MT SINAI PEDIATRIC CENTER FFS (NPI# 1891329488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891329488 |
| Entity Type | Organization |
| Organization Name | MT SINAI PEDIATRIC CENTER FFS |
| Other Organization Name | MT SINAI PEDIATRIC CENTER FFS |
| Practice Address |
2653 W Ogden Ave Chicago IL 60608-1647 |
| Mailing Address |
1900 W Polk St Rm 220c Chicago IL 60612-3723 |
| Practice Telephone | 7735222010 |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-05-22 |
| Authorized Official Name | SCOTT ANDRLE (DIRECTOR OF MANAGED CARE OPERATIONS) |
| Authorized Official Telephone | 3128644649 |
| Is Organization Subpart | Y |
| Parent Organization Name | COOK COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MT SINAI PEDIATRIC CENTER FFS | Doing Business As Name - Organization |
| Street Address |
2653 W OGDEN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093701575 | Osaretin Oronsaye | Obstetrics & Gynecology | 2653 W Ogden Ave, Suite 3b, Chicago, IL 60608-1647 | 2005-09-21 |
| 1497374805 | Mount Sinai Community Foundation | Clinic/Center | 2653 W Ogden Ave, Chicago, IL 60608-1647 | 2020-04-15 |
| 1417500182 | Leslie Phillips | Counselor | 2653 W Ogden Ave, Chicago, IL 60608-1647 | 2019-07-22 |
| 1780142778 | Mt Sinai Pediatric Center | Pediatrics | 2653 W Ogden Ave, Chicago, IL 60608 | 2019-03-08 |
| 1992295596 | Claire Oliver | Nurse Practitioner | 2653 W Ogden Ave, Chicago, IL 60608-1647 | 2018-05-18 |
| 1649774779 | Emiko Yuzawa Rubin | Physician Assistant | 2653 W Ogden Ave, Chicago, IL 60608-1647 | 2018-03-22 |
| 1194232215 | Steven Isaac Foley | Dietitian, Registered | 2653 W Ogden Ave, Chicago, IL 60608-1647 | 2018-01-10 |
| 1063933679 | Melissa Ann Narcisi | Dietitian, Registered | 2653 W Ogden Ave, Chicago, IL 60608-1647 | 2017-07-05 |
| 1154774180 | Amanda L Dick | Social Worker | 2653 W Ogden Ave, 2nd Floor, Chicago, IL 60608-1647 | 2016-07-14 |
| 1093169351 | Katrina Koller | Dietitian, Registered | 2653 W Ogden Ave, Suite 3a, Chicago, IL 60608-1647 | 2016-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
| 1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
| 1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
| 1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
| 1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
| Find all providers in CHICAGO | ||||
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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.