 19141 | 2012-08-28 |
| 1053620765 | Maryville Pulmonary & Sleep Medicine, LLC | Internal Medicine | 5401 Old York Road, Klein-suite 300, Philadelphia, PA 19141-3030 | 2010-09-29 |
| 1073723755 | Albert Einstein Medical Center | Student in an Organized Health Care Education/Training Program | 5401 Old York Road, Suite 363, Philadelphia, PA 19141 | 2007-05-23 |
| 1467671396 | Anahid Kabasakalian | Psychiatry & Neurology | 5401 Old York Road, Klein Building, Suite 404, Philadelphia, PA 19141 | 2007-04-25 |
| 1679525372 | Einstein Practice Plan Inc | Internal Medicine | 5401 Old York Road, Klein 363, Philadelphia, PA 19141 | 2006-05-17 |
| 1013969690 | Einstein Practice Plan Inc | Internal Medicine | 5401 Old York Road, Suite 509, Philadelphia, PA 19141 | 2006-05-16 |
| 1407816366 | Richard A Menin | Internal Medicine | 5401 Old York Road, Klein, Suite 202, Philadelphia, PA 19141 | 2006-03-24 |
| 1053370395 | Yan Zhang | Psychiatry & Neurology | 5401 Old York Road, Suite 300, Philadelphia, PA 19141 | 2006-03-23 |
| 1376502617 | Mauricio Orrego | Internal Medicine | 5401 Old York Road, Klein Bldg Ste 509, Philadelphia, PA 19141 | 2006-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1003475120 | Michael Bradley Avery | Neurological Surgery | 909 Walnut Street, 2nd Floor, Philadelphia, PA 19107-5211 | 2019-06-12 |
| 1225370869 | Endrit Ziu | Neurological Surgery | 929 N 29th St, Apt 103, Philadelphia, PA 19130-1110 | 2013-03-21 |
| 1760617054 | Gentian Toshkezi | Neurological Surgery | 3998 Red Lion Rd Ste 213, Philadelphia, PA 19114 | 2009-05-15 |
| 1295900942 | Zarina S Ali | Neurological Surgery | 3400 Spruce Street Hup - Dept of Neurosurgery, 3 Silverstein, Philadelphia, PA 19104 | 2008-04-24 |
| 1629286018 | Stavropoula Ioannis Tjoumakaris | Neurological Surgery | 909 Walnut Street, 2rd Floor, Jefferson Neurosurgical Associates, Philadelphia, PA 19107-5211 | 2007-05-18 |
| 1639299837 | Neurosurgical Associates | Neurological Surgery | 5049 Oxford Ave, Philadelphia, PA 19124-2652 | 2007-03-30 |
| 1801910310 | Merylee Elizabeth Werthan | Neurological Surgery | 5049 Oxford Avenue, Philadelphia, PA 19124-2652 | 2007-03-19 |
| 1629132006 | Srinivas Kasinadhuni Prasad | Neurological Surgery | 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 | 2006-12-20 |
| 1255403747 | Silva Markovic-plese | Neurological Surgery | 900 Walnut St Fl 2, Philadelphia, PA 19107-5509 | 2006-11-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
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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.