Marius M Commodore (NPI# 1568660652, PAC ID# 2668564188) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1568660652 |
| PAC ID by PECOS | 2668564188 |
| Professional Enrollment ID | I20130204000140 |
| Full Name | Marius M Commodore |
| Organization Legal Name | TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION |
| Address |
1316 W Ontario St 1st Fl Jones Hall Temple General Internal Medicine Philadelphia PA 19140-5220 |
| Phone Number | 2157077901 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2961314299 |
| Number of Group Practice Members | 707 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390027 | TEMPLE UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1316 W Ontario St 1st Fl Jones Hall, Temple General Internal Medicine, Philadelphia, PA 19140-5220 | 2157077901 | TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION |
| 1316 W Ontario St 1st Fl Jones Hall, Philadelphia, PA 19140-5220 | 2157077901 | TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION |
| Organization Legal Name | TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION |
| Physicians | 109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander Deak | Internal Medicine | Temple University of The Commonwealth System of Higher Education | 1316 W Ontario St 1st Fl Jones Hall, Temple General Internal Medicine, Philadelphia, PA 19140-5220 |
| Lauren M O'neill | Speech Language Pathologist | Temple University of The Commonwealth System of Higher Education | 3409 N Broad St, Philadelphia, PA 19140-5103 |
| Daria I Farma | Physician Assistant | Temple University of The Commonwealth System of Higher Education | 3222 N Broad St 1st Fl Mob, Temple Nephrology Associates, Philadelphia, PA 19140-5103 |
| Jennifer C Van | Podiatry | Temple University of The Commonwealth System of Higher Education | 148 N 8th St, Temple University Foot and Ankle Institute, Philadelphia, PA 19107-2496 |
| Sheetal Koul | Internal Medicine | Temple University of The Commonwealth System of Higher Education | 100 E Lehigh Ave St, Temple General Internal Medicine Assoc, Philadelphia, PA 19125-1012 |
| Camille I Paglia | Psychiatry | Temple University of The Commonwealth System of Higher Education | 100 E Lehigh Ave Mab Bldg, 105 Temple Psychology Associates, Phila, PA 19125-1012 |
| Deborah Gleeson | Nurse Practitioner | Temple University of The Commonwealth System of Higher Education | 3322 N Broad St 1st Fl Mob, Philadelphia, PA 19140-5103 |
| Larry M Newman | Podiatry | Temple University of The Commonwealth System of Higher Education | 148 N 8th St, Temple University Foot and Ankle Institute, Philadelphia, PA 19107-2496 |
| Ebony Lashay Love | Podiatry | Temple University of The Commonwealth System of Higher Education | 148 N 8th St, Temple University Foot and Ankle Institute, Philadelphia, PA 19107-2496 |
| Joshua L Moore | Podiatry | Temple University of The Commonwealth System of Higher Education | 148 N 8th St, Temple University Foot and Ankle Institute, Philadelphia, PA 19107-2496 |
| Street Address |
1316 W ONTARIO ST 1ST FL JONES HALL TEMPLE GENERAL INTERNAL MEDICINE |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19140-5220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander Deak | Internal Medicine | Temple University of The Commonwealth System of Higher Education | 1316 W Ontario St 1st Fl Jones Hall, Temple General Internal Medicine, Philadelphia, PA 19140-5220 |
| Robert Marron | Internal Medicine | Temple University of The Commonwealth System of Higher Education | 1316 W Ontario St 1st Fl Jones Hall, Temple General Internal Medicine, Philadelphia, PA 19140-5220 |
| Jane Chung Yoon | Internal Medicine | Temple University of The Commonwealth System of Higher Education | 1316 W Ontario St 1st Fl Jones Hall, Temple General Internal Medicine, Philadelphia, PA 19140-5220 |
| John Hobart Krouse | Otolaryngology | Temple University of The Commonwealth System of Higher Education | 1316 W Ontario St 1st Fl Jones Hall, Temple General Internal Medicine, Philadelphia, PA 19140-5220 |
| Michael M Macgregor | Physician Assistant | Temple University of The Commonwealth System of Higher Education | 1316 W Ontario St 1st Fl Jones Hall, Philadelphia, PA 19140-5103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Greenberg | Urology | Einstein Practice Plan Inc | 5401 Old York, Suite 401, Philadelphia, PA 19140 |
| Joseph M Ortiz | Ophthalmology | 511 W Courtland St, Philadelphia, PA 19140-1404 | |
| Rafael S Collazo | Optometry | 511 W Courtland St, Philadelphia, PA 19140-1404 | |
| Delana Wardlaw | Family Medicine | Temple Physicians Inc | 4350 Germantown Ave, Suite 1, Philadelphia, PA 19140-1749 |
| Stacy Lynn Brix | Nurse Practitioner | Esperanza Health Center, Inc. | 4417 N 6th St, Philadelphia, PA 19140-2319 |
| Daniel L Chen | Internal Medicine | Esperanza Health Center, Inc. | 4417 N 6th St, Philadelphia, PA 19140-2319 |
| Katherine Baker Bhadra | Nurse Practitioner | Esperanza Health Center, Inc. | 4417 N 6th St, Philadelphia, PA 19140-2319 |
| Katherine Abigail Tan | Nurse Practitioner | Esperanza Health Center, Inc. | 4417 N 6th St, Philadelphia, PA 19140-2319 |
| Timothy D Johnston | Internal Medicine | Esperanza Health Center, Inc. | 4417 N 6th St, Philadelphia, PA 19140-2319 |
| Kristie L Mast | Family Medicine | Esperanza Health Center, Inc. | 4417 N 6th St, Philadelphia, PA 19140-2319 |
| Find all physicians in zip 19140 | |||
| City | PHILADELPHIA |
| Zip Code | 19140 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PHILADELPHIA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Marius M Commodore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.