THOMAS R MIRSEN (NPI# 1902980352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902980352 |
| Entity Type | Individual |
| Full Name | THOMAS R MIRSEN |
| Credential | MD |
| Practice Address |
3 Cooper Plz Suite 215 (neurology) Camden NJ 08103-1438 |
| Mailing Address |
3 Cooper Plz Suite 320 Camden NJ 08103-1438 |
| Practice Telephone | 8563422445 |
| Practice Fax Number | 8569640504 |
| Mailing Telephone | 8563422445 |
| Mailing Fax Number | 8569640504 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2016-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MA54529 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTHNET | 3K6143 | 01 | |
| HORIZON NJ HEALTH | 1024720 | 01 | |
| AMERICHOICE | 010003879 | 01 | |
| AETNA | 0518267 | 01 | |
| UNITED HEALTHCARE | 1243169 | 01 | |
| UNIVERSITY HEALTH PLAN | 13517 | 01 | |
| AMERIHEALTH PPO | 567399 | 01 | |
| CIGNA | 7808502 | 01 | |
| RR MEDICARE | 110084266 | 01 | |
| OXFORD | P440700 | 01 | |
| AMERIHEALTH, KEYSTONE, IBC | 0388541000 | 01 | |
| NJ | 0651800 | 05 |
| Street Address |
3 COOPER PLZ SUITE 215 (NEUROLOGY) |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427241 | Christopher T Olivia | Ophthalmology | 3 Cooper Plz, Rm 510, Camden, NJ 08103-1438 | 2005-06-16 |
| 1932718897 | Yaritza Santana-orozco | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-27 |
| 1053929588 | Karl Leon Snyder | Counselor | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-21 |
| 1861000606 | Jordan Murphy | Community Health Worker | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-17 |
| 1740808823 | Alexandria Davenport | Physician Assistant | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-06 |
| 1457978629 | Osama M Sayed | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz, Camden, NJ 08103-1438 | 2020-07-02 |
| 1952948234 | Christy Lambert | Physical Therapist | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-12-05 |
| 1598301368 | Yamna Azhar | Pharmacist | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-11-26 |
| 1588215792 | Adisa Kljuco | Nurse Practitioner | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-09-28 |
| 1083272470 | Jasmine Marahar | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz, Camden, NJ 08103-1438 | 2019-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396933768 | Donald A Barone | Psychiatry & Neurology | 3 Cooper Plz Rm 215, Camden, NJ 08103 | 2007-10-10 |
| 1225408859 | Muhammet Furkan Yilmaz | Psychiatry & Neurology | 1 Cooper Plz, Camden, NJ 08103-1461 | 2015-09-25 |
| 1326420266 | Eric Nagele | Psychiatry & Neurology | 1 Cooper Plz, Camden, NJ 08103-1461 | 2015-06-28 |
| 1356789747 | Jesse Mitrani Thon | Psychiatry & Neurology | 1 Cooper Plz, Camden, NJ 08103 | 2013-06-07 |
| 1376819383 | Michael Weston | Psychiatry & Neurology | 3 Cooper Plz, Suite 320, Camden, NJ 08103 | 2012-03-24 |
| 1699055731 | Swarna Rajagopalan | Psychiatry & Neurology | 1 Cooper Plz, Camden, NJ 08103-1461 | 2011-08-21 |
| 1306167507 | Lourdes Medical Associates, P. A. | Psychiatry & Neurology | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2010-06-22 |
| 1396915203 | Lourdes Medical Associates, Pa | Psychiatry & Neurology | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2008-03-06 |
| 1902996796 | Joseph V Campellone | Psychiatry & Neurology | 3 Cooper Plz, Suite 215, Camden, NJ 08103-1438 | 2006-10-13 |
| 1073602868 | John E Bevilacqua | Psychiatry & Neurology | 3 Cooper Plz, Suite 320, Camden, NJ 08103-1438 | 2006-10-12 |
| Find all providers in CAMDEN | ||||
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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.