UNIVERSITY OF PENN-MEDICAL GROUP


Address: 3535 Market St, 3rd Floor, Philadelphia, PA 19104-3309
Phone: 2157466700

UNIVERSITY OF PENN-MEDICAL GROUP (NPI# 1821486846) 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) 1821486846
Entity Type Organization
Organization Name UNIVERSITY OF PENN-MEDICAL GROUP
Practice Address 3535 Market St
3rd Floor
Philadelphia
PA 19104-3309
Practice Telephone 2157466700
Mailing Telephone 2157466700
Enumeration Date 2014-12-29
Last Update Date 2019-05-06
Authorized Official Name CHANTE L JACKSON (ENROLLMENT COOR)
Authorized Official Telephone 2156626187
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers
N 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
PA Allopathic & Osteopathic Physicians
N 2084P0802X Psychiatry & Neurology
Specialization: Addiction Psychiatry
PA Allopathic & Osteopathic Physicians
N 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
PA Allopathic & Osteopathic Physicians
N 2084P0805X Psychiatry & Neurology
Specialization: Geriatric Psychiatry
PA Allopathic & Osteopathic Physicians
N 103T00000X Psychologist PA Behavioral Health & Social Service Providers
N 103TR0400X Psychologist
Specialization: Rehabilitation
PA Behavioral Health & Social Service Providers
N 104100000X Social Worker PA Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
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
1740678762 University of Penn-medical Group Pathology 3400 Spruce St, Philadelphia, PA 19104-4238 2014-12-29
1811385834 University of Penn-medical Group Thoracic Surgery (Cardiothoracic Vascular Surgery) 51 N 39th St, 266 Wright Saunders, Philadelphia, PA 19104-2640 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 3535 MARKET ST
3RD FLOOR
City PHILADELPHIA
State PA
Zip Code 19104-3309

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275511255 Constance Reich Murphy Nurse Practitioner 3535 Market St, Suite 100, Philadelphia, PA 19104-3309 2006-01-09
1104430115 Christine Caton Nurse Practitioner 3535 Market St, Philadelphia, PA 19104-3309 2020-09-08
1861020786 Taylor Davis Student in an Organized Health Care Education/Training Program 3535 Market St, Philadelphia, PA 19104-3309 2020-03-27
1891273413 Elisa Barrett Payne Psychologist 3535 Market St, Philadelphia, PA 19104-3309 2018-08-06
1093211807 Angel Marie Augustin Student in an Organized Health Care Education/Training Program 3535 Market St, Philadelphia, PA 19104-3309 2018-04-02
1235666736 Ellen T Behan-heinbockel Nurse Practitioner 3535 Market St, Philadelphia, PA 19104-3309 2017-05-15
1396271938 Mark Baptiste Student in an Organized Health Care Education/Training Program 3535 Market St, 2nd Floor, Philadelphia, PA 19104-3309 2017-05-02
1144755547 Yin Stern Li Student in an Organized Health Care Education/Training Program 3535 Market St, 2nd Floor, Philadelphia, PA 19104-3309 2017-04-24
1417481557 Ewurama Elaine Sackey Student in an Organized Health Care Education/Training Program 3535 Market St, 2nd Floor, Philadelphia, PA 19104-3309 2017-04-15
1346774494 Nana Asabere Student in an Organized Health Care Education/Training Program 3535 Market St, 2nd Floor, Philadelphia, PA 19104-3309 2017-04-15
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 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407499148 Tower Drexel Academic Medical Group LLC Psychiatry & Neurology 160 E Erie Ave Fl 2, Philadelphia, PA 19134-1011 2019-10-25
1568956043 Reid Thomas Alley Psychiatry & Neurology Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 2018-06-19
1073033874 Sarah Miller Psychiatry & Neurology 100 E Lehigh Ave Ste 305b, Philadelphia, PA 19125-1012 2017-06-22
1659800175 Michael William Pelekanos Psychiatry & Neurology 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 2017-06-08
1063940187 Travis J Dichoso Psychiatry & Neurology 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 2017-06-02
1104354778 Julian Camilo Artunduaga Psychiatry & Neurology 100 E Lehigh Ave Bldg Suit105, Philadelphia, PA 19125-1012 2017-05-26
1538691340 Lea Fowler Hecht Psychiatry & Neurology 3207 Baring St, Apt. 2, Philadelphia, PA 19104-2510 2017-03-30
1962941021 Whidbey Island Public Hospital District Psychiatry & Neurology 808 S Swanson St, Philadelphia, PA 19147-4330 2017-02-21
1811340482 Katarzyna Liwski Psychiatry & Neurology 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 2016-07-19
1649620089 Matthew Parker Psychiatry & Neurology 2040 Market St Apt 1121, Philadelphia, PA 19103-3369 2016-06-16
Find all providers in PHILADELPHIA

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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