STC OPCO LLC (NPI# 1942846761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942846761 |
| Entity Type | Organization |
| Organization Name | STC OPCO LLC |
| Other Organization Name | ST CHRISTOPHERS HOSPITAL FOR CHILDREN IMMUNOLOGY |
| Practice Address |
160 E Erie Ave Philadelphia PA 19134-1011 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 2154275000 |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2020-01-02 |
| Authorized Official Name | GARY CONNER (VP & CFO) |
| Authorized Official Telephone | 4846288181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
Allopathic & Osteopathic Physicians | ||
| Y | 2080I0007X |
Pediatrics Specialization: Clinical & Laboratory Immunology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Christophers Hospital for Children Immunology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139691 | Stc Opco LLC | Medical Genetics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1033755855 | Stc Opco LLC | Clinic/Center | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1437795234 | Stc Opco LLC | Dentist | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1154967974 | Stc Opco LLC | Radiology | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1992341713 | Stc Opco LLC | Pathology | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1295371011 | Stc Opco LLC | Internal Medicine | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1619513439 | Stc Opco LLC | Emergency Medicine | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-11-27 |
| 1194368167 | Stc Opco LLC | Medicare Defined Swing Bed Unit | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-23 |
| 1285277251 | Stc Opco LLC | Clinic/Center | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-23 |
| Street Address |
160 E ERIE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19134-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919040 | Gabriel Hauser | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2005-08-17 |
| 1932700150 | Alexandria Nicole Torrisi | Physician Assistant | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-11-04 |
| 1508466913 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-27 |
| 1548867476 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-05 |
| 1760009450 | Cassandra Anne Pantano | Nurse Practitioner | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-06-29 |
| 1366068488 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-06-24 |
| 1992326789 | Kerby Zeisloft | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-05-03 |
| 1467073353 | Neil Himanshu Patel | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-05-01 |
| 1629699665 | Rose B Bayer | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-04-30 |
| 1972124931 | Neha Jadhav | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| 1588125793 | Bret Johnson | Student in an Organized Health Care Education/Training Program | Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 | 2019-03-29 |
| 1053881672 | Ana Y Almanzar | Psychologist | 3513 North Water Street, Philadelphia, PA 19134 | 2018-11-27 |
| 1861974206 | Stephanie C Curtis | Registered Nurse | St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 | 2018-09-01 |
| 1700371978 | Kristi Ford | Nurse Practitioner | 160 E Erie Ave # 21542, Philadelphia, PA 19134 | 2018-06-28 |
| 1700370178 | Natalie Martinez | Case Manager/Care Coordinator | 3528 I St Ste 1, Philadelphia, PA 19134 | 2018-06-19 |
| 1205352309 | Personal Injury Clinic PC | Chiropractor | 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 | 2017-08-21 |
| 1306376280 | Port Richmond Counseling Practices | Clinic/Center | 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 | 2017-06-14 |
| 1760864441 | Jason Roy Toews | Pediatrics | 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2015-06-18 |
| 1376933291 | David Tanney Yusavitz | Nurse Practitioner | 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 | 2015-01-30 |
| Find all providers in zip 19134 | ||||
| Taxonomy Code | 2080I0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Clinical & Laboratory Immunology |
| A pediatrician who specializes in clinical and laboratory immunology disease management. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A certification was, but is no longer issued by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184068462 | Stanley Alan Plotkin | Pediatrics | 4650 Wismer Rd, Doylestown, PA 18902-9326 | 2013-04-17 |
| 1972566099 | Vasundhara S Kakodkar | Pediatrics | 1922 Hay Ter, Easton, PA 18042-4615 | 2006-04-10 |
| 1801897129 | David B Cooperberg | Pediatrics | 1648 Huntingdon Pike, Meadowbrook, PA 19046-8001 | 2005-08-09 |
| City | PHILADELPHIA |
| Zip Code | 19134 |
Please comment or provide details below to improve the information on STC OPCO LLC.
| 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.