WENYIN SHI


Address: 111 S 11th St, Bodine Center, Philadelphia, PA 19107-4824
Phone: 2159556702

WENYIN SHI (NPI# 1821178690) 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) 1821178690
Entity Type Individual
Full Name WENYIN SHI
Credential MD, PHD
Practice Address 111 S 11th St
Bodine Center
Philadelphia
PA 19107-4824
Practice Telephone 2159556702
Practice Fax Number 2159555331
Mailing Telephone 2159556702
Mailing Fax Number 2159555331
Enumeration Date 2006-10-16
Last Update Date 2020-06-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
MD439498 PA Allopathic & Osteopathic Physicians
N 2085R0001X Radiology
Specialization: Radiation Oncology
TRN9177 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0233234 05
PA 1024817370001 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
840 Walnut St, Philadelphia, PA 191075109 2159283000

Office Location

Street Address 111 S 11TH ST
BODINE CENTER
City PHILADELPHIA
State PA
Zip Code 19107-4824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346246642 Flavius F. Guglielmo Radiology 111 S 11th St, Suite 3390, Philadelphia, PA 19107-4824 2005-06-22
1265046569 Sherman John Torres Nurse Anesthetist, Certified Registered 111 S 11th St, Philadelphia, PA 19107-4824 2020-09-03
1609489376 Andrew Michael Mcguire Registered Nurse 111 S 11th St, Philadelphia, PA 19107-4824 2020-08-24
1326657420 Daniel Joseph Leehan Pharmacist 111 S 11th St, Philadelphia, PA 19107-4824 2020-07-24
1013539436 Kashyap Rajendra Chauhan Internal Medicine 111 S 11th St, Philadelphia, PA 19107-4824 2020-05-07
1134749385 Maria Mattioli Nurse Practitioner 111 S 11th St, Philadelphia, PA 19107-4824 2020-04-17
1598392151 Amine Sahmoud Student in an Organized Health Care Education/Training Program 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-24
1346877198 Abigail M O'connell Nurse Practitioner 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-23
1396370342 Alexandra Elder Student in an Organized Health Care Education/Training Program 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-10
1134754252 Christopher James Neely Student in an Organized Health Care Education/Training Program 111 S 11th St, Philadelphia, PA 19107-4824 2020-03-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
Find all providers in zip 19107

Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912433632 Victor Eric Chen Radiology 111 S 11th St # G301, Philadelphia, PA 19107 2017-05-02
1346635455 Adam Christopher Mueller Radiology 111 S 11th St Ste G-301, Philadelphia, PA 19107-4824 2015-04-06
1487916193 Sonam Sharma Radiology 3400 Civic Blvd, Philadelphia, PA 19104-4206 2012-06-10
1245439017 Edward M Marchan Radiology 909 Walnut St Fl 3, Department of Neurosurgery Thomas Jefferson Univ, Philadelphia, PA 19107-5211 2007-07-12
1710052212 Thomas J Galloway Radiology 333 Coltman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 2006-11-21
1811910854 William T Grizos Radiology 8835 Germantown Ave., Philadelphia, PA 19118-2718 2006-07-25
1972525400 Shari Rudoler Radiology Knights & Red Lion Roads, Philadelphia, PA 19114 2006-07-24
1730135393 Voichita Bar Ad Radiology 111 S. 11th Street, Bodine Center Jefferson Radiation Oncology Associates, Philadelphia, PA 19107 2006-05-25
1467403121 Patrick M Tripp Radiology 3400 Civic Center, Pcam - Radiation Oncology Trc 2 West, Philadelphia, PA 19104 2006-05-15
1548249287 William R Rate Radiology 3400 Civic Center Blvd., Concourse Level, Philadelphia, PA 19104-4306 2006-01-11
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Competitor

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City PHILADELPHIA
Zip Code 19107

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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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