| Esperanza Health Center, Inc. | |
|
4417 N 6th St Esperanza Health Cen Philadelphia PA 19140-2319 | |
| (215) 302-3150 | |
| Not Available |
| Full Name | Esperanza Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4417 N 6th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Susan M Post (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2153023150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Esperanza Health Center, Inc. 4417 N 6th St Esperanza Health Cen Philadelphia PA 19140-2319 Ph: (215) 302-3150 | Esperanza Health Center, Inc. 4417 N 6th St Esperanza Health Cen Philadelphia PA 19140-2319 Ph: (215) 302-3150 |
| NPI Number | 1255726659 |
|---|---|
| Provider Enumeration Date | 04/02/2015 |
| Last Update Date | 04/02/2015 |
| Medicare PECOS PAC ID | 6103815071 |
|---|---|
| Medicare Enrollment ID | O20040507000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255726659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Bryan R Hollinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033160833 PECOS PAC ID: 5698764470 Enrollment ID: I20040507000471 |
| Provider Name | Philip Tao Sung Siu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861432882 PECOS PAC ID: 2567433162 Enrollment ID: I20040805000950 |
| Provider Name | Timothy D Johnston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760416242 PECOS PAC ID: 5496783433 Enrollment ID: I20070515000601 |
| Provider Name | Christopher M Leander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477767473 PECOS PAC ID: 5496808586 Enrollment ID: I20090807000127 |
| Provider Name | John L Esterhai |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932137437 PECOS PAC ID: 9032289509 Enrollment ID: I20100309000236 |
| Provider Name | Rita C Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548326002 PECOS PAC ID: 4688866387 Enrollment ID: I20101013000974 |
| Provider Name | Laura Layer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770533432 PECOS PAC ID: 9032393814 Enrollment ID: I20110404000459 |
| Provider Name | Timothy Leaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346291481 PECOS PAC ID: 8224214531 Enrollment ID: I20110523000434 |
| Provider Name | Daria Chacon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275735672 PECOS PAC ID: 8921277880 Enrollment ID: I20110810000133 |
| Provider Name | Jiwon Jane Jue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700079217 PECOS PAC ID: 4981877750 Enrollment ID: I20111024000702 |
| Provider Name | Dan Norris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881815470 PECOS PAC ID: 3375708019 Enrollment ID: I20120703000469 |
| Provider Name | Alexander C. Wade |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750423513 PECOS PAC ID: 5294839080 Enrollment ID: I20121031000415 |
| Provider Name | Daniel L Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376779124 PECOS PAC ID: 9436301041 Enrollment ID: I20121206000018 |
| Provider Name | Sharon S Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356696876 PECOS PAC ID: 8325290836 Enrollment ID: I20121210000035 |
| Provider Name | Amy J Liao |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1841526696 PECOS PAC ID: 1557516481 Enrollment ID: I20130227000028 |
| Provider Name | Katherine Bhadra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588907034 PECOS PAC ID: 1850538893 Enrollment ID: I20130510000041 |
| Provider Name | Charlene A Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821319153 PECOS PAC ID: 6901047190 Enrollment ID: I20130731000354 |
| Provider Name | Kristie L Mast |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922058759 PECOS PAC ID: 2668616004 Enrollment ID: I20130925000114 |
| Provider Name | Sueihn Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336425818 PECOS PAC ID: 0840428041 Enrollment ID: I20140115001235 |
| Provider Name | Kristin Michelle Romeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972881316 PECOS PAC ID: 9335369651 Enrollment ID: I20141008000249 |
| Provider Name | Kirstin Sanborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780990226 PECOS PAC ID: 1951522663 Enrollment ID: I20141022000970 |
| Provider Name | Faith Elizabeth Pullinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609139294 PECOS PAC ID: 6305094673 Enrollment ID: I20160726000536 |
| Provider Name | Griszel Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255739892 PECOS PAC ID: 5597045419 Enrollment ID: I20161212002312 |
| Provider Name | Kerith Brooke Duggan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225493695 PECOS PAC ID: 1850678673 Enrollment ID: I20170504001125 |
| Provider Name | Michael J Adams |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1780891838 PECOS PAC ID: 4688941115 Enrollment ID: I20170605000236 |
