CONCENTRA HEALTH SERVICES, INC (NPI# 1699939108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699939108 |
| Entity Type | Organization |
| Organization Name | CONCENTRA HEALTH SERVICES, INC |
| Practice Address |
3509 N Broad St Philadelphia PA 19140-4105 |
| Mailing Address |
5080 Spectrum Dr Suite 1200 West Tower Addison TX 75001-4648 |
| Practice Telephone | 2157078829 |
| Practice Fax Number | 2157070227 |
| Mailing Telephone | 8002323550 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | DR. TOM FOGARTY (EVP, CMO) |
| Authorized Official Telephone | 8002323550 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043448087 | Concentra Health Services, Inc | Clinic/Center | 10205 S Dixie Hwy, Hwy 102, Pinecrest, FL 33156-3167 | 2009-06-29 |
| 1699930313 | Concentra Health Services, Inc | Clinic/Center | 6475 Jimmy Carter Blvd, Suite 200, Norcross, GA 30071-1740 | 2008-07-22 |
| 1376734616 | Concentra Health Services, Inc | Clinic/Center | 6341 Sunset Dr, South Miami, FL 33143 | 2007-08-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CONCENTRA HEALTH SERVICES, INC. | 5080 Spectrum Dr 1200 W Tower, Addison, TX 75001 |
| Iowa Business Entities | CONCENTRA HEALTH SERVICES, INC. | 4714 Gettysburg Road, Mechanicsburg, PA 17055 |
| Oregon Corporations, Companies and Business Names | CONCENTRA HEALTH SERVICES, INC. | 5080 Spectrum Dr, 1200 W Tower, Addison, TX 75001 |
| Massachusetts Corporations | CONCENTRA HEALTH SERVICES, INC. | 5080 Spectrum Dr., Suite 1200 West Tower, Addison, TX 75001 |
| System for Award Management (SAM) Entities | CONCENTRA HEALTH SERVICES, INC. | 30800 Telegraph Rd Ste 39, Bingham Farms, MI 48025-4542 |
| Colorado Business Entities | CONCENTRA HEALTH SERVICES, INC. | 5080 Spectrum Dr, 1200 West Tower, Addison, TX 75001 |
| Vermont Business Registrations | CONCENTRA HEALTH SERVICES, INC. | 4714 Gettysburg Road, Mechanicsburg, PA 17055 |
| Street Address |
3509 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669466793 | Riyaz Bashir | Internal Medicine | 3509 N Broad St, Philadelphia, PA 19140-5103 | 2005-09-05 |
| 1750841151 | Chloe Beiler | Physician Assistant | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2019-03-21 |
| 1770068041 | Chirantan Vinodbhai Mangukia | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-10-02 |
| 1891278933 | Temple Faculty Practice Plan, Inc | Speech-Language Pathologist | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-14 |
| 1396228508 | Temple Faculty Practice Plan, Inc | Surgery | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-13 |
| 1992288112 | Temple Faculty Practice Plan, Inc | Urology | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-13 |
| 1023591781 | Temple Faculty Practice Plan, Inc | Otolaryngology | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-10 |
| 1154804839 | Temple Faculty Practice Plan, Inc | Physical Therapist | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-10 |
| 1902389646 | Temple Faculty Practice Plan, Inc | Neurological Surgery | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-10 |
| 1245713908 | Temple Faculty Practice Plan, Inc | Orthopaedic Surgery | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
| 1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
| 1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
| 1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
| 1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
| 1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
| Find all providers in zip 19140 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
| 1326553371 | Aids Healthcare Foundation | Clinic/Center | 1211 Chestnut St Ste 405, Philadelphia, PA 19107-4114 | 2017-12-12 |
| 1871006437 | Bason Diagnostics | Clinic/Center | 7219 Paschall Ave Apt B, Philadelphia, PA 19142-1015 | 2017-11-06 |
| 1427584390 | Caring for You Homecare Services | Clinic/Center | 2007 W Montgomery Ave, Philadelphia, PA 19121-3007 | 2017-05-11 |
| 1437514361 | Progressive Injurycare, P.C. | Clinic/Center | 2318 S Broad St, Philadelphia, PA 19145-4455 | 2015-12-18 |
| 1164788840 | Acupuncture and Oriental Medicine Center, LLC | Clinic/Center | 2014 Fairmount Avenue, Philadelphia, PA 19130-2602 | 2012-04-06 |
| 1457507790 | Asociacion De Puertorriquenos En Marcha, Inc. | Clinic/Center | 2145 N 6th St, Philadelphia, PA 19122-1415 | 2008-08-18 |
| 1528221488 | Oak Lanemedical Center | Clinic/Center | 6715 Old York Rd, Philadelphia, PA 19126-2841 | 2008-07-09 |
| 1659532752 | Dr.viktor Briker P.C. | Clinic/Center | 842 Red Lion Rd Ste 18, Philadelphia, PA 19115-1475 | 2008-06-20 |
| 1447461512 | Neurophys Diagnostics, Inc. | Clinic/Center | 8001 Castor Ave, # 338, Philadelphia, PA 19152-2701 | 2007-05-24 |
| 1225159544 | Karen Dahlquist | Clinic/Center | 4201 Henry Ave, Philadelphia University Student Health Center, Philadelphia, PA 19144-5409 | 2007-04-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
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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.