Osh - Pa Physicians Group, Pc | |
3621 Aramingo Ave Ste C5 Philadelphia PA 19134-4607 | |
(215) 444-7472 | |
(215) 979-6726 |
Full Name | Osh - Pa Physicians Group, Pc |
---|---|
Speciality | Clinic/Center |
Location | 3621 Aramingo Ave Ste C5, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Griffin Myers (CMO) |
Authorized Official Contact | 3072642085 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Osh - Pa Physicians Group, Pc Po Box 746722 Atlanta GA 30374-6722 Ph: (312) 733-9730 | Osh - Pa Physicians Group, Pc 3621 Aramingo Ave Ste C5 Philadelphia PA 19134-4607 Ph: (215) 444-7472 |
NPI Number | 1811405533 |
---|---|
Provider Enumeration Date | 01/16/2018 |
Last Update Date | 06/29/2023 |
Certification Date | 06/29/2023 |
Medicare PECOS PAC ID | 7517213879 |
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Medicare Enrollment ID | O20180629000414 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811405533 | NPI | - | NPPES |
MD458986 | Other | PA | MEDICAL LICENSE |
Provider Name | Delwyn Sargeant |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285606913 PECOS PAC ID: 3971404336 Enrollment ID: I20040119000111 |
Provider Name | Lisa M Martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043659592 PECOS PAC ID: 8527053370 Enrollment ID: I20040420000194 |
Provider Name | Carleen Talbot Warner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740208859 PECOS PAC ID: 0648243592 Enrollment ID: I20040818000447 |
Provider Name | Mary L Schuler |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609814813 PECOS PAC ID: 7618918103 Enrollment ID: I20050516000034 |
Provider Name | John D Lawson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942292313 PECOS PAC ID: 2264452747 Enrollment ID: I20051129000602 |
Provider Name | Rhonda C Washington |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326266925 PECOS PAC ID: 4082712385 Enrollment ID: I20070611000432 |
Provider Name | Daniel S Tumelty |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659358737 PECOS PAC ID: 7810096039 Enrollment ID: I20070628000126 |
Provider Name | Nicole Craven |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891985586 PECOS PAC ID: 6608960018 Enrollment ID: I20070917000168 |
Provider Name | Melissa A Rosato |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013182450 PECOS PAC ID: 8527137066 Enrollment ID: I20080523000069 |
Provider Name | Risa M Mandell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962494096 PECOS PAC ID: 7315016854 Enrollment ID: I20080523000094 |
Provider Name | Elizabeth Shandor |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801825674 PECOS PAC ID: 3375530462 Enrollment ID: I20080611000688 |
Provider Name | Marisa Rogers |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336171628 PECOS PAC ID: 8022185610 Enrollment ID: I20080924000016 |
Provider Name | Marko A Miljkovic |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821208414 PECOS PAC ID: 2860550456 Enrollment ID: I20081027000329 |
Provider Name | Angela D Stewart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114173085 PECOS PAC ID: 3678638574 Enrollment ID: I20090210000057 |
Provider Name | Kevin Charles Scott |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184842601 PECOS PAC ID: 9436202173 Enrollment ID: I20090729000132 |
Provider Name | Joyce H Han |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770576159 PECOS PAC ID: 4880720697 Enrollment ID: I20100331000820 |
Provider Name | Sonya Ombima |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437367703 PECOS PAC ID: 2365579299 Enrollment ID: I20100423000464 |
Provider Name | Regina E Stanton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548337819 PECOS PAC ID: 0840332490 Enrollment ID: I20100423000682 |
Provider Name | Melissa Schiffman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639148091 PECOS PAC ID: 0244368827 Enrollment ID: I20100503000778 |
Provider Name | Kaya J Oyejide |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356541585 PECOS PAC ID: 6901087485 Enrollment ID: I20110217000415 |
Provider Name | Johari Crews |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265475867 PECOS PAC ID: 2961685201 Enrollment ID: I20110324000515 |
Provider Name | Marisa Gefen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386846806 PECOS PAC ID: 7618151465 Enrollment ID: I20110404000174 |
Provider Name | Vanessa Esbri |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477854081 PECOS PAC ID: 4284811712 Enrollment ID: I20110608000837 |
Provider Name | Bolaji A Owoloja |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205113941 PECOS PAC ID: 9032379516 Enrollment ID: I20120320000631 |
Provider Name | Gelsey L Rellosa |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497991079 PECOS PAC ID: 5496892580 Enrollment ID: I20121205000020 |
Provider Name | Gwendolyn N Merchant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578844601 PECOS PAC ID: 0244476653 Enrollment ID: I20130409000271 |
Provider Name | Jennifer K Nymark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811338486 PECOS PAC ID: 4284868290 Enrollment ID: I20131007000630 |
