| 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 |
|---|---|
| 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 |
|---|---|
| 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 | Bruce D Hopper |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1174577712 PECOS PAC ID: 3274505078 Enrollment ID: I20040811001147 |
| Provider Name | Carleen Talbot Warner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740208859 PECOS PAC ID: 0648243592 Enrollment ID: I20040818000447 |
| Provider Name | Paul Goshtasb Varahrami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508881558 PECOS PAC ID: 0143205427 Enrollment ID: I20040930000594 |
| Provider Name | Mary L Schuler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609814813 PECOS PAC ID: 7618918103 Enrollment ID: I20050516000034 |
| Provider Name | Mary Eileen Mcsorley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023150570 PECOS PAC ID: 4385677475 Enrollment ID: I20050919000470 |
| Provider Name | John D Lawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942292313 PECOS PAC ID: 2264452747 Enrollment ID: I20051129000602 |
| 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 | Elizabeth Shandor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801825674 PECOS PAC ID: 3375530462 Enrollment ID: I20080611000688 |
| Provider Name | Julie K Derosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285682856 PECOS PAC ID: 1456426840 Enrollment ID: I20080820000033 |
| Provider Name | Marisa Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336171628 PECOS PAC ID: 8022185610 Enrollment ID: I20080924000016 |
| Provider Name | Gerald F Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366431207 PECOS PAC ID: 9234033424 Enrollment ID: I20081230000479 |
| Provider Name | Kevin Charles Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184842601 PECOS PAC ID: 9436202173 Enrollment ID: I20090729000132 |
| Provider Name | Sonya L 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 | Sathiavathi S Natarajan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588973440 PECOS PAC ID: 6709065543 Enrollment ID: I20110125000839 |
| Provider Name | Susan A Hoppe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336257393 PECOS PAC ID: 7012197544 Enrollment ID: I20110215000804 |
| Provider Name | Kaya J Oyejide |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356541585 PECOS PAC ID: 6901087485 Enrollment ID: I20110217000415 |
| Provider Name | Anthony Paul Buonanno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609873413 PECOS PAC ID: 6002097409 Enrollment ID: I20110217000649 |
| 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 | Jennifer Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427323195 PECOS PAC ID: 7719148980 Enrollment ID: I20120416000143 |
| Provider Name | Luna Metayer Belizaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275899767 PECOS PAC ID: 7315102605 Enrollment ID: I20120712000309 |
| Provider Name | Christine S Humphrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235367236 PECOS PAC ID: 7517117294 Enrollment ID: I20121016000385 |
| 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 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 | Kimberly A Stear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962829267 PECOS PAC ID: 8325261118 Enrollment ID: I20140523001162 |
| Provider Name | Daphne T Alexis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275955015 PECOS PAC ID: 7214152651 Enrollment ID: I20140627000752 |
| Provider Name | Navy Sen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144656547 PECOS PAC ID: 1355567645 Enrollment ID: I20140722002162 |
| Provider Name | Stacey L Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548555196 PECOS PAC ID: 7113149667 Enrollment ID: I20141118000360 |
| 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 | Kimberly Loustau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912325002 PECOS PAC ID: 9234441700 Enrollment ID: I20150713000478 |
| 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 | Susan M Marchezak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245602887 PECOS PAC ID: 2062712193 Enrollment ID: I20151123000406 |
| Provider Name | Michael G Knight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366708810 PECOS PAC ID: 3173825510 Enrollment ID: I20151231001393 |
| Provider Name | Leslie J Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134497811 PECOS PAC ID: 0941467898 Enrollment ID: I20160113000249 |
| 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 | Christine Wegmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154781946 PECOS PAC ID: 7012214133 Enrollment ID: I20160404002109 |
| 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 | Kelly J Stoddart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275903130 PECOS PAC ID: 5799062808 Enrollment ID: I20170427000864 |
| 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 | Sarah Cioffi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861923039 PECOS PAC ID: 7315224896 Enrollment ID: I20170510002189 |
| 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 | Anna Njarlangattil Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831537836 PECOS PAC ID: 8123312808 Enrollment ID: I20171003006197 |
