JEFFERSON UNIVERSITY PHYSCIANS (NPI# 1912477324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912477324 |
| Entity Type | Organization |
| Organization Name | JEFFERSON UNIVERSITY PHYSCIANS |
| Practice Address |
3 Crescent Dr Fl 2 Philadelphia PA 19112-1016 |
| Mailing Address |
615 Chestnut St Fl 14 Philadelphia PA 19106-4404 |
| Practice Telephone | 2155033210 |
| Practice Fax Number | 2155037136 |
| Mailing Telephone | 2159559457 |
| Mailing Fax Number | 2159552420 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |
| Authorized Official Name | VALERIE YVETTE BRIGHT-BUTLER (ASSOC DIRECTOR OF ENROLLMENT) |
| Authorized Official Telephone | 2159559457 |
| Is Organization Subpart | Y |
| Parent Organization Name | JEFFERSON UNIVERSITY PHYSCIANS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Jefferson Primary Care at the Navy Yard | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588136055 | Jefferson University Physcians | Physician Assistant | 1020 Sansom St Fl 10, Philadelphia, PA 19107-5002 | 2018-12-21 |
| 1508031287 | Jefferson University Physcians | Anesthesiology | 833 Chestnut St, Suite 630, Philadelphia, PA 19107-4414 | 2008-04-24 |
| Street Address |
3 CRESCENT DR FL 2 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19112-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306862602 | Jeanne Llenado | Surgery | 3 Crescent Dr Fl 2, Philadelphia, PA 19112-1016 | 2006-07-14 |
| 1922570498 | Methodist Associates In Healthcare, Inc. | Dermatology | 3 Crescent Dr Fl 2, Philadelphia, PA 19112-1016 | 2018-12-21 |
| 1518028737 | Anne Marie Angeles | Dermatology | 3 Crescent Dr Fl 2, Philadelphia, PA 19112-1016 | 2006-12-12 |
| 1306865191 | Perry R. Weiner | Surgery | 3 Crescent Dr Fl 2, Philadelphia, PA 19112-1016 | 2006-07-19 |
| 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 | 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. |
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| 1285289876 | Visiting Doctors Inc | Family Medicine | 2338 S Broad St Ste 1, Philadelphia, PA 19145-4450 | 2019-08-09 |
| 1770137218 | Health Care At Northeast Philadelphia LLC | Family Medicine | 3353 Cottman Avenue, Philadelphia, PA 19149-1603 | 2019-08-01 |
| 1679131585 | Aria Health Physician Services | Family Medicine | 3998 Red Lion Rd Ste 204, Philadelphia, PA 19114-1440 | 2019-06-05 |
| 1689232597 | Aria Health Physician Services | Family Medicine | 5000 Frankford Ave Ste 1, Philadelphia, PA 19124-2620 | 2019-06-05 |
| 1174096432 | Temple University of The Commonwealth System of Higher Education | Family Medicine | 2300 W Master St Ste 109b, Philadelphia, PA 19121-4739 | 2019-01-09 |
| 1679043152 | Prevention Point Philadelphia | Family Medicine | 2913-15 Kensington Ave, Philadelphia, PA 19134-3016 | 2018-11-28 |
| 1700362266 | Wes Corporation | Family Medicine | 5000 N 13th St, Philadelphia, PA 19141-3533 | 2018-07-17 |
| 1376046508 | Philly Medical and Rehab Associates | Family Medicine | 6401 Rising Sun Ave, Philadelphia, PA 19111-5228 | 2018-03-14 |
| 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.