Provider Name | Navy Sen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144656547 PECOS PAC ID: 1355567645 Enrollment ID: I20140722002162 |
Provider Name | Jessica Zuniga |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619249497 PECOS PAC ID: 5991027419 Enrollment ID: I20141211000136 |
Provider Name | Natasha Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194166355 PECOS PAC ID: 2264757277 Enrollment ID: I20150216001514 |
Provider Name | Shailee Viroja |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457638439 PECOS PAC ID: 6709102387 Enrollment ID: I20150225000841 |
Provider Name | Arielle Suzanne Fields |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205193448 PECOS PAC ID: 9234361338 Enrollment ID: I20150713000772 |
Provider Name | Jean E Schneider |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679836589 PECOS PAC ID: 1052627494 Enrollment ID: I20150901000301 |
Provider Name | Aja Nadiya Jackson Devose |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174863054 PECOS PAC ID: 6507162047 Enrollment ID: I20160310000108 |
Provider Name | Tameeka Banks Jenkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417305921 PECOS PAC ID: 8628359189 Enrollment ID: I20161222000012 |
Provider Name | Jennifer Costello-siri |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053557298 PECOS PAC ID: 2365671393 Enrollment ID: I20170125002339 |
Provider Name | Paul J Renn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720490030 PECOS PAC ID: 0446537906 Enrollment ID: I20170510001558 |
Provider Name | Lisa M Bush |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306382171 PECOS PAC ID: 4486921921 Enrollment ID: I20170605000661 |
Provider Name | Valerie Weiss |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578982013 PECOS PAC ID: 7517238660 Enrollment ID: I20170808000705 |
Provider Name | Diana Velasquez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306368014 PECOS PAC ID: 7416220876 Enrollment ID: I20170906002494 |
Provider Name | Mary Jepsen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720337876 PECOS PAC ID: 5890921530 Enrollment ID: I20180109000043 |
Provider Name | Omolara Adegun |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467901900 PECOS PAC ID: 4880959717 Enrollment ID: I20180524002237 |
Provider Name | Krista Joy Boerman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487160826 PECOS PAC ID: 6800141938 Enrollment ID: I20180613003239 |
Provider Name | Wayne T Fellows |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265869952 PECOS PAC ID: 3173836483 Enrollment ID: I20180618000915 |
Provider Name | Pooja V Shah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588930739 PECOS PAC ID: 7416190533 Enrollment ID: I20180622000236 |
Provider Name | Griffin Myers |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1871817643 PECOS PAC ID: 7719145127 Enrollment ID: I20180702000998 |
Provider Name | Sundeep Katepalli |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982087219 PECOS PAC ID: 7810295672 Enrollment ID: I20180813002103 |
Provider Name | Palav Jitendra Shah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588928287 PECOS PAC ID: 6800107244 Enrollment ID: I20180928000300 |
Provider Name | Emily Cofsky Matthews |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922504349 PECOS PAC ID: 6305101536 Enrollment ID: I20181015001367 |
Provider Name | Brian Kurtz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831469253 PECOS PAC ID: 8628224417 Enrollment ID: I20181016002390 |
Provider Name | Julie Silverstein |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386629178 PECOS PAC ID: 0749325801 Enrollment ID: I20181210002992 |
Provider Name | Raisa Rojas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205307428 PECOS PAC ID: 1557609492 Enrollment ID: I20190219000668 |
Provider Name | Kathleen Graham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043760200 PECOS PAC ID: 9133408305 Enrollment ID: I20190506001122 |
Provider Name | Rachel Hildebrand |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528531258 PECOS PAC ID: 7416299748 Enrollment ID: I20190507000198 |
Provider Name | Stephania Dottin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346809118 PECOS PAC ID: 6002142452 Enrollment ID: I20190724000394 |
Provider Name | Ninon Matos |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174757256 PECOS PAC ID: 2264586577 Enrollment ID: I20190726000046 |
Provider Name | Ashvin Vijayakumar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659782464 PECOS PAC ID: 8921338096 Enrollment ID: I20191003000062 |
Provider Name | Raissa Mutuyimana |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902442874 PECOS PAC ID: 8729413851 Enrollment ID: I20200121000044 |
Provider Name | James Rotenberg |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457796534 PECOS PAC ID: 8123319647 Enrollment ID: I20200720000493 |
Provider Name | Paul Mensah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629695036 PECOS PAC ID: 1052737459 Enrollment ID: I20200817001067 |
Provider Name | Courtney Lee |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265964159 PECOS PAC ID: 9335485051 Enrollment ID: I20200924001731 |
