| Trustees Of The University Of Pennsylvania | |
|
51 N 39th St Philadelphia PA 19104-2640 | |
| (215) 662-8000 | |
| Not Available |
| Full Name | Trustees Of The University Of Pennsylvania |
|---|---|
| Speciality | Internal Medicine |
| Location | 51 N 39th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Chante L Jackson (PAYER SUPERVISOR) |
| Authorized Official Contact | 2672077303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trustees Of The University Of Pennsylvania 51 N 39th St Philadelphia PA 19104-2640 Ph: () - | Trustees Of The University Of Pennsylvania 51 N 39th St Philadelphia PA 19104-2640 Ph: (215) 662-8000 |
| NPI Number | 1124882949 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 02/21/2024 |
| Medicare PECOS PAC ID | 2062326507 |
|---|---|
| Medicare Enrollment ID | O20240424002545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124882949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven Aaron Feinstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104815356 PECOS PAC ID: 5799686598 Enrollment ID: I20040115000546 |
| Provider Name | Robert K Cato |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881626174 PECOS PAC ID: 9537155825 Enrollment ID: I20040422000464 |
| Provider Name | Edward Houston Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851367155 PECOS PAC ID: 6002892171 Enrollment ID: I20040629000079 |
| Provider Name | Kendal Passot Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942232236 PECOS PAC ID: 7113904277 Enrollment ID: I20040707000013 |
| Provider Name | Peter Boutros Edde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265471940 PECOS PAC ID: 0840255691 Enrollment ID: I20041217000213 |
| Provider Name | Michael P Rosenthal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518985639 PECOS PAC ID: 7315996576 Enrollment ID: I20050114000561 |
| Provider Name | Richard Charles Wender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093734410 PECOS PAC ID: 6002865177 Enrollment ID: I20050114000726 |
| Provider Name | Patricia Sullivan Bomalaski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215023114 PECOS PAC ID: 5092767210 Enrollment ID: I20050216000492 |
| Provider Name | Aba Yvonne Barden-maja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356371413 PECOS PAC ID: 5698715670 Enrollment ID: I20050510000146 |
| Provider Name | Kent D W Bream |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538196423 PECOS PAC ID: 3779523519 Enrollment ID: I20050511000175 |
| Provider Name | Jennifer R Kogan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568494920 PECOS PAC ID: 8729024682 Enrollment ID: I20050630000392 |
| Provider Name | Maureen Leavy Holman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326078403 PECOS PAC ID: 7618973884 Enrollment ID: I20061011000219 |
| Provider Name | Diane Elaine Filter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902981335 PECOS PAC ID: 7214937127 Enrollment ID: I20061227000285 |
| Provider Name | Kalen Y Miskel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144314055 PECOS PAC ID: 3476655473 Enrollment ID: I20070222000016 |
| Provider Name | Wendell Everette Kellum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295763860 PECOS PAC ID: 0547366312 Enrollment ID: I20070511000156 |
| Provider Name | David Thomas Grande |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518978782 PECOS PAC ID: 2860589009 Enrollment ID: I20071105000061 |
| Provider Name | Lisa G Lippincott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629251483 PECOS PAC ID: 5799863783 Enrollment ID: I20080416000137 |
| Provider Name | Margaret E J Baylson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255493607 PECOS PAC ID: 7911076500 Enrollment ID: I20080522000255 |
| Provider Name | Robin E Canada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346357175 PECOS PAC ID: 1759386436 Enrollment ID: I20080918000324 |
| Provider Name | Manasija Rath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164628483 PECOS PAC ID: 3072666981 Enrollment ID: I20090724000322 |
| Provider Name | Laura M Kosseim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912933607 PECOS PAC ID: 9537204912 Enrollment ID: I20100310000379 |
| Provider Name | Jennifer S Nizen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689604746 PECOS PAC ID: 9032245220 Enrollment ID: I20100326000573 |
| Provider Name | Matthew H Rusk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063449965 PECOS PAC ID: 6709912231 Enrollment ID: I20100410000039 |
| Provider Name | Erin M Mannella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215250758 PECOS PAC ID: 6103954334 Enrollment ID: I20100510000509 |
| Provider Name | Peter Foster Cronholm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841235504 PECOS PAC ID: 8123157823 Enrollment ID: I20100518000511 |
| Provider Name | Todd E Hecht |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841227014 PECOS PAC ID: 1355472374 Enrollment ID: I20100708000081 |
| Provider Name | Craig S Wynne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538188073 PECOS PAC ID: 2365573318 Enrollment ID: I20100708000452 |
