UNIV OF PENN - OB-GYN (NPI# 1861528754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861528754 |
| Entity Type | Organization |
| Organization Name | UNIV OF PENN - OB-GYN |
| Practice Address |
3701 Market St 7th and 8th Floor Philadelphia PA 19104-5502 |
| Mailing Address |
3624 Market St Suite 560w Philadelphia PA 19104-2614 |
| Practice Telephone | 2156626100 |
| Mailing Telephone | 2156622286 |
| Mailing Fax Number | 2156150500 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2156627583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HEALTHNET | 2Y20350 | 01 |
| PA | MAMSI | 273253 | 01 |
| PA | MERCY | 1012028 | 01 |
| PA | HEALTHPARTNERS | 24199 | 01 |
| NJ | 7298609 | 05 | |
| PA | KEYSTONE | 0052759000 | 01 |
| PA | 1007448840 | 05 | |
| PA | BLUE SHIELD | 039030 | 01 |
| PA | AETNA | 490613 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659492122 | Univ of Penn - Ob-gyn | Obstetrics & Gynecology | 801 Spruce St, 8th Floor, Philadelphia, PA 19107-5701 | 2007-04-03 |
| 1386765857 | Univ of Penn - Ob-gyn | Obstetrics & Gynecology | 800 Walnut St, 10th Floor, Philadelphia, PA 19107-5109 | 2007-04-03 |
| 1295856771 | Univ of Penn - Ob-gyn | Obstetrics & Gynecology | 3400 Spruce St, 2000 Courtyard Building, Philadelphia, PA 19104-4206 | 2007-04-03 |
| Street Address |
3701 MARKET ST 7TH AND 8TH FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831166065 | Jeanna Annette Miller | Pharmacist | 3701 Market St, Suite 640- Anticoagulation Center, Philadelphia, PA 19104-5502 | 2006-03-07 |
| 1730708512 | Zachary Andrew Hing | Student in an Organized Health Care Education/Training Program | 3701 Market St, Philadelphia, PA 19104-5502 | 2020-04-13 |
| 1316566029 | Victor Cotton | Student in an Organized Health Care Education/Training Program | 3701 Market St, Philadelphia, PA 19104-5502 | 2020-04-13 |
| 1629697537 | Minh Than | Student in an Organized Health Care Education/Training Program | 3701 Market St, Philadelphia, PA 19104-5502 | 2020-04-10 |
| 1992324842 | William Preston Tompkins Iv | Student in an Organized Health Care Education/Training Program | 3701 Market St, Philadelphia, PA 19104-5502 | 2020-04-10 |
| 1952959777 | Abigail Hanna Mcgee | Nurse Practitioner | 3701 Market St, 6th Fl, Philadelphia, PA 19104-5508 | 2019-08-27 |
| 1437611472 | Erin Lawrie | Nurse Practitioner | 3701 Market St, 9thfl, Philadelphia, PA 19104-5508 | 2019-04-01 |
| 1245724913 | Leeanne Teresa Murdock | Nurse Practitioner | 3701 Market St, Ste 640, Philadelphia, PA 19104-5508 | 2018-06-18 |
| 1477901460 | Kassie Jean Bollig | Obstetrics & Gynecology | 3701 Market St, Philadelphia, PA 19104-5502 | 2016-05-31 |
| 1356702609 | Maggie Power | Advanced Practice Midwife | 3701 Market St, 3rd Floor, Philadelphia, PA 19104-5502 | 2016-03-15 |
| Find all providers in the same location | ||||
| 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 | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356433528 | Marianne Ruby | Obstetrics & Gynecology | 1015 Chestnut St Ste 601, Suite 601, Philadelphia, PA 19107-4306 | 2006-09-28 |
| 1407885114 | Caleb B. Kallen | Obstetrics & Gynecology | 834 Chestnut Street, Suite 300, Philadelphia, PA 19107-5127 | 2006-07-03 |
| 1336537448 | University of Penn-medical Group | Obstetrics & Gynecology | 3701 Market St, 3rd Floor, Philadelphia, PA 19104-5502 | 2014-12-26 |
| 1912160680 | Winifred Mak | Obstetrics & Gynecology | 3400 Spruce St, 1 Maloney, Philadelphia, PA 19104-4206 | 2008-07-03 |
| 1194999326 | Jefferson University Physicians | Obstetrics & Gynecology | 833 Chestnut St, Suite 630, Philadelphia, PA 19107-4414 | 2008-04-18 |
| 1316169261 | Lorraine C King Md PC | Obstetrics & Gynecology | 834 Chestnut St, Suite M 207, Philadelphia, PA 19107-5127 | 2007-05-02 |
| 1659492122 | Univ of Penn - Ob-gyn | Obstetrics & Gynecology | 801 Spruce St, 8th Floor, Philadelphia, PA 19107-5701 | 2007-04-03 |
| 1326192337 | Philadelphia Health & Education Corp | Obstetrics & Gynecology | 4190 City Ave, Rowland Hall, Suite 418, Philadelphia, PA 19131-1626 | 2007-01-23 |
| 1528125903 | Frances Batzer Baylson | Obstetrics & Gynecology | 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127 | 2007-01-03 |
| 1104983766 | Benjamin Gocial | Obstetrics & Gynecology | 833 Chestnut St, 1st Floor, Philadelphia, PA 19107-4414 | 2007-01-03 |
| 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.