MERCY MANAGEMENT OF SEPA (NPI# 1932623857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932623857 |
| Entity Type | Organization |
| Organization Name | MERCY MANAGEMENT OF SEPA |
| Other Organization Name | MMSEPA P PCP 52ND OFFICE |
| Practice Address |
1575 N 52nd St Ste 800 Philadelphia PA 19131 |
| Mailing Address |
1 W Elm St Conshohocken PA 19428-4108 |
| Practice Telephone | 2157484700 |
| Practice Fax Number | 2154731515 |
| Mailing Telephone | 6105676964 |
| Mailing Fax Number | 6105675420 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2018-06-28 |
| Authorized Official Name | BETH HOPKINS (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 6105675239 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
PA | Behavioral Health & Social Service Providers | |
| Y | 207Q00000X | Family Medicine | PA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MMSEPA P PCP 52nd Office | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
| 1447776729 | Mercy Management of Sepa | Internal Medicine | 1501 Lansdowne Ave Ste 302, Darby, PA 19023-1333 | 2017-08-17 |
| 1255857538 | Mercy Management of Sepa | Internal Medicine | 1501 Lansdowne Ave Ste 305, Darby, PA 19023-1333 | 2017-08-17 |
| 1427573492 | Mercy Management of Sepa | Neurological Surgery | 2701 Holme Ave Ste 305, Phila, PA 19152-2029 | 2017-08-10 |
| 1972027688 | Mercy Management of Sepa | Family Medicine | 501 S 54th St Ste 26, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1982128690 | Mercy Management of Sepa | Internal Medicine | 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1598289209 | Mercy Management of Sepa | Family Medicine | 2821 Island Ave Ste De, Philadelphia, PA 19153-2300 | 2017-08-03 |
| 1285158105 | Mercy Management of Sepa | Family Medicine | 925 Providence Rd Ste 8/9, Secane, PA 19018-2920 | 2017-08-02 |
| 1740704667 | Mercy Management of Sepa | Family Medicine | 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 | 2017-08-02 |
| 1831189612 | Mercy Management of Sepa | Internal Medicine | 5630 Chestnut St, Philadelphia, PA 19139-3232 | 2005-10-24 |
| Street Address |
1575 N 52ND ST STE 800 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790287274 | Anne Antonenko | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131-4741 | 2018-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| 1588104988 | Attentive Care Service Agency, Inc. | In Home Supportive Care | 5070 Parkside Ave Ste 1421, Philadelphia, PA 19131 | 2017-03-03 |
| Find all providers in zip 19131 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| 1225648140 | Action Health Centers Inc | Family Medicine | 1006 W Lehigh Ave Ste 200, Philadelphia, PA 19133-1640 | 2020-08-05 |
| 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 | 19131 |
Please comment or provide details below to improve the information on MERCY MANAGEMENT OF SEPA.
| 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.