MERCY MANAGEMENT OF SEPA (NPI# 1982120366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982120366 |
Entity Type | Organization |
Organization Name | MERCY MANAGEMENT OF SEPA |
Other Organization Name | MMSEPA RADIATION ONCOLOGY |
Practice Address |
1500 Lansdowne Ave Darby PA 19023-1200 |
Mailing Address |
1 W Elm St Conshohocken PA 19428-4108 |
Practice Telephone | 6102374370 |
Practice Fax Number | 6102345051 |
Mailing Telephone | 6105676964 |
Enumeration Date | 2017-08-17 |
Last Update Date | 2018-03-17 |
Authorized Official Name | AMIEE BRENNAN (CREDENTIALING SUPERVISOR) |
Authorized Official Telephone | 6105676964 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
MMSEPA Radiation Oncology | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
501 S 54th St, Phila, PA 191431900 | 2157489360 | 2157489633 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
1447776729 | Mercy Management of Sepa | Internal Medicine | 1501 Lansdowne Ave Ste 302, Darby, PA 19023-1333 | 2017-08-17 |
1255857538 | Mercy Management of Sepa | Internal Medicine | 1501 Lansdowne Ave Ste 305, Darby, PA 19023-1333 | 2017-08-17 |
1427573492 | Mercy Management of Sepa | Neurological Surgery | 2701 Holme Ave Ste 305, Phila, PA 19152-2029 | 2017-08-10 |
1972027688 | Mercy Management of Sepa | Family Medicine | 501 S 54th St Ste 26, Philadelphia, PA 19143-1900 | 2017-08-03 |
1982128690 | Mercy Management of Sepa | Internal Medicine | 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 | 2017-08-03 |
1598289209 | Mercy Management of Sepa | Family Medicine | 2821 Island Ave Ste De, Philadelphia, PA 19153-2300 | 2017-08-03 |
1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
1285158105 | Mercy Management of Sepa | Family Medicine | 925 Providence Rd Ste 8/9, Secane, PA 19018-2920 | 2017-08-02 |
1740704667 | Mercy Management of Sepa | Family Medicine | 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 | 2017-08-02 |
Street Address |
1500 LANSDOWNE AVE |
City | DARBY |
State | PA |
Zip Code | 19023-1200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780682427 | William J Weir | Nurse Anesthetist, Certified Registered | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2005-07-07 |
1194333682 | Akhil Jain | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Mercy Catholic Medical Center, Darby, PA 19023 | 2020-07-21 |
1336757996 | Abhigna Uday Kumar Kulkarni | Internal Medicine | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-07-20 |
1194333161 | Manila Sharma | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023 | 2020-07-16 |
1336767656 | Venkata Durga Navyam Kagita | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-07-13 |
1457979833 | Rea Harxhi | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-07-11 |
1952929804 | Mahmoud M Shalaby | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-07-08 |
1790302305 | Asad Raza Syed | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-06-30 |
1265059976 | David William Temme Jr. | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-06-29 |
1740806348 | Utsav Aiya | Student in an Organized Health Care Education/Training Program | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2020-06-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972113348 | Ibrahim Abdulkadir Ahmed | Student in an Organized Health Care Education/Training Program | Mercy Catholic Medical Center, 1500 Lansdowne Avenue, Darby, PA 19023 | 2020-07-31 |
1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
1003476813 | Nicole Tomkowich | Student in an Organized Health Care Education/Training Program | 500 Lansdowne Avenue, Darby, PA 19023 | 2019-06-14 |
1497220131 | Margaret Kathleen Halloran | Nurse Practitioner | 1501 Lansdowne Ave Mob, 1st Floor, Darby, PA 19023 | 2018-10-09 |
1427428705 | Peter Goanue | Counselor | 207 North 2nd Street, Darby, PA 19023 | 2015-09-30 |
1518363696 | Trucompanion Transportation Service | Non-emergency Medical Transport (VAN) | 100 N 6th Street Apt 2, Darby, PA 19023 | 2014-11-17 |
1366872269 | Chirman Beatty | Licensed Practical Nurse | 400 S. 5th St Apt A9, Darby, PA 19023 | 2013-11-14 |
1639514151 | Advanced Nursing Care Inc | Nursing Care | 217 Clifton Avenue, Suite # 8, Collingdale, PA 19023 | 2013-05-10 |
1114277191 | Ayesha Farooq | Dentist | 14 Macdave Blvd, Gentle Dental, Collingdale, PA 19023 | 2012-09-17 |
1366736787 | Gi Medical Associates | Internal Medicine | 320 Macdade Blvd., Collingdale, PA 19023 | 2011-06-02 |
Find all providers in zip 19023 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982719464 | Mercy Associates Radiation Oncology | Radiology | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2006-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912433632 | Victor Eric Chen | Radiology | 111 S 11th St # G301, Philadelphia, PA 19107 | 2017-05-02 |
1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
1346635455 | Adam Christopher Mueller | Radiology | 111 S 11th St Ste G-301, Philadelphia, PA 19107-4824 | 2015-04-06 |
1790027662 | George Edward Mccarthy Jr. | Radiology | 419 Riverview Rd, Swarthmore, PA 19081-1222 | 2013-03-19 |
1891033619 | Melvin Fisher Strockbine | Radiology | 805 Michigan Ave, Lemoyne, PA 17043-1207 | 2013-01-29 |
1558611947 | East Coast Radiation Oncology PC | Radiology | 1701 E Broad St, Hazleton, PA 18201-5621 | 2012-09-13 |
1487916193 | Sonam Sharma | Radiology | 3400 Civic Blvd, Philadelphia, PA 19104-4206 | 2012-06-10 |
1053684449 | Donald E. Red | Radiology | 741 Hillview Rd, Malvern, PA 19355-3430 | 2012-02-15 |
1972875763 | Gregory Christopher Treharne | Radiology | 100 One Norwegian Plaza, Pottsville, PA 17901-6029 | 2012-02-08 |
1215209382 | Melvyn Paul Richter | Radiology | 335 Waring Rd, Elkins Park, PA 19027 | 2012-02-03 |
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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.