DR. MARYALICE CHENEY (NPI# 1952464877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952464877 |
| Entity Type | Individual |
| Full Name | DR. MARYALICE CHENEY |
| Credential | M.D. |
| Practice Address |
1100 Walnut St Suite 702 Philadelphia PA 19107-5563 |
| Practice Telephone | 2159237176 |
| Practice Fax Number | 2159552404 |
| Mailing Telephone | 2159237176 |
| Mailing Fax Number | 2159552404 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | MD025382E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1119530 | 05 |
| Street Address |
1100 WALNUT ST SUITE 702 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932193182 | Michael D Stillman | Internal Medicine | 1100 Walnut St, Suite 601, Philadelphia, PA 19107-5563 | 2005-09-02 |
| 1760968150 | Jessica Christina Russo | Genetic Counselor, MS | 1100 Walnut St, Philadelphia, PA 19107-5563 | 2018-07-18 |
| 1326481565 | Jonathan Pan | Internal Medicine | 1100 Walnut St, 3rd Floor, Philadelphia, PA 19107-5563 | 2013-04-08 |
| 1891030961 | Lori Pellegrino | Nurse Practitioner | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2012-11-30 |
| 1013281633 | Catherine Gill-preston | Nurse Practitioner | 1100 Walnut St, Mob 7th Floor, Philadelphia, PA 19107-5563 | 2012-02-29 |
| 1316225857 | Shawnna Cannaday | Nurse Practitioner | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2011-08-02 |
| 1003104274 | Anirudh Kohli | Surgery | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2011-07-21 |
| 1730486366 | Michael Pucci | Surgery | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2011-02-17 |
| 1801102223 | Matthew William Laporta | Surgery | 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 | 2010-08-23 |
| 1437393634 | Anne L. Rosenberg, M.d. | Specialist | 1100 Walnut St, Suite 303, Philadelphia, PA 19107-5563 | 2009-05-01 |
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| 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 |
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| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154719276 | University of Penn-medical Group | Colon & Rectal Surgery | 3400 Civic Center Blvd, 4 West, Philadelphia, PA 19104-5127 | 2014-12-23 |
| 1124292487 | Joshua I Bleier | Colon & Rectal Surgery | 700 Spruce Street, Suite 305, Philadelphia, PA 19106-3500 | 2008-04-17 |
| 1801910039 | Trustees of The University of Pennsylvania | Colon & Rectal Surgery | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2007-03-16 |
| 1336171636 | Robert D Fry | Colon & Rectal Surgery | 3400 Spruce St, 4 Silverstein Bldg, Philadelphia, PA 19104 | 2006-07-07 |
| 1114959178 | Robin E. Rosenberg | Colon & Rectal Surgery | 7936 Bustleton Ave, Philadelphia, PA 19152-3321 | 2006-07-07 |
| 1093745069 | John L Rombeau | Colon & Rectal Surgery | 3401 N Broad St, 4 Parkinson Pavilion/zone C, Philadelphia, PA 19140-5103 | 2006-07-04 |
| 1780614784 | Najjia N Mahmoud | Colon & Rectal Surgery | 3400 Spruce St, 4 Silverstein Bldg, Philadelphia, PA 19104 | 2006-07-04 |
| 1932148756 | Eugene Patrick Hughes Jr. | Colon & Rectal Surgery | 8815 Germantown Ave, Suite 20, Philadelphia, PA 19118 | 2006-06-06 |
| 1134184468 | Aria Health Physician Services-surgery | Colon & Rectal Surgery | 3998 Red Lion Rd, Suite 235, Philadelphia, PA 19114-1436 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508050394 | Jennifer Ann Mcquade | Colon & Rectal Surgery | 145 W 23rd St Ste 201, Erie, PA 16502-2858 | 2007-09-05 |
| 1841328309 | Kristen L Halm | Colon & Rectal Surgery | 1255 S Cedar Crest Blvd Ste 3900, Allentown, PA 18103-6250 | 2007-02-28 |
| 1962426684 | Thomas Michael Mazza | Colon & Rectal Surgery | 3907 N Front St, Harrisburg, PA 17110 | 2006-07-26 |
| 1548215296 | Rectal and Colon Surgery Inc | Colon & Rectal Surgery | 3216 State St, Erie, PA 16508-2822 | 2006-05-23 |
| 1447218557 | Lowell D Meyerson | Colon & Rectal Surgery | 50 E Township Line Rd, Ste 226, Elkins Park, PA 19027 | 2006-05-01 |
| 1992782254 | Pricha Boonswang | Colon & Rectal Surgery | 2358 Gruver Ave, Easton, PA 18045-2808 | 2005-12-28 |
| 1922081785 | Thomas J Nicholson | Colon & Rectal Surgery | 1703 Innovation Dr Ste 3136, York, PA 17408-8815 | 2005-11-25 |
| 1922094440 | Edward J Glennon | Colon & Rectal Surgery | 300 State St Ste 401, Erie, PA 16507-1438 | 2005-09-20 |
| 1326048901 | Allegheny Clinic | Colon & Rectal Surgery | 320 E North Ave Ste 261, Pittsburgh, PA 15212-4756 | 2005-07-26 |
| 1043219363 | Bradley A Levinson | Colon & Rectal Surgery | 105 Brandt Dr, Suite 202, Cranberry Twp, PA 16066-6437 | 2005-07-19 |
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| 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.