| Provider Name | Mary Jepsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720337876 PECOS PAC ID: 5890921530 Enrollment ID: I20180109000043 |
| Provider Name | Evelyn Shalon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487164646 PECOS PAC ID: 9032471990 Enrollment ID: I20180313001723 |
| Provider Name | Regina Radogna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083122386 PECOS PAC ID: 2466714696 Enrollment ID: I20180327002664 |
| Provider Name | Maureen Gardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760907992 PECOS PAC ID: 3678836129 Enrollment ID: I20180413001919 |
| 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 | Quisha Alexander Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528544335 PECOS PAC ID: 5193079945 Enrollment ID: I20181113003235 |
| Provider Name | Dehcontee Guar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730654278 PECOS PAC ID: 2163766031 Enrollment ID: I20181204000335 |
| Provider Name | Julie Silverstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386629178 PECOS PAC ID: 0749325801 Enrollment ID: I20181210002992 |
| Provider Name | Elizabeth Klotz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497169387 PECOS PAC ID: 5294070116 Enrollment ID: I20181221000899 |
| Provider Name | Margaret Oduro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417443367 PECOS PAC ID: 9335486901 Enrollment ID: I20190122000734 |
| Provider Name | Evan Z Nakib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588830590 PECOS PAC ID: 2567534902 Enrollment ID: I20190125001730 |
| 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 | Tiandra S Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619222551 PECOS PAC ID: 3678857331 Enrollment ID: I20191127001382 |
| Provider Name | Raissa Mutuyimana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902442874 PECOS PAC ID: 8729413851 Enrollment ID: I20200121000044 |
| Provider Name | Allison D Gibbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477708287 PECOS PAC ID: 9638506041 Enrollment ID: I20200225001326 |
| 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 | Tanya Trewick Ryans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689056343 PECOS PAC ID: 6800151119 Enrollment ID: I20200916001777 |
| Provider Name | Courtney Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265964159 PECOS PAC ID: 9335485051 Enrollment ID: I20200924001731 |
| Provider Name | Eiel Ragsdale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043535941 PECOS PAC ID: 2163675026 Enrollment ID: I20210105000406 |
| 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 | Marthe Adler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295382232 PECOS PAC ID: 0547677403 Enrollment ID: I20210322001913 |
| Provider Name | Douglas Stamm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942730957 PECOS PAC ID: 5496162562 Enrollment ID: I20210408000324 |
| Provider Name | Kelsey Paolini |
|---|---|
| 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 | Kerlange Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760072409 PECOS PAC ID: 3173923695 Enrollment ID: I20210621000718 |
| 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 | Jessica Cleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316572266 PECOS PAC ID: 4082002118 Enrollment ID: I20211022000939 |
| Provider Name | Hannah Rosenthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558024398 PECOS PAC ID: 2466842059 Enrollment ID: I20211215000104 |
| Provider Name | Alkanease Garrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134610843 PECOS PAC ID: 5395136063 Enrollment ID: I20220107000272 |
| 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 | Argine Guar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992465736 PECOS PAC ID: 9931594330 Enrollment ID: I20220322001799 |
| Provider Name | Stephanie Amanda Santoro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609026640 PECOS PAC ID: 5092989707 Enrollment ID: I20220324000754 |
| 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 | Sheldon Lamont Loughner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487398608 PECOS PAC ID: 1850779893 Enrollment ID: I20220603001906 |
| Provider Name | Timanika Dansby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083016547 PECOS PAC ID: 5698061299 Enrollment ID: I20220706002494 |
| Provider Name | Samala D Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184362600 PECOS PAC ID: 6800277153 Enrollment ID: I20220718001252 |
| 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 Erlinde 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 | Assetou Simpara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720639396 PECOS PAC ID: 2466822192 Enrollment ID: I20221221001452 |
| Provider Name | Mira Desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538559190 PECOS PAC ID: 6800104787 Enrollment ID: I20230328002898 |
| Provider Name | Ekaette Akwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023673076 PECOS PAC ID: 6901213305 Enrollment ID: I20230405001594 |
| Provider Name | Adib Rushdan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932692746 PECOS PAC ID: 8527309301 Enrollment ID: I20230727003067 |
