UNIVERSITY OF PENN-MEDICAL GROUP (NPI# 1902269210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902269210 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF PENN-MEDICAL GROUP |
| Practice Address |
554 N Duke St 3rd Floor Lancaster PA 17602-2225 |
| Practice Telephone | 2156626200 |
| Practice Fax Number | 2156622244 |
| Mailing Telephone | 2156626200 |
| Mailing Fax Number | 2156622244 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |
| 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 |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | PA | Allopathic & Osteopathic Physicians | |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
PA | Allopathic & Osteopathic Physicians | |
| Y | 204F00000X | Transplant Surgery | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396193900 | University of Penn-medical Group | Transplant Surgery | 1501 N Cedar Crest Blvd, Suite 110 Liver Transplant, Allentown, PA 18104-2309 | 2016-05-25 |
| 1821451139 | University of Penn-medical Group | Internal Medicine | 554 N Duke St, 3rd Floor Renal Transplant, Lancaster, PA 17602-2225 | 2016-04-04 |
| 1043670805 | University of Penn-medical Group | Internal Medicine | 554 N Duke St, 3rd Floor Gi Transplant, Lancaster, PA 17602-2225 | 2016-03-07 |
| 1730578667 | University of Penn-medical Group | Internal Medicine | 3400 Spruce St, Ground Floor Donner, Philadelphia, PA 19104-4238 | 2015-01-15 |
| 1073902169 | University of Penn-medical Group | Dermatology | 3400 Spruce St, 2 Rhoads Pavilion, Philadelphia, PA 19104-4238 | 2015-01-13 |
| 1184012569 | University of Penn-medical Group | Clinical Medical Laboratory | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2015-01-07 |
| 1821486846 | University of Penn-medical Group | Marriage & Family Therapist | 3535 Market St, 3rd Floor, Philadelphia, PA 19104-3309 | 2014-12-29 |
| 1740678762 | University of Penn-medical Group | Pathology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2014-12-29 |
| 1811385834 | University of Penn-medical Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 51 N 39th St, 266 Wright Saunders, Philadelphia, PA 19104-2640 | 2014-12-29 |
| 1275921298 | University of Penn-medical Group | Surgery | 51 N 39th St, Mob Suite 120, Philadelphia, PA 19104-2640 | 2014-12-29 |
| Street Address |
554 N DUKE ST 3RD FLOOR |
| City | LANCASTER |
| State | PA |
| Zip Code | 17602-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688663 | Karen Anne Suppi | Nurse Anesthetist, Certified Registered | 554 N Duke St, Ste.2, Lancaster, PA 17602-2225 | 2005-06-09 |
| 1508415761 | Marissa Thomas | Counselor | 554 N Duke St, Lancaster, PA 17602-2225 | 2019-09-10 |
| 1619447927 | Chelsea Varner | Physician Assistant | 554 N Duke St, Lancaster, PA 17602-2225 | 2018-11-29 |
| 1821451139 | University of Penn-medical Group | Internal Medicine | 554 N Duke St, 3rd Floor Renal Transplant, Lancaster, PA 17602-2225 | 2016-04-04 |
| 1043670805 | University of Penn-medical Group | Internal Medicine | 554 N Duke St, 3rd Floor Gi Transplant, Lancaster, PA 17602-2225 | 2016-03-07 |
| 1245504422 | Lancaster General Medical Group | Surgery | 554 N Duke St, Lancaster, PA 17602-2225 | 2012-03-06 |
| 1538328653 | Lancaster General Hospital | Family Medicine | 554 N Duke St, 3rd Floor, Lancaster, PA 17602-2225 | 2008-06-04 |
| 1780883819 | Milorad Marjanovic | Surgery | 554 N Duke St, Lancaster, PA 17602-2225 | 2007-07-18 |
| 1588873632 | Alisha Arora | Plastic Surgery | 554 N Duke St, Lancaster, PA 17602-2225 | 2007-05-22 |
| 1265578314 | Lancaster General Hospital | Psychologist | 554 N Duke St, 3rd Floor, Lancaster, PA 17602-2225 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
| 1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
| 1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
| 1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
| 1861989493 | Functional Freedom LLC | Occupational Therapist | 105 Heritage Rd., Lancaster, PA 17602 | 2018-04-19 |
| 1083094577 | Gracie Berry | Counselor | 413 Church St, Lancaster, PA 17602 | 2015-06-01 |
| 1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
| Find all providers in zip 17602 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154987626 | Masashi Furukawa | Transplant Surgery | 200 Lothrop St # C-900, Pittsburgh, PA 15213-2536 | 2019-05-10 |
| 1649750951 | Mario Castro Medina | Transplant Surgery | Upmc Childrens Hospital of Pittsburgh, 4401 Penn Avenue Faculty Pavillion 5th Floor, Pittsburgh, PA 15224 | 2018-08-16 |
| 1942687686 | Konstantinos Zorbas | Transplant Surgery | 3401 N. Board Street, Parkinson Pavilion - Zone C Suite 450, Philadelphia, PA 19140 | 2015-05-01 |
| 1982968582 | Goutham Kumar | Transplant Surgery | 7070 Forward Ave Apt 401, Pittsburgh, PA 15217-2549 | 2012-06-28 |
| 1740594241 | Edgar Enrique Ramos Diaz | Transplant Surgery | 3401 Forbes Ave, Apt. 306, Pittsburgh, PA 15213 | 2010-07-27 |
| 1326202888 | Vikraman Gunabushanam | Transplant Surgery | 3459 Fifth Av, 7 South, Pittsburgh, PA 15213 | 2008-07-14 |
| 1851558860 | Christine Du | Transplant Surgery | 1250 S Cedar Crest Blvd Ste 210, Allentown, PA 18103-6271 | 2008-05-19 |
| 1447217492 | Akhtar S Khan | Transplant Surgery | 138 N Woodland Rd, Pittsburgh, PA 15232-2850 | 2006-04-26 |
| 1114993748 | Ngoc L Thai | Transplant Surgery | 2566 Haymaker Rd Ste 311, Monroeville, PA 15146-3555 | 2006-02-24 |
| 1568462984 | Allegheny Clinic | Transplant Surgery | 320 E North Ave Fl 3, Pittsburgh, PA 15212-4756 | 2005-07-28 |
| Find all providers with the same taxonomy | ||||
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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.