UNIVERSITY OF PENN-MEDICAL GROUP


Address: 51 N 39th St, 266 Wright Saunders, Philadelphia, PA 19104-2640
Phone: 2156629194

UNIVERSITY OF PENN-MEDICAL GROUP (NPI# 1811385834) 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) 1811385834
Entity Type Organization
Organization Name UNIVERSITY OF PENN-MEDICAL GROUP
Practice Address 51 N 39th St
266 Wright Saunders
Philadelphia
PA 19104-2640
Practice Telephone 2156629194
Mailing Telephone 2156629194
Enumeration Date 2014-12-29
Last Update Date 2014-12-29
Authorized Official Name ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2156627583
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) PA Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1396193900 University of Penn-medical Group Transplant Surgery 1501 N Cedar Crest Blvd, Suite 110 Liver Transplant, Allentown, PA 18104-2309 2016-05-25
1821451139 University of Penn-medical Group Internal Medicine 554 N Duke St, 3rd Floor Renal Transplant, Lancaster, PA 17602-2225 2016-04-04
1902269210 University of Penn-medical Group Surgery 554 N Duke St, 3rd Floor, Lancaster, PA 17602-2225 2016-04-04
1043670805 University of Penn-medical Group Internal Medicine 554 N Duke St, 3rd Floor Gi Transplant, Lancaster, PA 17602-2225 2016-03-07
1730578667 University of Penn-medical Group Internal Medicine 3400 Spruce St, Ground Floor Donner, Philadelphia, PA 19104-4238 2015-01-15
1073902169 University of Penn-medical Group Dermatology 3400 Spruce St, 2 Rhoads Pavilion, Philadelphia, PA 19104-4238 2015-01-13
1184012569 University of Penn-medical Group Clinical Medical Laboratory 3400 Spruce St, Philadelphia, PA 19104-4238 2015-01-07
1821486846 University of Penn-medical Group Marriage & Family Therapist 3535 Market St, 3rd Floor, Philadelphia, PA 19104-3309 2014-12-29
1740678762 University of Penn-medical Group Pathology 3400 Spruce St, Philadelphia, PA 19104-4238 2014-12-29
1275921298 University of Penn-medical Group Surgery 51 N 39th St, Mob Suite 120, Philadelphia, PA 19104-2640 2014-12-29

Office Location

Street Address 51 N 39TH ST
266 WRIGHT SAUNDERS
City PHILADELPHIA
State PA
Zip Code 19104-2640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679570733 Tanya M Dougherty Pharmacist 51 N 39th St, 6th Floor Mutch Building, Philadelphia, PA 19104-2640 2005-07-05
1114527058 Laureen Delgado Nurse Practitioner 51 N 39th St, Philadelphia, PA 19104-2640 2020-10-29
1629677331 Annabell Boreland Nurse Practitioner 51 N 39th St, Philadelphia, PA 19104-2640 2020-10-23
1174120190 Kerry Jane Benson Dietitian, Registered 51 N 39th St, Philadelphia, PA 19104-2640 2020-10-02
1487251591 Ashley Nichole Williams Nurse Practitioner 51 N 39th St, Philadelphia, PA 19104-2640 2020-10-02
1245844687 Matthew Hinton Pharmacist 51 N 39th St, Philadelphia, PA 19104-2640 2020-09-02
1093323768 Lindsey Morgan Duboff Physician Assistant 51 N 39th St, Philadelphia, PA 19104-2640 2020-07-20
1184240830 Ashley Danielle Kelly Nurse Anesthetist, Certified Registered 51 N 39th St, Philadelphia, PA 19104-2640 2020-06-18
1992321863 Cassie Deann Prendergast Nurse Anesthetist, Certified Registered 51 N 39th St, Philadelphia, PA 19104-2640 2020-06-17
1972126951 Theresa Marie Carbone Registered Nurse 51 N 39th St, Philadelphia, PA 19104-2640 2020-05-25
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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
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528443041 Michael Ibrahim Thoracic Surgery (Cardiothoracic Vascular Surgery) 3701 Chestnut St Apt 410, Philadelphia, PA 19104-3104 2015-07-27
1215279112 Jeffrey M Dunn Thoracic Surgery (Cardiothoracic Vascular Surgery) 200 W. Washington Sq, #1207, Philadelphia, PA 19106 2013-03-19
1124200167 Charles Tanos Bakhos Thoracic Surgery (Cardiothoracic Vascular Surgery) 3509 N. Broad St, Philadelphia, PA 19140 2007-12-01
1548303464 Srikrishna Sirivella Thoracic Surgery (Cardiothoracic Vascular Surgery) Erie Ave & Front Street, St.christopher's Hospital for Children, Cardiothoracic, Philadelphia, PA 19134-1095 2007-02-14
1114943644 Raphael Chun-sing Lui Thoracic Surgery (Cardiothoracic Vascular Surgery) 151 W School House Ln, Philadelphia, PA 19144-3348 2006-07-15
1174167571 Stc Pediatrics LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-10-30
1437793833 Stc Pediatrics LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 230 N Broad St, Philadelphia, PA 19102-1121 2019-10-30
1255975652 Stc Pediatrics LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 5501 Old York Rd, Philadelphia, PA 19141-3018 2019-10-30
1629538228 Benjamin Franklin Smood Thoracic Surgery (Cardiothoracic Vascular Surgery) 3400 Spruce Street, 4 Maloney, Department of Surgery, Surgery Education, Philadelphia, PA 19104 2019-03-21
1770068041 Chirantan Vinodbhai Mangukia Thoracic Surgery (Cardiothoracic Vascular Surgery) 3509 N Broad St, Philadelphia, PA 19140-4105 2018-10-02
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Competitor

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City PHILADELPHIA
Zip Code 19104

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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.

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