| Provider Name | David J Aizenberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407061880 PECOS PAC ID: 3476685280 Enrollment ID: I20100714000539 |
| Provider Name | Mario P Demarco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821291626 PECOS PAC ID: 7911030465 Enrollment ID: I20100804000209 |
| Provider Name | Carmen E Guerra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356373781 PECOS PAC ID: 1153454541 Enrollment ID: I20100805000733 |
| Provider Name | Michael Cirigliano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053343103 PECOS PAC ID: 3577696988 Enrollment ID: I20100805000901 |
| Provider Name | Maryanne King Peifer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972532828 PECOS PAC ID: 3678767613 Enrollment ID: I20101103000671 |
| Provider Name | Marc Shalaby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780613323 PECOS PAC ID: 2860687027 Enrollment ID: I20101112000922 |
| Provider Name | Carol M Chou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801828108 PECOS PAC ID: 1456549732 Enrollment ID: I20101230000961 |
| Provider Name | Gillian Ladd Lautenbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568492684 PECOS PAC ID: 4789863861 Enrollment ID: I20110120001146 |
| Provider Name | William Brady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831187731 PECOS PAC ID: 3678752755 Enrollment ID: I20110120001164 |
| Provider Name | Karen E Bowles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417983115 PECOS PAC ID: 3870772924 Enrollment ID: I20110121000654 |
| Provider Name | Jack Ende |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730110412 PECOS PAC ID: 9436233004 Enrollment ID: I20110202000540 |
| Provider Name | Matthew C Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104865617 PECOS PAC ID: 5991982969 Enrollment ID: I20110601000250 |
| Provider Name | Dava E Szalda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255538559 PECOS PAC ID: 5698943926 Enrollment ID: I20110712000652 |
| Provider Name | Alison Purcell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487940193 PECOS PAC ID: 3072786250 Enrollment ID: I20111103000503 |
| Provider Name | Martin Bohnenkamp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770528259 PECOS PAC ID: 7416952205 Enrollment ID: I20111222000333 |
| Provider Name | David E Nicklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689602724 PECOS PAC ID: 0648437319 Enrollment ID: I20120208000179 |
| Provider Name | Terri A Mcfillin Petrongolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144258260 PECOS PAC ID: 0941468607 Enrollment ID: I20120227000449 |
| Provider Name | Judy Sara Chertok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720246002 PECOS PAC ID: 9032303516 Enrollment ID: I20120615000223 |
| Provider Name | Rachael S Truchil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093949737 PECOS PAC ID: 4284898693 Enrollment ID: I20120615000231 |
| Provider Name | Andrew Maier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376787846 PECOS PAC ID: 1456516848 Enrollment ID: I20120710000626 |
| Provider Name | Sharon S Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356696876 PECOS PAC ID: 8325290836 Enrollment ID: I20121210000035 |
| Provider Name | Ryan James Mcauley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184858821 PECOS PAC ID: 7911147558 Enrollment ID: I20130703000007 |
| Provider Name | Carli A Remy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477998110 PECOS PAC ID: 9234379173 Enrollment ID: I20130717000362 |
| Provider Name | David Benjamin Ganetzky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043539539 PECOS PAC ID: 4082855473 Enrollment ID: I20130727000134 |
| Provider Name | Jennifer Leflar Kraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669893483 PECOS PAC ID: 7810127909 Enrollment ID: I20140312000674 |
| Provider Name | Annie Chapman Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750712337 PECOS PAC ID: 3577788751 Enrollment ID: I20140701002034 |
| Provider Name | Deepa R Nandiwada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265759302 PECOS PAC ID: 9638394844 Enrollment ID: I20140702000328 |
| Provider Name | Barbara F. Westerhaus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679868376 PECOS PAC ID: 5991925109 Enrollment ID: I20141009001159 |
| Provider Name | Furman S Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033196308 PECOS PAC ID: 7113001405 Enrollment ID: I20141204000960 |
| Provider Name | Kristine Pamela M Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144586900 PECOS PAC ID: 2062636707 Enrollment ID: I20150608000748 |
| Provider Name | Raphael Karkowsky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194082164 PECOS PAC ID: 7618100348 Enrollment ID: I20150608002093 |
| Provider Name | Marguerite Balasta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396034211 PECOS PAC ID: 0749409373 Enrollment ID: I20150709000772 |
| Provider Name | Renee Marie Betancourt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104111830 PECOS PAC ID: 5890926414 Enrollment ID: I20150902001466 |
| Provider Name | Anna U Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790063972 PECOS PAC ID: 3476778291 Enrollment ID: I20151209000389 |
