JEFFERSON UNIVERSITY HOSPITAL


Address: 1015 Walnut St, 1015 Walnut Street, Philadelphia, PA 19107-5005
Phone: 2159554516

JEFFERSON UNIVERSITY HOSPITAL (NPI# 1861725608) 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) 1861725608
Entity Type Organization
Organization Name JEFFERSON UNIVERSITY HOSPITAL
Practice Address 1015 Walnut St
1015 Walnut Street
Philadelphia
PA 19107-5005
Mailing Address 211 S 9th St
Suite 600,walnut Towers
Philadelphia
PA 19107-6810
Practice Telephone 2159554516
Enumeration Date 2009-09-11
Last Update Date 2009-09-11
Authorized Official Name DR. OSCAR IRIGOYEN (RHEUMATOLOGY CHIEF & DIRECTOR)
Authorized Official Telephone 2159551410
Authorized Official Credential M.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center MT188493 PA Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205272804 Jefferson University Hospital General Acute Care Hospital 1025 Walnut St, Suite 801, Philadelphia, PA 19107-5001 2013-05-22

Office Location

Street Address 1015 WALNUT ST
1015 WALNUT STREET
City PHILADELPHIA
State PA
Zip Code 19107-5005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114929585 Oscar Horacio Irigoyen Internal Medicine 1015 Walnut St, Ste 613, Philadelphia, PA 19107-5005 2005-08-15
1316444805 Alexander Vraa Student in an Organized Health Care Education/Training Program 1015 Walnut St, Suite 620 Curtis, Philadelphia, PA 19107-5005 2018-04-10
1619402369 Charles Peter Mccann Student in an Organized Health Care Education/Training Program 1015 Walnut St, Suite 620 Curtis, Philadelphia, PA 19107-5005 2017-05-01
1376078758 James Metkus Surgery 1015 Walnut St, Suite 620 Curtis, Philadelphia, PA 19107-5005 2017-04-24
1982138095 Adrienne Christopher Student in an Organized Health Care Education/Training Program 1015 Walnut St, Suite 620 Curtis, Philadelphia, PA 19107-5005 2017-04-14
1790219186 James Antonio Fraser Student in an Organized Health Care Education/Training Program 1015 Walnut St, Suite 620 Curtis, Philadelphia, PA 19107-5005 2017-04-12
1891228482 Ryan Lamm Student in an Organized Health Care Education/Training Program 1015 Walnut St, Suite 620 Curtis, Philadelphia, PA 19107-5005 2017-04-10
1811429376 Keyur Patel Student in an Organized Health Care Education/Training Program 1015 Walnut St, Suite 620, Philadelphia, PA 19107-5005 2017-04-03
1609221787 Raj Gopesh Patel Student in an Organized Health Care Education/Training Program 1015 Walnut St, Room 620, Philadelphia, PA 19107-5005 2016-04-26
1215391628 Thomas John O'malley Surgery 1015 Walnut St, Suite 620, Philadelphia, PA 19107-5005 2016-04-12
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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 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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1144820754 The Nava Center, Inc. Clinic/Center 1334 S 18th St, Philadelphia, PA 19146-4647 2020-11-01
1023620135 Neshoba County General Hospital-nursing Home Clinic/Center 406 Stribling St, Philadelphia, MS 39350-3344 2020-08-19
1043775711 New Vitae, Inc. Clinic/Center 27 S. 55th Street, Philadelphia, PA 19139-3247 2019-02-06
1184132219 Neshoba County General Hospital Clinic/Center 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 2018-01-10
1699288142 Rogers Memorial Hospital Inc Clinic/Center 1 Winding Dr Ste 106, Philadelphia, PA 19131-2907 2017-11-07
1952753238 American Rehabilitation Counseling Center LLC Clinic/Center 8305-15 Ridge Ave, Philadelphia, PA 19128-1722 2016-07-11
1750736088 Mark Wilson Clinic/Center 5313 Ogden St, Philadelphia, PA 19139-1438 2016-04-23
1023485265 Greater Philadelphia Health Action Inc. Clinic/Center 1408 S. Broad St., 2nd Floor, Philadelphia, PA 19146-4808 2015-08-24
1407233125 Rediclinic of Pa, LLC Clinic/Center 7418-32 Oxford Avenue, Philadelphia, PA 19111-3023 2015-05-01
1912397118 Physical Corrective Solutions, LLC Clinic/Center 2644 Lefevre St Ste A, Suite A, Philadelphia, PA 19137-1733 2015-01-27
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Competitor

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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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