TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION (NPI# 1770550089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770550089 |
| Entity Type | Organization |
| Organization Name | TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION |
| Other Organization Name | TEMPLE PEDIATRIC EMERGENCY MEDICAL ASSOCIATES |
| Practice Address |
3509 N Broad St Temple University Childrens Medical Center Philadelphia PA 19140 |
| Mailing Address |
Po Box 820890 Temple Pediatric Emergency Medical Associates Philadelphia PA 19182-0890 |
| Practice Telephone | 2157076606 |
| Practice Fax Number | 2157076629 |
| Mailing Telephone | 8006662455 |
| Mailing Fax Number | 6106176280 |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT GREGORY FLOOD (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2157076606 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | INDEPENDENCE BLUE CROSS | 0647502000 | 01 |
| PA | HIGHMARK BLUE SHIELD | 278955 | 01 |
| PA | 1007780130283 | 05 |
| Other Name | Type Code |
|---|---|
| Temple Pediatric Emergency Medical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174096432 | Temple University of The Commonwealth System of Higher Education | Family Medicine | 2300 W Master St Ste 109b, Philadelphia, PA 19121-4739 | 2019-01-09 |
| 1831343789 | Temple University of The Commonwealth System of Higher Education | Clinic/Center | 1913 N Broad St, Philadelphia, PA 19122-6004 | 2008-11-05 |
| 1285622100 | Temple University of The Commonwealth System of Higher Education | Internal Medicine | 3322 N. Broad St., Philadelphia, PA 19140-5103 | 2005-10-13 |
| 1811985732 | Temple University of The Commonwealth System of Higher Education | Family Medicine | 1316 W. Ontario St., Philadelphia, PA 19140 | 2005-10-13 |
| 1245228360 | Temple University of The Commonwealth System of Higher Education | Psychologist | 100 E Lehigh Ave Bldg Ste 105, Philadelphia, PA 19125-1012 | 2005-10-12 |
| 1538157656 | Temple University of The Commonwealth System of Higher Education | Psychiatry & Neurology | 100 E Lehigh Ave Bldg Suite105, Philadelphia, PA 19125-1012 | 2005-10-12 |
| 1912995424 | Temple University of The Commonwealth System of Higher Education | Clinic/Center | 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 | 2005-10-10 |
| 1932197563 | Temple University of The Commonwealth System of Higher Education | Orthopaedic Surgery | Route 73 N, One Greentree Center, Marlton, NJ 08053 | 2005-10-07 |
| 1306833132 | Temple University of The Commonwealth System of Higher Education | Orthopaedic Surgery | 7604 Central Ave, Philadelphia, PA 19111-2433 | 2005-10-06 |
| 1841287695 | Temple University of The Commonwealth System of Higher Education | Physical Therapist | Route 73, One Greentree Center, Marlton, NJ 08053 | 2005-10-05 |
| Street Address |
3509 N BROAD ST TEMPLE UNIVERSITY CHILDRENS MEDICAL CENTER |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140 |
| 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 | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427288745 | Marleny Franco | Emergency Medicine | 34th St and Civic Center Blvd, Ctrb 9121, Children's Hosp of Philadelphia, Div of Emerg Medicine, Philadelphia, PA 19104 | 2009-07-21 |
| 1457523045 | Margaret M Love | Emergency Medicine | Front & Erie Sts, Schc Emergency Dept, Philadelphia, PA 19134 | 2008-03-24 |
| 1790701126 | Abigail Pudpud | Emergency Medicine | 1401 S 31st St Fl 2, Philadelphia, PA 19146-3506 | 2006-07-15 |
| 1174167738 | Meredith Marie Tarbell | Emergency Medicine | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2019-11-06 |
| 1336554641 | Maher Mohammad K. Abulfaraj | Emergency Medicine | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2014-06-25 |
| 1508284365 | Elizabeth Sanseau | Emergency Medicine | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2014-03-30 |
| 1164840989 | Andrea Anderson | Emergency Medicine | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2014-03-29 |
| 1548523855 | Katherine Gupta | Emergency Medicine | 3401 Civic Center Boulevard, Division of Emergency Medicine, Philadelphia, PA 19104 | 2012-06-21 |
| 1114212099 | Stephen M Sandelich | Emergency Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2011-06-18 |
| 1235360488 | Beth Simone Etra | Emergency Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2009-08-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
Please comment or provide details below to improve the information on TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION.
| 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.