DEEPAK MEHROTRA (NPI# 1851330484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851330484 |
| Entity Type | Individual |
| Full Name | DEEPAK MEHROTRA |
| Credential | MD |
| Practice Address |
101 E Olney Ave Suite 400 Philadelphia PA 19120-2421 |
| Mailing Address |
5501 Old York Rd Philadelphia PA 19141-3018 |
| Practice Telephone | 2154567000 |
| Practice Fax Number | 2154566803 |
| Mailing Telephone | 2154567979 |
| Mailing Fax Number | 2154566803 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2015-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD044618E | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043204878 | Deepak Mehrotra | Pediatrics | 2025 N Mount Juliet Rd Ste 200, Mt Juliet, TN 37122-3934 | 2005-09-08 |
| Street Address |
101 E OLNEY AVE SUITE 400 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19120-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134193329 | Julie Massey | Pediatrics | 101 E Olney Ave, Suite C5, Philadelphia, PA 19120 | 2006-02-14 |
| 1063922359 | Einstein Community Health Associates, Inc | Family Medicine | 101 E Olney Ave, Philadelphia, PA 19120-2421 | 2017-10-02 |
| 1326446394 | Grace Adult Day Health Care Inc. | Clinic/Center | 101 E Olney Ave, Philadelphia, PA 19120-2421 | 2014-12-08 |
| 1619381308 | Einstein Community Health Associates, Inc. | Nurse Practitioner | 101 E Olney Ave, Suite 400, Philadelphia, PA 19120-2421 | 2014-06-20 |
| 1003255654 | Mauricio Jalife Bucay | Internal Medicine | 101 E Olney Ave, Suite C-5, Philadelphia, PA 19120-2421 | 2013-06-17 |
| 1346500873 | Job Rojas | Pediatrics | 101 E Olney Ave, Suite 400, Philadelphia, PA 19120-2421 | 2012-05-17 |
| 1154694958 | Sara C Morrison | Nurse Practitioner | 101 E Olney Ave, Suite 400, Philadelphia, PA 19120-2421 | 2012-02-10 |
| 1447461389 | John Michael Kowalski II | Emergency Medicine | 101 E Olney Ave, Suite 400, Philadelphia, PA 19120-2421 | 2007-05-24 |
| 1881808343 | Stanley Yoo | Physical Medicine & Rehabilitation | 101 E Olney Ave, Suite 400, Philadelphia, PA 19120-2421 | 2007-05-10 |
| 1629293089 | Maria Emilia Abadilla Florendo | Obstetrics & Gynecology | 101 E Olney Ave, Suite 400, Philadelphia, PA 19120-2421 | 2007-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364615 | Jane Clay Zakrzewski | Social Worker | Springfield Psychological, 1420 Walnut St. Suite 1500, Philadelphia, PA 19120 | 2019-03-12 |
| 1861964264 | Yi Ty Zhang | Nurse Practitioner | 101 E Olney Ave Ste C5, Philadelphia, PA 19120 | 2018-12-23 |
| 1447799770 | John Beecroft | Counselor | 4943 North 5th Street, Philadelphia, PA 19120 | 2017-02-20 |
| 1063869915 | Syed Naved Zahid | Dentist | 5675 Nth Front St., Philadelphia, PA 19120 | 2016-05-20 |
| 1447619838 | Danielle Green | Nurse Practitioner | 5846 North 4th St, Philadelphia, PA 19120 | 2016-02-15 |
| 1134544265 | Nt&t Corporation | Pharmacy | 439 West Chew Ave 1st F, Philadelphia, PA 19120 | 2014-02-26 |
| 1417234667 | Thomas Davis | Behavioral Analyst | 101 West Spencer Street, Philadelphia, PA 19120 | 2011-11-15 |
| 1619261682 | Advanced Family Dentistry, P.C. | Dentist | 6100-02 5th Street, Storefront, Philadelphia, PA 19120 | 2011-06-07 |
| 1346539061 | Capri N. Burt | Prosthetist | 5962 N. 3rd Street, Philadelphia, PA 19120 | 2011-04-04 |
| 1063719334 | James A. Brown | Prosthetist | 5962 N. 3rd St., Phila, PA 19120 | 2011-02-22 |
| Find all providers in zip 19120 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932518669 | Pharo Pain Management Asociates, P.C. | Anesthesiology | 829 Spruce St Ste 308, Philadelphia, PA 19107-5752 | 2014-08-06 |
| 1992137103 | Anish Sethi | Anesthesiology | 834 Chestnut St Ste T150, Philadelphia, PA 19107 | 2013-07-30 |
| 1407299902 | Mina Ghaly | Anesthesiology | 1200 W Tabor Rd Fl 4, Philadelphia, PA 19141-3019 | 2013-04-15 |
| 1548203839 | Uplekh Purewal | Anesthesiology | 9815 Roosevelt Blvd, Philadelphia, PA 19114-1011 | 2006-06-14 |
| 1326033994 | Koenigsberg & Associates Pain Management LLC | Anesthesiology | 2222 S Broad St, Philadelphia, PA 19145-3948 | 2005-09-20 |
| 1689666315 | Pain Care Professionals, Inc. | Anesthesiology | Hahnemann University Hospital Pain Clinic, Broad & Vine St., 4th Floor South Tower, Philadelphia, PA 19096 | 2005-08-18 |
| 1407339187 | Temple Faculty Practice Plan, Inc | Anesthesiology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-10 |
| 1144600073 | Daniel Lavi Southren | Anesthesiology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2015-06-05 |
| 1477968014 | Advanced Spine and Pain of Pa, LLC | Anesthesiology | 2000 Grant Ave, Suite 103, Philadelphia, PA 19115-4378 | 2014-06-23 |
| 1205246576 | Einstein Practice Plan, Inc. | Anesthesiology | 1200 W Tabor Rd, Moss Rehab Building, 4th Floor, Philadelphia, PA 19141-3019 | 2014-05-07 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19120 |
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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.