TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (NPI# 1962518381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962518381 |
Entity Type | Organization |
Organization Name | TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA |
Practice Address |
250 King of Prussia Rd Radnor PA 19087-5220 |
Mailing Address |
3624 Market St Suite 560w Philadelphia PA 19104-2614 |
Practice Telephone | 6109025600 |
Practice Fax Number | 6109025604 |
Mailing Telephone | 2156622286 |
Mailing Fax Number | 2156150500 |
Enumeration Date | 2006-08-21 |
Last Update Date | 2014-01-06 |
Authorized Official Name | ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2156627583 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgery | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1001258770 | 05 | |
PA | MERCY | 1043406 | 01 |
PA | ACS | 116472401 | 01 |
PA | HEALTHNET | 0002Y21509 | 01 |
PA | HEALTHPARTNERS | 18326 | 01 |
PA | AETNA | 710754 | 01 |
PA | KEYSTONE | 0430126000 | 01 |
PA | MAMSI | 273375 | 01 |
PA | BLUE SHIELD | 965753 | 01 |
PA | RR MEDICARE | CN3217 | 01 |
PA | EEIOC | 300654 | 01 |
PA | AMERICHOICE | G00024130 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366835910 | Trustees of The University of Pennsylvania | Pharmacy | 3400 Civic Center Blvd # 101w, Philadelphia, PA 19104-5127 | 2015-03-06 |
1538210380 | Trustees of The University of Pennsylvania | PACE Provider Organization | 4101 Woodland Ave, Philadelphia, PA 19104-4510 | 2007-01-16 |
1629128814 | Trustees of The University of Pennsylvania | Dentist | 240 South 40th Street, Philadelphia, PA 19104-6003 | 2007-01-11 |
1922029982 | Trustees of The University of Pennsylvania | Pharmacy | 145 King of Prussia Rd Ste 109n, Radnor, PA 19087-4557 | 2006-07-22 |
1992788350 | Trustees of The University of Pennsylvania | Durable Medical Equipment & Medical Supplies | 625 Clark Ave, Suite 10, King of Prussia, PA 19406-1438 | 2005-11-21 |
1659829877 | Trustees of The University of Pennsylvania | Pharmacy | 1001 Chesterbrook Blvd, 1st Floor, Berwyn, PA 19312-3805 | 2016-09-16 |
1023373511 | Trustees of The University of Pennsylvania | Internal Medicine | 3400 Spruce St, Ground Floor Donner, Philadelphia, PA 19104-4206 | 2012-07-10 |
1740411651 | Trustees of The University of Pennsylvania | Family Medicine | 3535 Market St, Ste 100, Philadelphia, PA 19104-3309 | 2009-07-28 |
1972780419 | Trustees of The University of Pennsylvania | Pharmacy | 3400 Spruce St, Ravdin 1, Philadelphia, PA 19104-4238 | 2008-01-28 |
1457568883 | Trustees of The University of Pennsylvania | Clinical Medical Laboratory | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2007-05-16 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oklahoma Business Registrations | TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA | 3451 Walnut Street, Philadelphia, PA 19104 |
Street Address |
250 KING OF PRUSSIA RD |
City | RADNOR |
State | PA |
Zip Code | 19087-5220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902881329 | Mark Bertram Sostek | Internal Medicine | 250 King of Prussia Rd, Penn Medicine At Radnor, Radnor, PA 19087-5220 | 2005-12-08 |
1255972956 | Nichelle M Logan | Pharmacist | 250 King of Prussia Rd, Radnor, PA 19087-5227 | 2019-10-03 |
1205344959 | Trudy A Lauro | Nurse Practitioner | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2018-01-16 |
1578088712 | Marilyn Grace Purvis | Nurse Practitioner | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2017-08-09 |
