TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA


Address: 250 King of Prussia Rd, Radnor, PA 19087-5220
Phone: 6109025600

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204E00000X Oral & Maxillofacial Surgery PA Allopathic & Osteopathic Physicians

Other Provider Identifier

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

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Oklahoma Business Registrations TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA 3451 Walnut Street, Philadelphia, PA 19104

Office Location

Street Address 250 KING OF PRUSSIA RD
City RADNOR
State PA
Zip Code 19087-5220

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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City RADNOR
Zip Code 19087

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Dataset Information

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.

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