MAXILLOFACIAL SURGICAL ASSOCIATES, P.C. (NPI# 1942573902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942573902 |
| Entity Type | Organization |
| Organization Name | MAXILLOFACIAL SURGICAL ASSOCIATES, P.C. |
| Practice Address |
1601 Walnut St Suite 1116 Philadelphia PA 19102-2944 |
| Practice Telephone | 2156400811 |
| Practice Fax Number | 2156400912 |
| Mailing Telephone | 2156400811 |
| Mailing Fax Number | 2156400912 |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |
| Authorized Official Name | DR. ALLAN S. SHAW (PRESIDENT) |
| Authorized Official Telephone | 2156400811 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1601 WALNUT ST SUITE 1116 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-2944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110272 | Philadelphia Dental Cosmetics | Dentist | 1601 Walnut St, Suite 822, Philadelphia, PA 19102 | 2020-03-25 |
| 1023653433 | Meryl Claudia Tucker | Social Worker | 1601 Walnut St, Philadelphia, PA 19102-2944 | 2019-11-08 |
| 1093259772 | Jessica Pavelka | Counselor | 1601 Walnut St, Suite 1005, Philadelphia, PA 19102-2944 | 2016-12-14 |
| 1710330972 | Ken Lin Dmd PC | Dentist | 1601 Walnut St, Suite 402, Philadelphia, PA 19102-2944 | 2016-07-22 |
| 1730554809 | Stone Bridge Wellness Pllc | Chiropractor | 1601 Walnut St, Suite 514, Philadelphia, PA 19102-2944 | 2015-12-01 |
| 1538530811 | Erin E Berstler | Marriage & Family Therapist | 1601 Walnut St, Suite 400, Philadelphia, PA 19102-2944 | 2015-10-13 |
| 1639540909 | Dr. April Perrymore and Associates, LLC | Psychologist | 1601 Walnut St, Suite 400, Philadelphia, PA 19102-2944 | 2015-10-13 |
| 1417330309 | Archana N Kasi | Dentist | 1601 Walnut St, Suite 402, Philadelphia, PA 19102-2944 | 2015-07-09 |
| 1093197964 | Pearl Dental LLC | Dentist | 1601 Walnut St, Suite 1111, Philadelphia, PA 19102-2944 | 2015-06-26 |
| 1750768768 | Dr. Steven Solow Dmd PC | Dentist | 1601 Walnut St, Suite 1014, Philadelphia, PA 19102-2944 | 2015-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376990853 | Center City Oral & Maxillofacial Surgery | Oral & Maxillofacial Surgery | 1740 South St Ste 302, Philadelphia, PA 19146-1572 | 2016-05-16 |
| 1730268079 | Children's Surgical Associates Ltd | Oral & Maxillofacial Surgery | 34th & Civc Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2006-11-06 |
| 1598724288 | Gerard T. Dowd | Oral & Maxillofacial Surgery | 9525 Frankford Ave, Philadelphia, PA 19114-2812 | 2006-03-21 |
| 1245885060 | Sean Jia Hoong Lim | Oral & Maxillofacial Surgery | 909 Walnut St Fl 3, Philadelphia, PA 19107-5211 | 2019-08-08 |
| 1457706608 | Katherine Alden Doan France | Oral & Maxillofacial Surgery | 3400 Civic Center Blvd, South Pavilion, 4th Floor, Philadelphia, PA 19104-5127 | 2016-04-25 |
| 1811202633 | Rabie M Shanti | Oral & Maxillofacial Surgery | 3400 Civic Center Blvd, South Pavilion, 3rd Floor, Philadelphia, PA 19104-5127 | 2010-08-17 |
| 1649506577 | Takako Tanaka | Oral & Maxillofacial Surgery | 3400 Civic Center Blvd, 4th Floor, South Pavilion, Philadelphia, PA 19104-5127 | 2009-10-28 |
| 1922237981 | Neeraj H. Panchal | Oral & Maxillofacial Surgery | 3400 Civic Center Blvd., 4th Floor, South Pavilion, Philadelphia, PA 19104 | 2009-07-10 |
| 1023244654 | Steven W Wang | Oral & Maxillofacial Surgery | 3400 Spruce St, One Maloney, Philadelphia, PA 19104-4206 | 2009-06-10 |
| 1538395843 | Rania A Habib | Oral & Maxillofacial Surgery | 3400 Civic Center Blvd Fl 4, Philadelphia, PA 19104-5127 | 2009-06-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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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.