| Provider Name | Rebecca Arden Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447592092 PECOS PAC ID: 3476844028 Enrollment ID: I20160629000517 |
| Provider Name | Paul Matthew Lu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790027654 PECOS PAC ID: 6800189085 Enrollment ID: I20160726001186 |
| Provider Name | Donna M Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851849152 PECOS PAC ID: 7810273893 Enrollment ID: I20170405000891 |
| Provider Name | Alexander Edwin Glaser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093125288 PECOS PAC ID: 9133425333 Enrollment ID: I20170605001459 |
| Provider Name | Matthew Press |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962566877 PECOS PAC ID: 6608065081 Enrollment ID: I20171010003224 |
| Provider Name | Jacqueline D Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457678377 PECOS PAC ID: 1759531627 Enrollment ID: I20171027001494 |
| Provider Name | Courtney Fay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023420890 PECOS PAC ID: 5799042172 Enrollment ID: I20171121000826 |
| Provider Name | Margaret Williams Lowenstein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326381872 PECOS PAC ID: 5799078812 Enrollment ID: I20171206001949 |
| Provider Name | Navid A Roder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467747337 PECOS PAC ID: 8729201314 Enrollment ID: I20180214001080 |
| Provider Name | Patrick Sayre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396158341 PECOS PAC ID: 4183922883 Enrollment ID: I20180522000980 |
| Provider Name | Laura Elizabeth Emerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114313228 PECOS PAC ID: 5698075976 Enrollment ID: I20180711000534 |
| Provider Name | Jennifer N. Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407275076 PECOS PAC ID: 2163799933 Enrollment ID: I20180806003371 |
| Provider Name | Jennifer Davis Cohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124447842 PECOS PAC ID: 6204055171 Enrollment ID: I20180809000095 |
| Provider Name | Kevin Richard Kline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336535749 PECOS PAC ID: 2860790599 Enrollment ID: I20180911000536 |
| Provider Name | Michael Scott Maloney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023438041 PECOS PAC ID: 7618196080 Enrollment ID: I20181009002749 |
| Provider Name | Davoren Ann Chick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124056411 PECOS PAC ID: 4486662731 Enrollment ID: I20181206000252 |
| Provider Name | Ayisha Arshad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811376874 PECOS PAC ID: 0143527291 Enrollment ID: I20190107002149 |
| Provider Name | Erin Lawrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437611472 PECOS PAC ID: 3375885353 Enrollment ID: I20190423000361 |
| Provider Name | Kari Adams Torp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477917433 PECOS PAC ID: 0446593743 Enrollment ID: I20190529001575 |
| Provider Name | Jenny Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184070476 PECOS PAC ID: 8224365622 Enrollment ID: I20190807004004 |
| Provider Name | Abigail Hanna Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952959777 PECOS PAC ID: 6608106208 Enrollment ID: I20190925000402 |
| Provider Name | Kristin D Emilio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992369722 PECOS PAC ID: 1557795093 Enrollment ID: I20191217000094 |
| Provider Name | Laura B Steffa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174158372 PECOS PAC ID: 8325477128 Enrollment ID: I20200330003093 |
| Provider Name | Ehren Kelly Dancy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033640974 PECOS PAC ID: 5698025625 Enrollment ID: I20200506003170 |
| Provider Name | Stephen Mark Iannacone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831620830 PECOS PAC ID: 3375812423 Enrollment ID: I20200821001923 |
| Provider Name | Laura Ann Kurash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154852945 PECOS PAC ID: 5890062491 Enrollment ID: I20200826000934 |
| Provider Name | Alberta James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629680020 PECOS PAC ID: 4789095720 Enrollment ID: I20201124001741 |
| Provider Name | Rachel E Kishton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104245331 PECOS PAC ID: 8123248911 Enrollment ID: I20210510000183 |
| Provider Name | Nicholina Haldane-lutterodt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558859827 PECOS PAC ID: 4486056785 Enrollment ID: I20210708003102 |
| Provider Name | Kristina Laguerre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669908950 PECOS PAC ID: 6507137940 Enrollment ID: I20210809003291 |
| Provider Name | Annmarie Katherine Rodriguez Hadad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558858225 PECOS PAC ID: 5991053274 Enrollment ID: I20210818001049 |
| Provider Name | Riley Elizabeth Ambrose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922773027 PECOS PAC ID: 5193121903 Enrollment ID: I20210902000932 |
| Provider Name | Sarah Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932376894 PECOS PAC ID: 9133275126 Enrollment ID: I20220110000370 |
