DREXEL UNIVERSITY (NPI# 1962565242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962565242 |
| Entity Type | Organization |
| Organization Name | DREXEL UNIVERSITY |
| Other Organization Name | DREXEL CENTER DIGESTIVE HEALTH-ASC |
| Practice Address |
219 N Broad St 5th Floor Philadelphia PA 19107-1519 |
| Mailing Address |
1601 Cherry St Suite 11511 Philadelphia PA 19102-1321 |
| Practice Telephone | 2157626220 |
| Practice Fax Number | 2157625034 |
| Mailing Telephone | 2152557822 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2014-06-04 |
| Authorized Official Name | DAVID JANIEC (DIRECTOR OF PAYER CONTRACTING) |
| Authorized Official Telephone | 2152557766 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
17271501 | PA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Drexel Center Digestive Health-ASC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598271207 | Drexel University | Social Worker | 1505 Race St Fl 6, Philadelphia, PA 19102-1119 | 2017-12-18 |
| 1265847560 | Drexel University | Preferred Provider Organization | 245 N 15th St # Ms 488, Philadelphia, PA 19102-1101 | 2014-06-25 |
| 1366870842 | Drexel University | Clinic/Center | 1601 Cherry St Fl 2, Parkway Health & Wellness Ms21041, Philadelphia, PA 19102-1306 | 2013-10-21 |
| 1134386147 | Drexel University | Dietitian, Registered | 219 N. Broad St., 9th Floor, Philadelphia, PA 19107 | 2008-05-19 |
| 1740335603 | Drexel University | Internal Medicine | 219 N Broad St Fl 9, Philadelphia, PA 19107-1506 | 2007-01-23 |
| 1760015283 | Drexel University | Family Medicine | 1427 Vine St Fl 2, Philadelphia, PA 19102-1031 | 2020-02-13 |
| 1659875284 | Drexel University | Internal Medicine | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2018-03-20 |
| 1790203669 | Drexel University | Nurse Practitioner | 1601 Cherry St Fl 2, Philadelphia, PA 19102-1306 | 2017-08-31 |
| 1184168858 | Drexel University | Case Management | 1601 Cherry St, Suite 11498, Philadelphia, PA 19102-1320 | 2016-12-14 |
| 1598134611 | Drexel University | Clinic/Center | 230 N Broad St, 18th Floor, Philadelphia, PA 19102-1121 | 2015-09-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | DREXEL UNIVERSITY | 3201 Arch St Ste 420, Philadelphia, PA 19104-2755 |
| North Carolina Corporations | Drexel University | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Street Address |
219 N BROAD ST 5TH FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356917 | Jeffrey Brian Hoag | Internal Medicine | 219 N Broad St, 9th Floor, Philadelphia, PA 19107-1519 | 2005-06-20 |
| 1346872116 | Tower Drexel Academic Medical Group LLC | Family Medicine | 219 N Broad St, 8th Fl, Philadelphia, PA 19107-1519 | 2020-02-10 |
| 1629638374 | Osama Mufti | Ophthalmology | 219 N Broad St, Philadelphia, PA 19107-1519 | 2019-06-15 |
| 1538510730 | Emily Gnatt | Audiologist | 219 N Broad St, 10th Floor, Philadelphia, PA 19107-1519 | 2016-06-29 |
| 1295100493 | Jessica Cerasoli | Physician Assistant | 219 N Broad St, Philadelphia, PA 19107-1519 | 2015-12-14 |
| 1992129522 | Zachari Breeding | Dietitian, Registered | 219 N Broad St, 9th Floor, Philadelphia, PA 19107-1519 | 2014-02-18 |
| 1588915649 | Danielle Elizabeth Brown | Physician Assistant | 219 N Broad St, 7th Floor, Philadelphia, PA 19107-1519 | 2012-09-28 |
| 1487918611 | Andrew Ow | Family Medicine | 219 N Broad St, 1st Floor, Philadelphia, PA 19107-1519 | 2012-07-03 |
| 1396006508 | Jing Xing Zhang | Dermatology | 219 N Broad St, 4th Floor, Philadelphia, PA 19107-1519 | 2012-06-04 |
| 1114286614 | Kelly Anne Williamson | Ophthalmology | 219 N Broad St, 3rd Floor, Philadelphia, PA 19107-1519 | 2012-05-04 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154839553 | American Access Care of Sp LLC | Clinic/Center | 2412 W Passyunk Ave # 14, Philadelphia, PA 19145-4114 | 2018-01-19 |
| 1265950802 | M&m Surgical Center PC | Clinic/Center | 1 Crescent Dr. Suite 300, Philadelphia, PA 19112 | 2017-09-05 |
| 1154787117 | The Pennsylvania Surgery and Laser Center LLC | Clinic/Center | 601 Franklin Mills Cir, Philadelphia, PA 19154-3124 | 2016-01-06 |
| 1023347226 | The Children's Hospital of Philadelphia | Clinic/Center | 34th & Civic Center Ave, Philadelphia, PA 19104 | 2009-12-17 |
| 1710114293 | Riverview Surgery Center At The Navy Yard Lp | Clinic/Center | Three Crescent Drive, Navy Yard Corporate Center, Philadelphia, PA 19112 | 2009-06-11 |
| 1083750103 | Perry Black | Clinic/Center | 219 N Broad St Fl -10th, Philadelphia, PA 19107-1519 | 2007-01-29 |
| 1447301122 | Planned Parenthood Southeastern Pennsylvania | Clinic/Center | 1144 Locust St, Philadelphia, PA 19107-6734 | 2007-01-16 |
| 1679658710 | Stadium Campus Ambulatory Surgical Center, LLC | Clinic/Center | 3340 S Broad St, Philadelphia, PA 19145-5802 | 2006-10-26 |
| 1215038252 | Red Lion Surgicenter, LLC | Clinic/Center | 240 Geiger Rd, Philadelphia, PA 19115-1008 | 2006-09-25 |
| 1447218433 | Liberty Eye Surgical Center LLC | Clinic/Center | 9122 Blue Grass Rd, Philadelphia, PA 19114-3202 | 2006-05-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on DREXEL UNIVERSITY.
| 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.