Provider Name | Christina Danielle Nevins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245844893 PECOS PAC ID: 5395158646 Enrollment ID: I20210106002053 |
Provider Name | Shakira Cinalli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003181801 PECOS PAC ID: 5496168577 Enrollment ID: I20210111000195 |
Provider Name | Justin Hunt |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1326138074 PECOS PAC ID: 6901842228 Enrollment ID: I20210125000075 |
Provider Name | Ricardo Santos Martinez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932739299 PECOS PAC ID: 1052727641 Enrollment ID: I20210305000752 |
Provider Name | Kelsey Eccles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336724962 PECOS PAC ID: 7810304995 Enrollment ID: I20210408000932 |
Provider Name | Matthew King |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558304972 PECOS PAC ID: 0143233353 Enrollment ID: I20210601000917 |
Provider Name | Valerie Vassor |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235586413 PECOS PAC ID: 5294029930 Enrollment ID: I20210809003334 |
Provider Name | Rebecca E Anastos-wallen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720576820 PECOS PAC ID: 4486902053 Enrollment ID: I20210811002775 |
Provider Name | Latasha Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568063873 PECOS PAC ID: 1153727094 Enrollment ID: I20210901001947 |
Provider Name | Sarah Torregiani |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1891774980 PECOS PAC ID: 0840231452 Enrollment ID: I20210928003563 |
Provider Name | Rachel Sabb |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629321096 PECOS PAC ID: 0547412371 Enrollment ID: I20211006000267 |
Provider Name | Hannah Mills |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558024398 PECOS PAC ID: 2466842059 Enrollment ID: I20211215000104 |
Provider Name | Tara Lynn Cupit |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689320426 PECOS PAC ID: 9436544269 Enrollment ID: I20220315000496 |
Provider Name | Megan Rose Fucci |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033622584 PECOS PAC ID: 3779978077 Enrollment ID: I20220324000098 |
Provider Name | Tuwanda Williamson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629018528 PECOS PAC ID: 6608817630 Enrollment ID: I20220407001654 |
Provider Name | Mable Lyons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508143421 PECOS PAC ID: 5799000956 Enrollment ID: I20220517000152 |
Provider Name | Holly Bonner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720484181 PECOS PAC ID: 4981911724 Enrollment ID: I20220517002580 |
Provider Name | Timanika Dansby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083016547 PECOS PAC ID: 5698061299 Enrollment ID: I20220706002494 |
Provider Name | Michelle Marie Platzer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922619642 PECOS PAC ID: 4587040688 Enrollment ID: I20220927002058 |
Provider Name | Monika Deturk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790307338 PECOS PAC ID: 1254707763 Enrollment ID: I20221024001979 |
Provider Name | Abraham S Dubb |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184637936 PECOS PAC ID: 7618151937 Enrollment ID: I20221208000138 |
Provider Name | Monica Jane Poeske |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952036402 PECOS PAC ID: 7012386105 Enrollment ID: I20221212003002 |
Provider Name | Mira Desai |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538559190 PECOS PAC ID: 6800104787 Enrollment ID: I20230328002898 |
Provider Name | Adib Rushdan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932692746 PECOS PAC ID: 8527309301 Enrollment ID: I20230727003067 |
Provider Name | Mika Edyte Schwartz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700405578 PECOS PAC ID: 7012370257 Enrollment ID: I20230905004060 |
Provider Name | Thilza Cordova-martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942992565 PECOS PAC ID: 6709240401 Enrollment ID: I20230914000182 |
Provider Name | Stephanie Samar Pace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043990492 PECOS PAC ID: 5092169805 Enrollment ID: I20230928000024 |
Provider Name | Jean Tepelmann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609399344 PECOS PAC ID: 6507123452 Enrollment ID: I20231003002564 |
Provider Name | Markietra Keese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528845898 PECOS PAC ID: 8527413020 Enrollment ID: I20231018000239 |
Provider Name | Daniel Mandel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144783465 PECOS PAC ID: 3870970270 Enrollment ID: I20231024000103 |
Provider Name | Leen Nusairat |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881257772 PECOS PAC ID: 1254714009 Enrollment ID: I20231107000047 |
Provider Name | Augustina Fakiyesi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013373786 PECOS PAC ID: 6901254630 Enrollment ID: I20231118000539 |
Provider Name | Gabrielle Kate Garces Domingo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942076781 PECOS PAC ID: 2567813991 Enrollment ID: I20240110000278 |
Provider Name | Marissa Christen Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831951557 PECOS PAC ID: 6204271018 Enrollment ID: I20240304000911 |
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