| Provider Name | Shetara M Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285313957 PECOS PAC ID: 6305209958 Enrollment ID: I20230829003999 |
| 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 | William C Mcintosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902429327 PECOS PAC ID: 1153766985 Enrollment ID: I20240301003057 |
| Provider Name | Marissa Christen Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831951557 PECOS PAC ID: 6204271018 Enrollment ID: I20240304000911 |
| Provider Name | Monalisa Ghose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093178717 PECOS PAC ID: 1254625106 Enrollment ID: I20240604001160 |
| Provider Name | Lauren L Hughes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063972552 PECOS PAC ID: 3274990585 Enrollment ID: I20240809000047 |
| Provider Name | Diane Nichole Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982242822 PECOS PAC ID: 4688115009 Enrollment ID: I20240925000659 |
| Provider Name | Sweta Amirneni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952933277 PECOS PAC ID: 7315488657 Enrollment ID: I20240926001119 |
| Provider Name | Charles Miramonti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922040922 PECOS PAC ID: 1557343381 Enrollment ID: I20240926003617 |
| Provider Name | Biqian Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013746130 PECOS PAC ID: 8921539073 Enrollment ID: I20241001001506 |
| Provider Name | Ashley Nicole Ottavio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033886569 PECOS PAC ID: 4981136694 Enrollment ID: I20241019000143 |
| Provider Name | Brianna Bland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962107680 PECOS PAC ID: 6901258920 Enrollment ID: I20241106000664 |
| Provider Name | Ashley Chou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033409297 PECOS PAC ID: 9234376054 Enrollment ID: I20241127000855 |
| Provider Name | Nicholos Grant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124858329 PECOS PAC ID: 3274060819 Enrollment ID: I20241220002513 |
| Provider Name | Risa Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417128075 PECOS PAC ID: 9739241001 Enrollment ID: I20241231002001 |
| Provider Name | Christi Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013578194 PECOS PAC ID: 4880077742 Enrollment ID: I20250110001106 |
| Provider Name | Dareen Sardar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457925554 PECOS PAC ID: 5597294876 Enrollment ID: I20250131000598 |
| Provider Name | Frederick Pence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619728722 PECOS PAC ID: 8820528839 Enrollment ID: I20250205004165 |
| Provider Name | Pooja Kulkarni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134583958 PECOS PAC ID: 5092007278 Enrollment ID: I20250221002116 |
| Provider Name | Heather Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699443481 PECOS PAC ID: 9830597467 Enrollment ID: I20250304000079 |
| Provider Name | Danielle Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144767112 PECOS PAC ID: 2769754910 Enrollment ID: I20250312003361 |
| Provider Name | Florence Nwanety |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497159263 PECOS PAC ID: 3678861747 Enrollment ID: I20250428002217 |
| Provider Name | Quanza Mooring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770281016 PECOS PAC ID: 8224402920 Enrollment ID: I20250429000398 |
| Provider Name | Maria Ryhal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578662383 PECOS PAC ID: 7810897519 Enrollment ID: I20250508001095 |
| Provider Name | Lisa Cameron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174080394 PECOS PAC ID: 5991028789 Enrollment ID: I20250513003868 |
| Provider Name | Dorisse Nguimfack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922422963 PECOS PAC ID: 1658504519 Enrollment ID: I20250514000914 |
| Provider Name | Derrick Cameron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013993278 PECOS PAC ID: 4082677612 Enrollment ID: I20250519002256 |
| Provider Name | Sitiwe Tembo Eaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093254997 PECOS PAC ID: 1557603727 Enrollment ID: I20250613000120 |
Asociacion De Puertorriquenos En Marcha, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2921 N 5th St, Philadelphia, PA 19133 Phone: 215-259-3373 Fax: 267-329-9728 | |
University Of Pennsylvania Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Civic Center Blvd, 2 South Pavilion, Philadelphia, PA 19104 Phone: 215-614-1828 | |
Philadelphia School Of Psychoanalysis Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 S 16th St, Philadelphia, PA 19102 Phone: 215-732-8244 Fax: 215-732-8454 | |
Immanuel Care Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6641 Dorel St, Philadelphia, PA 19142 Phone: 267-403-8313 | |
Npsyt Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6327 Burbridge St, Philadelphia, PA 19144 Phone: 215-991-9066 Fax: 215-991-9062 | |
Menergy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7500 Germantown Ave, New Covenant Campus, Elders Hall, Suite 5, Philadelphia, PA 19119 Phone: 215-242-2235 | |
Wiser Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 S 22nd St, Philadelphia, PA 19146 Phone: 484-800-1747 |