CORE PERFORMANCE PHYSICIANS (NPI# 1912371048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912371048 |
| Entity Type | Organization |
| Organization Name | CORE PERFORMANCE PHYSICIANS |
| Other Organization Name | VINCERA CORE PHYSICIANS |
| Practice Address |
1200 Constitution Ave Suite 110 Philadelphia PA 19112-1329 |
| Practice Telephone | 2675923200 |
| Practice Fax Number | 8883933980 |
| Mailing Telephone | 2675923200 |
| Mailing Fax Number | 8883933980 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2016-02-08 |
| Authorized Official Name | ANN MARIE O'SHEA (CEO) |
| Authorized Official Telephone | 2675923200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
MD442923 | PA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD437907 | PA | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP015772 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 208600000X | Surgery | MD072993L | PA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Vincera Core Physicians | Doing Business As Name - Organization |
| Street Address |
1200 CONSTITUTION AVE SUITE 110 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19112-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437196482 | William Clark Meyers | Surgery | 1200 Constitution Ave, Suite 110, Philadelphia, PA 19112-1329 | 2006-05-31 |
| 1538716378 | Rachel Stephanie Hoffman | Physical Therapist | 1200 Constitution Ave, Philadelphia, PA 19112-1329 | 2019-08-26 |
| 1558730010 | Alex Skacel | Physical Therapist | 1200 Constitution Ave, Philadelphia, PA 19112-1329 | 2015-09-15 |
| 1780065847 | Brooke Havens | Specialist/Technologist | 1200 Constitution Ave, Suite 110, Philadelphia, PA 19112-1329 | 2015-06-15 |
| 1518366517 | Core Performance Physicians, LLC | Surgery | 1200 Constitution Ave, Suite 110, Philadelphia, PA 19112-1329 | 2014-08-15 |
| 1699186940 | Robyn Mccrossin | Physical Therapist | 1200 Constitution Ave, Suite 210, Philadelphia, PA 19112-1329 | 2014-05-08 |
| 1235571605 | Cara Marzano | Physical Therapist | 1200 Constitution Ave, Suite 210, Philadelphia, PA 19112-1306 | 2013-07-25 |
| 1346680675 | Vincera Rehab, LLC | Clinic/Center | 1200 Constitution Ave, Suite 210, Philadelphia, PA 19112-1306 | 2013-07-01 |
| 1366886913 | Vincera Surgery Center, LLC | Clinic/Center | 1200 Constitution Ave, Suite 100, Philadelphia, PA 19112-1306 | 2013-04-25 |
| 1396084497 | Independence Imaging, LLC | Clinic/Center | 1200 Constitution Ave, Suite 120, Philadelphia, PA 19112-1329 | 2013-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265950802 | M&m Surgical Center PC | Clinic/Center | 1 Crescent Dr. Suite 300, Philadelphia, PA 19112 | 2017-09-05 |
| 1710114293 | Riverview Surgery Center At The Navy Yard Lp | Clinic/Center | Three Crescent Drive, Navy Yard Corporate Center, Philadelphia, PA 19112 | 2009-06-11 |
| 1023136942 | Susan Elizabeth Fredericks | Physician Assistant | 1 Crescent Drive Suite 100, Navy Yard Corporate Center, Philadelphia, PA 19112 | 2007-03-27 |
| 1023132867 | Healthmark, Incorporated | Clinic/Center | 1 Crescent Dr., Navy Yard Suite 100, Philadelphia, PA 19112 | 2007-03-19 |
| 1932526258 | Anne Catherine Kane | Otolaryngology | 3 Crescent Dr, Philadelphia, PA 19112 | 2014-03-25 |
| 1255539896 | Sheldon Gottlieb | Physical Medicine & Rehabilitation | 1 Crescent Dr, Suite 100, Philadelphia, PA 19112 | 2007-07-05 |
| 1407074750 | Jennifer L Johansen | Pharmacist | 5 Crescent Dr, Ny0200, Philadelphia, PA 19112-1001 | 2007-04-23 |
| 1679981708 | Andrew Trofa | Internal Medicine | 5 Crescent Dr, Ny 0300, Philadelphia, PA 19112-1001 | 2014-08-01 |
| 1508029463 | Robert Williams Carr | Preventive Medicine | 5 Crescent Dr, Ny 0300, Philadelphia, PA 19112-1001 | 2008-07-09 |
| 1952947152 | Navy Yard Dental Associates, Pllc | Dentist | 1 Crescent Dr Ste 300, Philadelphia, PA 19112-1015 | 2019-11-22 |
| Find all providers in zip 19112 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1962993170 | Brian M Till | Surgery | 1015 Walnut Street, Suite 620 Curtis, Philadelphia, PA 19107-5005 | 2018-05-23 |
| 1356838932 | Walker Lyons | Surgery | 1015 Walnut St Ste 210, Philadelphia, PA 19107-5005 | 2018-04-18 |
| 1790213114 | Matthew Paul Mullarkey | Surgery | 3401 N Broad St Ste C405, Philadelphia, PA 19140-5103 | 2017-05-30 |
| 1528424090 | Zhen Lu | Surgery | 5401 Old York Rd # Klein101, Philadelphia, PA 19141-3030 | 2016-01-13 |
| 1235517996 | David Kim | Surgery | 3401 N Broad St # 3ppc388, Philadelphia, PA 19140 | 2015-05-14 |
| 1578941282 | Amanda Elizabeth Deliere | Surgery | 3400 N Broad St, Philadelphia, PA 19140-5104 | 2015-05-13 |
| 1649660804 | Deviney Rattigan | Surgery | 1110 Lombard St Apt 24, Philadelphia, PA 19147-1206 | 2015-01-27 |
| 1346676988 | Aviva Wallace Kaplin | Surgery | 20 E Abington Ave, Philadelphia, PA 19118-3410 | 2013-09-15 |
| 1619300571 | Roshin Thomas | Surgery | 8815 Germantown Ave Fl 2, Philadelphia, PA 19118-2722 | 2013-08-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19112 |
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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.