DR. ELLIS H SACKS (NPI# 1831427319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831427319 |
Entity Type | Individual |
Full Name | DR. ELLIS H SACKS |
Credential | MD |
Practice Address |
2138 Lombard St Apt 3b Philadelphia PA 19146-1261 |
Practice Telephone | 2157721011 |
Mailing Telephone | 2157721011 |
Enumeration Date | 2009-11-23 |
Last Update Date | 2009-11-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD011019E | PA | Allopathic & Osteopathic Physicians |
Street Address |
2138 LOMBARD ST APT 3B |
City | PHILADELPHIA |
State | PA |
Zip Code | 19146-1261 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114545977 | Puentes De Salvd | Clinic/Center | 1700 South Street, Philadelphia, PA 19146 | 2020-07-08 |
1407480155 | Mutiat Ajibade | Nurse Practitioner | 1401 S. 31 Street, Phialdelphia, PA 19146 | 2020-03-02 |
1003453952 | Bridget Smith | Psychologist | Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 | 2019-12-10 |
1730678012 | Christina Martindale | Nurse Anesthetist, Certified Registered | 917 S 15th Street, Philadelphia, PA 19146 | 2018-05-02 |
1598289456 | Allison Ortolano | Speech-Language Pathologist | 1933 Montrose St., Philadelphia, PA 19146 | 2017-08-01 |
1033630116 | Jami F Young | Psychologist | 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 | 2017-06-29 |
1336678788 | Joshua Ryan Fidler | Occupational Therapist | 2223 Wharton Street, Philadelphia, PA 19146 | 2017-06-08 |
1912357930 | Mei Lan Natalie Lau | Pharmacist | 3000-02 Reed Street, Philadelphia, PA 19146 | 2016-06-21 |
1417354887 | Brandy Mitchell | Specialist | 1608 Webster Street, Philadelphia, PA 19146 | 2014-12-01 |
1942638101 | Woong Yi | Pharmacist | 1155 S.mole St, Philadelphia, PA 19146 | 2013-10-28 |
Find all providers in zip 19146 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912516279 | Stc Pediatrics LLC | Pediatrics | 3601 A St Fl Family, Philadelphia, PA 19134-1043 | 2020-07-23 |
1386288702 | Advocare, LLC | Pediatrics | 2000 Hamilton St Ste 109, Philadelphia, PA 19130-3847 | 2019-10-29 |
1144865791 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-07 |
1346884756 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-30 |
1033647250 | Gladyne Confident | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2017-06-01 |
1104279694 | Rosheen Mary Grady | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2016-07-19 |
1235516006 | Shelby Hannah Davies | Pediatrics | 3401 Civic Center Blvd, Division of Adolescent Medicine, Philadelphia, PA 19104 | 2015-04-30 |
1326459371 | Philadelphia Women's Center, Inc. | Pediatrics | 777 Appletree St, 7th Floor, Philadelphia, PA 19106-1526 | 2014-05-13 |
1447677992 | Drisana Henry | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2014-03-22 |
1053680827 | Philadelphia Health and Education Corp | Pediatrics | 3601 A St, Nelson Pavillion, 2nd Floor, Family Planning, Philadelphia, PA 19134-1043 | 2011-12-22 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19146 |
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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.