DAVITA MEDICAL GROUP PHILADELPHIA, LLC (NPI# 1841796711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841796711 |
| Entity Type | Organization |
| Organization Name | DAVITA MEDICAL GROUP PHILADELPHIA, LLC |
| Other Organization Name | TANDIGM CARE SERVICES (TCS) |
| Practice Address |
300 Four Falls Corporate Center 300 Conshohocken State Rd. West Conshohocken PA 19428 |
| Practice Telephone | 2154964621 |
| Practice Fax Number | 2155684746 |
| Mailing Telephone | 2154964621 |
| Mailing Fax Number | 4746215568 |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2018-04-01 |
| Authorized Official Name | MICHAEL TERRENCE WERNER (SENIOR DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2155684678 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Tandigm Care Services (TCS) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194297127 | Davita Medical Group Philadelphia, LLC | Internal Medicine | 300 W 4th Ave Ste 260, Conshohocken, PA 19428-1607 | 2019-01-02 |
| 1538665351 | Davita Medical Group Philadelphia, LLC | Internal Medicine | 300 Four Falls Corporate Center, 300 Conshohocken State Road, Second Floor Suite 260, West Conshohocken, PA 19428 | 2018-04-02 |
| 1083157150 | Davita Medical Group Philadelphia, LLC | Family Medicine | 2476 Swedesford Rd, #150, Malvern, PA 19355-1456 | 2016-11-22 |
| Street Address |
300 FOUR FALLS CORPORATE CENTER 300 CONSHOHOCKEN STATE RD. |
| City | WEST CONSHOHOCKEN |
| State | PA |
| Zip Code | 19428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538665351 | Davita Medical Group Philadelphia, LLC | Internal Medicine | 300 Four Falls Corporate Center, 300 Conshohocken State Road, Second Floor Suite 260, West Conshohocken, PA 19428 | 2018-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395149 | Kellan Katra | Physician Assistant | 400 Fayette Street, Suite 180, Conshohocken, PA 19428 | 2020-01-10 |
| 1275170151 | Barbara G. Hedges-hoffman | Counselor | 20 E 9th Ave Ste 100, Conshohocken, PA 19428 | 2019-12-10 |
| 1184102105 | Experience Chiropractic East, LLC | Chiropractor | 3038 Butler Pike, Conshohocken, PA 19428 | 2018-08-01 |
| 1861986713 | Bridget Mary Parkes | Speech-Language Pathologist | 301 Harry St, Conshohocken, PA 19428 | 2018-06-14 |
| 1588155857 | Intouch Med Supply | Mastectomy Fitter | 529 Fayette St, Conshohocken, PA 19428 | 2018-05-22 |
| 1538600853 | Dermone Dermatology Associates of The Keystone State, P.c | Dermatology | 200 Barr Harbor Drive, Four Tower Bridge, Suite 200, West Conshohocken, PA 19428 | 2017-03-20 |
| 1891156766 | Kaitlyn Oliver | Speech-Language Pathologist | 1200 River Road, Aim Academy-, Conshohocken, PA 19428 | 2016-03-18 |
| 1992122782 | Titleman Orthopedics LLC | Prosthetic/Orthotic Supplier | 1100 E Hector St Ste 390, Conshohocken, PA 19428 | 2014-03-18 |
| 1447543004 | Barbara P. Mastriano | Speech-Language Pathologist | One West Elm St. Suite 100, Mercylife Program, Conshohocken, PA 19428 | 2011-05-16 |
| 1942510136 | Ultimate Hearing Olutions Dba | Hearing Aid Equipment | 815 Fayette Street, Suite 200, Conshohocken, PA 19428 | 2010-10-21 |
| Find all providers in zip 19428 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710204649 | Emmanuel Michael Mahlis | Internal Medicine | 300 Barr Harbor Dr, Five Tower Bridge, Suite 800, West Conshohocken, PA 19428-2998 | 2010-05-03 |
| 1538665351 | Davita Medical Group Philadelphia, LLC | Internal Medicine | 300 Four Falls Corporate Center, 300 Conshohocken State Road, Second Floor Suite 260, West Conshohocken, PA 19428 | 2018-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558976092 | Upmc Community Medicine, Inc | Internal Medicine | 5215 Centre Ave Ste 100, Pittsburgh, PA 15232-1303 | 2020-09-11 |
| 1386256881 | Vpa PC | Internal Medicine | 1055 Westlakes Dr Ste 3152, Berwyn, PA 19312-2410 | 2020-08-18 |
| 1609485168 | Allegheny Clinic | Internal Medicine | 1748 Jancey Street, Pittsburgh, PA 15206-1100 | 2020-07-30 |
| 1720696099 | Sai Charan Vedula | Internal Medicine | Einstein Medical Center Montgomery, 559 West Germantown Pike, East Norriton, PA 19403 | 2020-07-22 |
| 1942818703 | Abraham Attah | Internal Medicine | 307 Federal Street, Suite B300, Pittsburgh, PA 15212 | 2020-07-17 |
| 1881212199 | Mobile Doctors | Internal Medicine | 925 E Butter Rd, York, PA 17406-6019 | 2020-07-13 |
| 1528685492 | Shilpa Salpekar | Internal Medicine | St. Lukes Internal Medicine (easton), 400 S Greenwood Ave, Easton, PA 18045 | 2020-06-26 |
| 1427674407 | Jun Song | Internal Medicine | 3401 N Broad St Ste 801, Philadelphia, PA 19140-5103 | 2020-06-24 |
| 1932725264 | Aaron Leo Yazdian | Internal Medicine | 1335 South St Apt A, Philadelphia, PA 19147-1841 | 2020-06-23 |
| 1144846387 | Rishabh Khatri | Internal Medicine | 322 N Broad St Apt 1523, Philadelphia, PA 19102-1122 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | WEST CONSHOHOCKEN |
| Zip Code | 19428 |
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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.