ASHLEY NICOLE JAEKEL


Address: 111 S 11th St, Philadelphia, PA 19107-4824
Phone: 2159557078

ASHLEY NICOLE JAEKEL (NPI# 1831737139) 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) 1831737139
Entity Type Individual
Full Name ASHLEY NICOLE JAEKEL
Practice Address 111 S 11th St
Philadelphia
PA 19107-4824
Mailing Address 2 Anthony Ct
Bordentown
NJ 08505-3211
Practice Telephone 2159557078
Mailing Telephone 6095294778
Enumeration Date 2019-12-17
Last Update Date 2019-12-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LC0200X Anesthesiology
Specialization: Critical Care Medicine
RN669807 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 111 S 11TH ST
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
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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
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Taxonomy Information

Taxonomy Code 207LC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Critical Care Medicine

Taxonomy Definition

An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205887346 Christine Marie Schlichting Anesthesiology Front Street At Erie Avenue, St. Christopher's Hospital for Children, Philadelphia, PA 19134-1095 2006-05-13
1982698528 Dat D Nguyen Anesthesiology 3400 Spruce St Fl 8, Philadelphia, PA 19104-4229 2005-09-09
1184106122 Temple Faculty Practice Plan, Inc Anesthesiology 3401 N Broad St, Philadelphia, PA 19140-5103 2018-09-06
1649789587 Aria Health Physicain Services Anesthesiology 4900 Frankford Ave, Philadelphia, PA 19124-2618 2017-09-22
1609264720 University of Penn-medical Group Anesthesiology 3400 Spruce St, 6 Dulles, Philadelphia, PA 19104-4238 2014-12-23
1407261878 Martha Kienzle Anesthesiology 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 2014-06-24
1376960567 Vanessa Mazandi Anesthesiology 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2014-03-25
1558794024 Sarah Vivien Harvey Anesthesiology 3400 Spruce St, Philadelphia, PA 19104-4238 2013-08-19
1548608110 Thomas William Dietzman Anesthesiology 3401 Civic Center Blvd, Division of Cardiology, Philadelphia, PA 19104-4319 2013-06-05
1851735005 Ksenia Guvakova Anesthesiology 3400 Spruce St, Philadelphia, PA 19104-4238 2013-04-18
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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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