DR. DANIEL DEAN SACKETT (NPI# 1952510372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952510372 |
Entity Type | Individual |
Full Name | DR. DANIEL DEAN SACKETT |
Credential | M.D. |
Practice Address |
111 S 11th St Suite 2170 Philadelphia PA 19107-4824 |
Mailing Address |
707 Walnut St Apt 2f Philadelphia PA 19106-3208 |
Practice Telephone | 2159556610 |
Practice Fax Number | 2155034053 |
Mailing Telephone | 2158692806 |
Enumeration Date | 2007-05-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | MT190613 | PA | Allopathic & Osteopathic Physicians |
Street Address |
111 S 11TH ST SUITE 2170 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19107-4824 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346246642 | Flavius F. Guglielmo | Radiology | 111 S 11th St, Suite 3390, Philadelphia, PA 19107-4824 | 2005-06-22 |
1265046569 | Sherman John Torres | Nurse Anesthetist, Certified Registered | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-09-03 |
1609489376 | Andrew Michael Mcguire | Registered Nurse | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-08-24 |
1326657420 | Daniel Joseph Leehan | Pharmacist | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-07-24 |
1013539436 | Kashyap Rajendra Chauhan | Internal Medicine | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-05-07 |
1134749385 | Maria Mattioli | Nurse Practitioner | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-04-17 |
1598392151 | Amine Sahmoud | Student in an Organized Health Care Education/Training Program | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-03-24 |
1346877198 | Abigail M O'connell | Nurse Practitioner | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-03-23 |
1396370342 | Alexandra Elder | Student in an Organized Health Care Education/Training Program | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-03-10 |
1134754252 | Christopher James Neely | Student in an Organized Health Care Education/Training Program | 111 S 11th St, Philadelphia, PA 19107-4824 | 2020-03-09 |
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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 |
Find all providers in zip 19107 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336444843 | Leonard Arnold Frank | Urology | 1025 Walnut St Suite 1112, Philadelphia, PA 19107 | 2011-01-13 |
1427369867 | Gregory Joseph Diorio | Urology | 231 N. Broad Street 2nd Floor, Philadelphia, PA 19107-2020 | 2010-06-30 |
1649451535 | Yew Lam Chong | Urology | 1025 Walnut St Ste 1112, Thomas Jefferson University Hospital, Philadelphia, PA 19107-5001 | 2007-11-19 |
1851586150 | Dana Alexandra Weiss | Urology | 34th and Civic Center Blvd Department, Children's Hospital of Philadelphia -urology Dept., Philadelphia, PA 19104-4399 | 2007-09-10 |
1922165000 | Phillip Mucksavage | Urology | 299 South 8th Street, Philadelphia, PA 19106-4010 | 2007-01-02 |
1215033618 | Michael Adrian Daniels | Urology | 2 Penn Blvd Ste 206, Philadelphia, PA 19144-1403 | 2006-09-15 |
1366553745 | Victor L Torres | Urology | 125 E Lehigh Avenue, Philadelphia, PA 19125 | 2006-08-31 |
1346280633 | Joseph K Izes | Urology | 833 Chestnut St Ste 703, Philadelphia, PA 19107-4409 | 2006-06-07 |
1790748838 | Victor Leonard Carpiniello | Urology | 299 S 8th St, Philadelphia, PA 19106-4010 | 2006-04-10 |
1770570798 | Melanie Ina Amster | Urology | 1216 Arch St, Suite 3b, Philadelphia, PA 19107-2835 | 2005-10-04 |
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.