GARY G CARPENTER (NPI# 1922197961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922197961 |
| Entity Type | Individual |
| Full Name | GARY G CARPENTER |
| Credential | MD |
| Practice Address |
833 Chestnut Street East Suite 300 Philadelphia PA 19107-4413 |
| Mailing Address |
Po Box 191 Provider Enrollment Dept Rockland DE 19732-0191 |
| Practice Telephone | 2159555800 |
| Practice Fax Number | 2159234267 |
| Mailing Telephone | 3026516212 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
MD027633L | PA | Allopathic & Osteopathic Physicians |
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
MD027633 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1449702 | 05 | |
| MD | 1537512 | 05 | |
| PW | 0006661300013 | 05 | |
| PA | 000666130 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649533738 | Gary R Carpenter Jr. | Internal Medicine | 55 Greene Ave, Llb, Brooklyn, NY 11238-6406 | 2012-06-22 |
| 1043399678 | Gary E Carpenter Sr. | Dentist | 401 E 10th Ave, Suite 210, Eugene, OR 97401 | 2006-11-03 |
| 1336241801 | Gary Miller Carpenter | Social Worker | 5850 Town & Country Blvd, Suite 801, Frisco, TX 75034-6953 | 2006-09-03 |
| 1508845512 | Gary B. Carpenter | Allergy & Immunology | 1025 Maine St, Quincy, IL 62301-4038 | 2006-01-10 |
| Street Address |
833 CHESTNUT STREET EAST SUITE 300 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659369551 | Alisa A. Losasso | Pediatrics | 833 Chestnut Street East, Suite 300, Philadelphia, PA 19107-4405 | 2005-10-13 |
| 1275850604 | Meghan L. Harrison | Pediatrics | 833 Chestnut Street East, Suite 300, Philadelphia, PA 19107-4405 | 2010-04-25 |
| 1588990188 | Jennifer Benfield Ness | Physician Assistant | 833 Chestnut Street East, Suite 300, Philadelphia, PA 19107-4405 | 2009-11-02 |
| 1245471390 | Lori Rose Romano | Psychologist | 833 Chestnut Street East, Suite 300, Philadelphia, PA 19107-4405 | 2009-03-19 |
| 1366615924 | Jessica Langman Tomaszewski | Hospitalist | 833 Chestnut Street East, Suite 300, Philadelphia, PA 19107-4405 | 2008-04-03 |
| 1710177951 | Alisa Beth Schiffman | Pediatrics | 833 Chestnut Street East, Suite 300, Philadelphia, PA 19107-4405 | 2007-07-25 |
| 1346443215 | Mary Ross Sammon | Pediatrics | 833 Chestnut Street East, Suite 300, Philadelphia, PA 19107-4405 | 2007-06-07 |
| 1366581159 | William G. Mcnett | Pediatrics | 833 Chestnut Street East, Suite 300, Philadelphia, PA 19107-4405 | 2007-02-06 |
| 1548319932 | Charles A. Pohl | Pediatrics | 833 Chestnut Street East, Suite 300, Philadelphia, PA 19107-4405 | 2007-01-09 |
| 1194816504 | Judith B. Larkin | Pediatrics | 833 Chestnut Street East, Suite 300, Philadelphia, PA 19107-4405 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437367398 | Anita Azam | Pediatrics | 3601 A. Street, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2007-05-21 |
| 1316022494 | Judith L. Ross | Pediatrics | Dupont At Jefferson, 833 Chestnut Street East Suite 300, Philadelphia, PA 19107-4413 | 2006-10-26 |
| 1457349359 | Iraj Rezvani | Pediatrics | Erie Ave At Front St, Scpa Endocrinology, Philadelphia, PA 19134-1095 | 2005-10-13 |
| 1871137273 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-30 |
| 1083104418 | Stephanie Lauren Robbins | Pediatrics | 3500 Civic Center Blvd, Philadelphia, PA 19104-4395 | 2018-05-10 |
| 1194239954 | Ghada Faik Naji | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2017-11-30 |
| 1346750528 | Ohoud Saleh Alzahrani | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2017-10-02 |
| 1619400611 | Julia Crowley | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2017-04-06 |
| 1194110023 | Sandra Vazquez Diaz | Pediatrics | 3401 Civic Center Blvd, Division of Pediatric Endocrinology, Philadelphia, PA 19104 | 2015-03-28 |
| 1467846949 | Jaclyn Tamaroff | Pediatrics | 3401 Civic Center Blvd, Pediatric Endocrinology, Philadelphia, PA 19104 | 2015-03-23 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.