DR. STEPHANIE NICOLE KLETKE (NPI# 1821640459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821640459 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE NICOLE KLETKE |
| Credential | MD |
| Practice Address |
3500 Civic Center Blvd Fl 11 Philadelphia PA 19104-4395 |
| Practice Telephone | 2155902791 |
| Enumeration Date | 2019-07-13 |
| Last Update Date | 2019-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD466578 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
3500 CIVIC CENTER BLVD FL 11 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4395 |
| 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 Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256782 | Maria Manquez Hatta | Ophthalmology | 840 Walnut St Fl 14, Philadelphia, PA 19107-5109 | 2020-08-18 |
| 1083105654 | Shuai-chun Lin | Ophthalmology | 5401 Old York Rd Ste 205, Philadelphia, PA 19141-3044 | 2018-05-19 |
| 1285188383 | Imran Jivraj | Ophthalmology | 3737 Chestnut St, Apt 809, Philadelphia, PA 19104-7702 | 2016-08-08 |
| 1063851160 | Durga Borkar | Ophthalmology | 840 Walnut St Ste 1020, Philadelphia, PA 19107-5109 | 2013-06-21 |
| 1205275922 | Katherine Elizabeth Uyhazi | Ophthalmology | 3801 Filbert St Ste 515, Philadelphia, PA 19104 | 2013-06-15 |
| 1548605231 | Avni Umesh Badami | Ophthalmology | 51 N 39th St Ste 515, Philadelphia, PA 19104-2640 | 2013-05-08 |
| 1063755361 | Alison Blair Huggins Watson | Ophthalmology | 840 Walnut St Ste 910, Philadelphia, PA 19107-5109 | 2013-04-04 |
| 1447509807 | William Alan Raich | Ophthalmology | 210 Locust St, Apt. 19ab, Philadelphia, PA 19106-3934 | 2012-08-31 |
| 1780955575 | Collazo Ophthalmology & Optometry | Ophthalmology | 4231 N 5th St, Philadelphia, PA 19140-2602 | 2012-01-25 |
| 1114247343 | Hilary Smolen Brader | Ophthalmology | 125 S 9th St Ste 400, Philadelphia, PA 19107-5117 | 2010-06-10 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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| 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.