STACI M KALLISH


Address: 3400 Civic Center Blvd., 1st Floor, Philadelphia, PA 19104
Phone: 2156622454

STACI M KALLISH (NPI# 1811152796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811152796
Entity Type Individual
Full Name STACI M KALLISH
Credential DO
Practice Address 3400 Civic Center Blvd.
1st Floor
Philadelphia
PA 19104
Practice Telephone 2156622454
Mailing Telephone 2156622454
Enumeration Date 2008-07-21
Last Update Date 2019-09-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207SG0201X Medical Genetics
Specialization: Clinical Genetics (M.D.)
OS014273 PA Allopathic & Osteopathic Physicians
N 207SG0202X Medical Genetics
Specialization: Clinical Biochemical Genetics
OS014273 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 3400 CIVIC CENTER BLVD.
1ST FLOOR
City PHILADELPHIA
State PA
Zip Code 19104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548249287 William R Rate Radiology 3400 Civic Center Blvd., Concourse Level, Philadelphia, PA 19104-4306 2006-01-11
1780045617 Kyra Sahar O'brien Psychiatry & Neurology 3400 Civic Center Blvd., 2nd Floor South Pavilion, Philadelphia, PA 19104-4238 2016-03-20
1750644241 Kimberly A Molinari Nurse Practitioner 3400 Civic Center Blvd., Pcam Rowan Breast Center, Philadelphia, PA 19104 2012-06-19
1962798900 Naji M Alamuddin Internal Medicine 3400 Civic Center Blvd., Perelman Ctr. for Advanced Med., 4th Flr., West, Philadelphia, PA 19104 2011-06-28
1831409226 Jacqueline L Zipay Nurse Practitioner 3400 Civic Center Blvd., 4th Floor - Perelman West, Philadelphia, PA 19104-5127 2010-10-19
1922237981 Neeraj H. Panchal Oral & Maxillofacial Surgery 3400 Civic Center Blvd., 4th Floor, South Pavilion, Philadelphia, PA 19104 2009-07-10
1295963148 Kristen N Kobaly Internal Medicine 3400 Civic Center Blvd., West Pavilion 4th Fl, Suite 4-900 W, Philadelphia, PA 19104 2009-06-30
1265660567 Brian Curran Capell Dermatology 3400 Civic Center Blvd., 1-330s Perelman Center, Philadelphia, PA 19104 2009-06-24
1689817181 Lisa Kimberly Pappas-taffer Dermatology 3400 Civic Center Blvd., 1-330s Perelman Center, Philadelphia, PA 19104 2009-04-13
1780846360 Robert Gil Micheletti Dermatology 3400 Civic Center Blvd., 1-330s Perelman Center, Philadelphia, PA 19104 2008-06-25
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207SG0201X
Grouping Allopathic & Osteopathic Physicians
Classification Medical Genetics
Specialization Clinical Genetics (M.D.)

Taxonomy Definition

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922317759 Mindy Li Medical Genetics 3615 Civic Center Blvd, Children's Hosp of Philadelphia, Room 1002 Abramson Res. Bldg, Dept of Medical Genetics, Philadelphia, PA 19104-4399 2010-09-28
1083857858 Reena Natwarlal Jethva Medical Genetics 3601 A Street, 3rd Floor Acp, Suite 3314, St. Christopher's Hospital for Children, Philadelphia, PA 19134-1095 2009-04-09
1649324955 Ghodrat P Sholevar Medical Genetics 618 W Lehigh Ave, Philadelphia, PA 19133 2007-01-23
1699878678 Adele Schneider Medical Genetics 840 Walnut St Ste 1210, Philadelphia, PA 19107-5109 2006-09-06
1871139691 Stc Opco LLC Medical Genetics 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-11-27
1396389805 Stc Pediatrics LLC Medical Genetics 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-10-29
1336650456 Kim Choong Wen Ng Medical Genetics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2017-10-16
1396199543 Rose Guo Medical Genetics 3401 Civic Center Blvd, Division of Human Genetics, Philadelphia, PA 19104 2016-04-13
1750776225 Theodore George Drivas Medical Genetics 3400 Civic Center Blvd, Ste 3005, Philadelphia, PA 19104-5127 2015-04-01
1518355627 University of Penn-medical Group Medical Genetics 3400 Spruce St, 8 Ravdin, Philadelphia, PA 19104-4238 2014-12-26
Find all providers in PHILADELPHIA

Competitor

Search similar providers

City PHILADELPHIA
Zip Code 19104

Improve Information

Please comment or provide details below to improve the information on STACI M KALLISH.

Dataset Information

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.

Trending Searches