STC OPCO LLC


Address: 160 E Erie Ave, Philadelphia, PA 19134-1011
Phone: 2154275000

STC OPCO LLC (NPI# 1871139691) 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) 1871139691
Entity Type Organization
Organization Name STC OPCO LLC
Other Organization Name ST CHRISTOPHERS HOSPITAL FOR CHILDREN GENETICS
Practice Address 160 E Erie Ave
Philadelphia
PA 19134-1011
Mailing Address Po Box 13579
Reading
PA 19612-3579
Practice Telephone 2154275000
Enumeration Date 2019-11-27
Last Update Date 2020-01-02
Authorized Official Name GARY CONNER (VP & CFO)
Authorized Official Telephone 4846288181
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207SG0201X Medical Genetics
Specialization: Clinical Genetics (M.D.)
Allopathic & Osteopathic Physicians
N 207SG0205X Medical Genetics
Specialization: Ph.D. Medical Genetics
Allopathic & Osteopathic Physicians
Y 170100000X Medical Genetics, Ph.D. Medical Genetics Other Service Providers

Other Provider/Organization Names

Other Name Type Code
St Christophers Hospital for Children Genetics Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033755855 Stc Opco LLC Clinic/Center 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-11-27
1942846761 Stc Opco LLC Allergy & Immunology 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-11-27
1437795234 Stc Opco LLC Dentist 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-11-27
1154967974 Stc Opco LLC Radiology 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-11-27
1992341713 Stc Opco LLC Pathology 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-11-27
1295371011 Stc Opco LLC Internal Medicine 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-11-27
1619513439 Stc Opco LLC Emergency Medicine 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-11-27
1194368167 Stc Opco LLC Medicare Defined Swing Bed Unit 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-10-23
1285277251 Stc Opco LLC Clinic/Center 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-10-23

Office Location

Street Address 160 E ERIE AVE
City PHILADELPHIA
State PA
Zip Code 19134-1011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114919040 Gabriel Hauser Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2005-08-17
1932700150 Alexandria Nicole Torrisi Physician Assistant 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-11-04
1508466913 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-10-27
1548867476 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-10-05
1760009450 Cassandra Anne Pantano Nurse Practitioner 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-06-29
1366068488 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-06-24
1992326789 Kerby Zeisloft Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-05-03
1467073353 Neil Himanshu Patel Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-05-01
1629699665 Rose B Bayer Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-04-30
1972124931 Neha Jadhav Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2020-04-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871137208 My Philadelphia Pharmacy Inc Pharmacy 2901 E Thompson St, Front Store, Philadelphia, PA 19134 2019-10-29
1588125793 Bret Johnson Student in an Organized Health Care Education/Training Program Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 2019-03-29
1053881672 Ana Y Almanzar Psychologist 3513 North Water Street, Philadelphia, PA 19134 2018-11-27
1861974206 Stephanie C Curtis Registered Nurse St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 2018-09-01
1700371978 Kristi Ford Nurse Practitioner 160 E Erie Ave # 21542, Philadelphia, PA 19134 2018-06-28
1700370178 Natalie Martinez Case Manager/Care Coordinator 3528 I St Ste 1, Philadelphia, PA 19134 2018-06-19
1205352309 Personal Injury Clinic PC Chiropractor 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 2017-08-21
1306376280 Port Richmond Counseling Practices Clinic/Center 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 2017-06-14
1760864441 Jason Roy Toews Pediatrics 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 2015-06-18
1376933291 David Tanney Yusavitz Nurse Practitioner 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 2015-01-30
Find all providers in zip 19134

Taxonomy Information

Taxonomy Code 170100000X
Grouping Other Service Providers
Classification Medical Genetics, Ph.D. Medical Genetics

Taxonomy Definition

A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609804897 Miguel Amora De Castro Medical Genetics, Ph.D. Medical Genetics 1018 W Lehigh Ave, Philadelphia, PA 19133-1640 2006-06-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659553576 Enrico Nicolo, M.d. PC Medical Genetics, Ph.D. Medical Genetics 100 Stoops Dr Ste 230, Monongahela, PA 15063-3556 2007-12-03
1790992717 Larry E Maglicco Medical Genetics, Ph.D. Medical Genetics Upmc Mckeesport Hospital, 1500 Fith Ave, Mckeesport, PA 15133 2007-05-17
1528189610 Nancy Naylor Mccullum Medical Genetics, Ph.D. Medical Genetics 205 St. Charles Way, The Center for Cosmetic Dermatology, York, PA 17402 2007-04-03
1841331915 Connie J Kennedy Medical Genetics, Ph.D. Medical Genetics 263 Summer Avenue, Horsham, PA 19044-2607 2007-02-09
1619173192 Anuja Rohatgi M.d.p.c. Medical Genetics, Ph.D. Medical Genetics 117 N 4th St, Easton, PA 18042-3503 2007-06-22
1720162654 Michael John Paszek Medical Genetics, Ph.D. Medical Genetics 503 N 21st St, Camp Hill, PA 17011-2204 2006-10-25

Competitor

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City PHILADELPHIA
Zip Code 19134

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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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