1134654361 | Susan Prescott Thompson | Nurse Practitioner | 250 King of Prussia Rd, Suite 2j, Radnor, PA 19087-5235 | 2017-04-25 |
1477917433 | Kari Adams Torp | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5220 | 2016-04-06 |
1528450087 | Amber Silas | Nurse Practitioner | 250 King of Prussia Rd, Ste 1b, Radnor, PA 19087-5235 | 2015-02-20 |
1144665860 | Jennifer Lynne Michener | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2013-05-08 |
1235572066 | Lilia Lakhtman | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2013-04-11 |
1952744989 | Meaghan Henrici | Internal Medicine | 250 King of Prussia Rd, Radnor, PA 19087-5235 | 2013-04-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063037455 | Melissa Chipollini | Counselor | 487 Devon Park, Wayne, PA 19087 | 2020-06-11 |
1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
1538654363 | Brightview Wayne, LLC | Alzheimer Center (Dementia Center) | 301 E. Conestoga Road, Wayne, PA 19087 | 2018-06-25 |
1396234076 | Life Clinic of Pa PC | Physical Therapist | 700 E. Swedesford Rd., Wayne, PA 19087 | 2018-05-08 |
1841717246 | Laurie Anne Griffith | Counselor | 300 King of Prussia Rd, 2nd Floor, Radnor, PA 19087 | 2017-08-25 |
1457871279 | Tracy Kornafel | Physical Therapist | 288 Iven Ave, Apt 1a, Wayne, PA 19087 | 2017-06-22 |
1366980153 | Jodi Miller | Physical Therapist | 999 Old Eagle School Rd., Suite 106, Wayne, PA 19087 | 2017-02-01 |
1891244844 | Elite Pt LLC | Physical Therapist | 555 E Lancaster Ave Ste 30, Saint Davids, PA 19087 | 2016-09-30 |
1386190015 | Patrick Hanratty | Counselor | 468 Upper Weadley Rd, Wayne, PA 19087 | 2016-09-01 |
1316494958 | Main Line Day, LLC | Psychologist | 487 Devon Park Drive, Suite 207, Wayne, PA 19087 | 2016-09-01 |
Find all providers in zip 19087 |
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 |
---|---|---|---|---|
1992741177 | Thomas P Sollecito | Oral & Maxillofacial Surgery | 250 King of Prussia Rd, Oral & Maxillofacial Surgery, Radnor, PA 19087-5235 | 2006-06-22 |
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 |
1962782318 | Stuart None Heydt | Oral & Maxillofacial Surgery | 544 Olde Course Rd, Hershey, PA 17033-1337 | 2011-08-17 |
1356629711 | Chintan I Patel | Oral & Maxillofacial Surgery | 2225 Kohn Rd, Harrisburg, PA 17110-9604 | 2011-08-02 |
1023338845 | Donald E Roland Jr. | Oral & Maxillofacial Surgery | 500 Heritage Dr, Pottstown, PA 19464-3233 | 2010-06-03 |
1669694964 | Aloysius Vincetn Murcko Sr. | Oral & Maxillofacial Surgery | 7421 Sharon Mercer Road, Mercer, PA 16137-6538 | 2007-05-03 |
1780705475 | Drs Ronald & Christopher Dileo | Oral & Maxillofacial Surgery | 4104 W Tilghman Street, Allentown, PA 18104 | 2007-04-02 |
1760544282 | Richard T Kingston Jr. | Oral & Maxillofacial Surgery | 2414 Schoenersville Rd, Bethlehem, PA 18017 | 2006-12-14 |
1144396177 | Pasqual Associates | Oral & Maxillofacial Surgery | 603 Washington Road, Pittsburgh, PA 15228-1909 | 2006-11-28 |
1033283841 | Quad County Oral & Maxillofacial Surgery | Oral & Maxillofacial Surgery | 114 East Dimond St, Butler, PA 16001-5906 | 2006-11-20 |
1730268079 | Children's Surgical Associates Ltd | Oral & Maxillofacial Surgery | 34th & Civc Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2006-11-06 |
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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.