| Provider Name | Amanda Jane Swain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952371833 PECOS PAC ID: 9931142072 Enrollment ID: I20220111000417 |
| Provider Name | Nicole Leslie Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114686540 PECOS PAC ID: 0345633699 Enrollment ID: I20220209000065 |
| Provider Name | Soussan Ayubcha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013103910 PECOS PAC ID: 4789721572 Enrollment ID: I20220502002315 |
| Provider Name | Ilan Joseph Resnick Caplan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720522857 PECOS PAC ID: 0840623658 Enrollment ID: I20220519002909 |
| Provider Name | Sahrish Ilyas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538523303 PECOS PAC ID: 2567754286 Enrollment ID: I20220621000835 |
| Provider Name | Swetha Padma Iruku |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780180174 PECOS PAC ID: 7810245453 Enrollment ID: I20220622002147 |
| Provider Name | Cullen Emory Worsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487114146 PECOS PAC ID: 3870913924 Enrollment ID: I20220823004137 |
| Provider Name | Shelley Joyceanne Thomas Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962963736 PECOS PAC ID: 4385029313 Enrollment ID: I20220912002914 |
| Provider Name | Zachary J Kosak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619438322 PECOS PAC ID: 6305179334 Enrollment ID: I20220913000033 |
| Provider Name | Rebecca E Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851755813 PECOS PAC ID: 9436448214 Enrollment ID: I20230201001980 |
| Provider Name | Casey Lafferty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578874913 PECOS PAC ID: 7719104785 Enrollment ID: I20230204000254 |
| Provider Name | Nicole Mcjilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073146825 PECOS PAC ID: 7911328406 Enrollment ID: I20230220002444 |
| Provider Name | Christine Elaine Schultheiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255786430 PECOS PAC ID: 4981931391 Enrollment ID: I20230405001372 |
| Provider Name | Erin Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639877947 PECOS PAC ID: 6507221470 Enrollment ID: I20230427002156 |
| Provider Name | Carissa Livingston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376162131 PECOS PAC ID: 6406267301 Enrollment ID: I20230506000042 |
| Provider Name | Jennifer Karen Sun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255891412 PECOS PAC ID: 7911392386 Enrollment ID: I20230525001024 |
| Provider Name | Alyssa Kathleen Bruehlman |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1104350529 PECOS PAC ID: 0749550572 Enrollment ID: I20230629002674 |
| Provider Name | Kyle Flattery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740803360 PECOS PAC ID: 7517373343 Enrollment ID: I20230823000981 |
| Provider Name | Virginia Hager Waldrop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568083756 PECOS PAC ID: 6608239462 Enrollment ID: I20230825002056 |
| Provider Name | Roseann Kennedy Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831630268 PECOS PAC ID: 6709116072 Enrollment ID: I20230908002892 |
| Provider Name | Elizabeth Wetterer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598393498 PECOS PAC ID: 4284088832 Enrollment ID: I20230929002626 |
| Provider Name | Francoise Marie Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861179475 PECOS PAC ID: 6800241274 Enrollment ID: I20231005001405 |
| Provider Name | Nichelle Jana Ruffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396364998 PECOS PAC ID: 7214359934 Enrollment ID: I20231010002540 |
| Provider Name | Madeline R Lederer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962021899 PECOS PAC ID: 7315369873 Enrollment ID: I20231104000790 |
| Provider Name | Saad Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649806548 PECOS PAC ID: 5698199685 Enrollment ID: I20231215002418 |
| Provider Name | Wileen Tessy Alexis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548038987 PECOS PAC ID: 0547610586 Enrollment ID: I20240103001141 |
| Provider Name | Haley Smallwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073193306 PECOS PAC ID: 5698176980 Enrollment ID: I20240515002427 |
Laura Yatvin Nutrition Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4231 N. 5th Street, Philadelphia, PA 19140 Phone: 215-455-5370 Fax: 215-455-5374 | |
Health Hero Pa Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 Dickinson St, Philadelphia, PA 19147 Phone: 484-667-3382 | |
Vo Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1735 Market St Fl 52, Philadelphia, PA 19103 Phone: 267-314-7252 | |
Rooted Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3101 Tyson Ave, Philadelphia, PA 19149 Phone: 917-861-2531 | |
Care Health Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1308 Cottman Ave, Philadelphia, PA 19111 Phone: 732-766-1827 Fax: 609-890-0950 | |
University Of Penn - Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, 3 Ravdin, Suite F, Pulmonary & Critical Care, Philadelphia, PA 19104 Phone: 215-662-3202 | |
Drexel Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 N Broad St, 5th Floor, Philadelphia, PA 19107 Phone: 215-762-6555 Fax: 215-762-3031 |