MR. JOSEPH JOHN DOVIDIO III (NPI# 1962046110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962046110 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH JOHN DOVIDIO III |
| Credential | CRNP |
| Practice Address |
111 S 11th St Philadelphia PA 19107-4824 |
| Mailing Address |
111 S 11th St Ste G8490 Philadelphia PA 19107-4824 |
| Practice Telephone | 2675828960 |
| Mailing Telephone | 2159551120 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
SP020980 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
SP020980 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 Walnut St, Philadelphia, PA 191075191 | 2159556161 |
| Street Address |
111 S 11TH ST |
| 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 |
| Find all providers in the same location | ||||
| 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 | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497220065 | Chelsea Lynn Kerrigan | Nurse Practitioner | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2018-10-10 |
| 1013423441 | Angela Le Nguyen | Nurse Practitioner | 3400 Spruce St, 9 Founders, Philadelphia, PA 19104-4238 | 2017-12-21 |
| 1114173085 | Angela D Stewart | Nurse Practitioner | 5501 Old York Rd, Department of Cardiology, Philadelphia, PA 19141-3018 | 2008-08-12 |
| 1396911061 | Suzanne Elizabeth Odonnal Murphy | Nurse Practitioner | 34th Street & Civic Center Blvd, The Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2008-05-02 |
| 1295808772 | Jannette Delcampo | Nurse Practitioner | 5249 Cedar Ave, Suite A, Philadelphia, PA 19143-1524 | 2006-11-15 |
| 1679653521 | Mark D Weber | Nurse Practitioner | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2006-10-16 |
| 1912093402 | Eileen M Maloney-wilensky | Nurse Practitioner | 3400 Spruce St, 3 Silverstein Building, Philadelphia, PA 19104-4206 | 2006-10-04 |
| 1669573614 | Kelli B Young | Nurse Practitioner | 3400 Civic Center Blvd, Philadelphia, PA 19104-4306 | 2006-09-25 |
| 1861598831 | Megan Eileen Lettieri | Nurse Practitioner | 700 Spruce St, Ste. 304, Philadelphia, PA 19106-4022 | 2006-09-16 |
| 1023126471 | Christine Katharine Faust | Nurse Practitioner | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2006-08-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on MR. JOSEPH JOHN DOVIDIO III.
| 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.