| Provider Name | Meridith C Kim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710427273 PECOS PAC ID: 4183992936 Enrollment ID: I20170620000337 |
| Provider Name | Sarah Elizabeth Landis Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487817177 PECOS PAC ID: 2365603875 Enrollment ID: I20170621000034 |
| Provider Name | Elizabeth Talley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306264791 PECOS PAC ID: 0345463543 Enrollment ID: I20170721000441 |
| Provider Name | Samantha Baker-evens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124544341 PECOS PAC ID: 6608140876 Enrollment ID: I20170927001028 |
| Provider Name | Amy Joy Earnest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679097885 PECOS PAC ID: 0446519755 Enrollment ID: I20180112000743 |
| Provider Name | Mena Soliman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477060598 PECOS PAC ID: 3779845318 Enrollment ID: I20180320001772 |
| Provider Name | Christine Ferrari Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578071577 PECOS PAC ID: 0547522690 Enrollment ID: I20180329001510 |
| Provider Name | Charles Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215445788 PECOS PAC ID: 0749543205 Enrollment ID: I20180416000117 |
| Provider Name | Dominic Derenge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033598339 PECOS PAC ID: 5395091029 Enrollment ID: I20180710002962 |
| Provider Name | Asya Gyurjyan Marsh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1295211183 PECOS PAC ID: 4082965447 Enrollment ID: I20180924002340 |
| Provider Name | Maryann M Salib |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1275978033 PECOS PAC ID: 3173874351 Enrollment ID: I20180927001015 |
| Provider Name | Davina N Parathundil |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1023542909 PECOS PAC ID: 2769754092 Enrollment ID: I20181031001032 |
| Provider Name | Heidi Sykora |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336596923 PECOS PAC ID: 6103161310 Enrollment ID: I20181217001352 |
| Provider Name | Stacy Lynn Brix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225532344 PECOS PAC ID: 4981950193 Enrollment ID: I20190912001147 |
| Provider Name | Javier Miguel De Jesus Orpi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629120605 PECOS PAC ID: 4880858661 Enrollment ID: I20200121000209 |
| Provider Name | Jenise Nicole Ropp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548802721 PECOS PAC ID: 9234564907 Enrollment ID: I20200128000051 |
| Provider Name | Steven Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932743358 PECOS PAC ID: 8022445337 Enrollment ID: I20200226002520 |
| Provider Name | Kristopher D. Ahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073967451 PECOS PAC ID: 2365865094 Enrollment ID: I20200714000103 |
| Provider Name | Jennifer Balsan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144636465 PECOS PAC ID: 7214351881 Enrollment ID: I20200716001004 |
| Provider Name | Daniel Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982130050 PECOS PAC ID: 4486070679 Enrollment ID: I20200818004258 |
| Provider Name | Corin Elizabeth Dickinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871102152 PECOS PAC ID: 5698186849 Enrollment ID: I20201119002580 |
| Provider Name | Katherine E Yori-biermaas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932636040 PECOS PAC ID: 2466716535 Enrollment ID: I20201209003141 |
| Provider Name | Haydon Elizabeth Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932795333 PECOS PAC ID: 0446650675 Enrollment ID: I20210610000015 |
| Provider Name | Rebekah Lynn Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710556501 PECOS PAC ID: 3476959792 Enrollment ID: I20210910001806 |
| Provider Name | Rebekah Lynn Weber |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710556501 PECOS PAC ID: 3476959792 Enrollment ID: I20210910001878 |
| Provider Name | Helen Mutoko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073114740 PECOS PAC ID: 9234536558 Enrollment ID: I20210928003795 |
| Provider Name | Gretchen Melissa Echegoyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104389741 PECOS PAC ID: 4587055843 Enrollment ID: I20211221000016 |
| Provider Name | Anna Elizabeth Perkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073131280 PECOS PAC ID: 0345611349 Enrollment ID: I20230131001239 |
| Provider Name | Samuel Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548720279 PECOS PAC ID: 9537577077 Enrollment ID: I20230918001943 |
| Provider Name | Brian Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891115945 PECOS PAC ID: 9638438658 Enrollment ID: I20231028000132 |
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