University Of Penn - Medical Group

LBN: University Of Penn - Medical Group
University Of Penn - Medical Group is an health care organization with primary practice located at 3400 Spruce St 210 White Building, Philadelphia PA 19104-4206. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty. University Of Penn - Medical Group can be contacted via phone (215) 662-2638, or through Jackson, Chante L via phone (215) 662-6187.

Contact Information

Primary practice address
3400 Spruce St 210 White Building Philadelphia PA 19104-4206
Phone: (215) 662-2638
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Chante L
Phone: (215) 662-6187

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Pennsylvania
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X Pennsylvania
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X Pennsylvania

Profile Details

NPI number 1629181912
LBN Legal business name University Of Penn - Medical Group
DBA Doing business as
Authorized official Jackson, Chante L
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2006
Last updated Nov 19th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629181912 NPPES
Pennsylvania Other CA0235 RR MEDICARE
Pennsylvania Other 020255499 RR MEDICARE
Pennsylvania Other 5484103 RR MEDICARE
Pennsylvania Other 1010964 RR MEDICARE
Pennsylvania Other 496714 RR MEDICARE
Pennsylvania Other 10791 RR MEDICARE
Pennsylvania Other 140770 RR MEDICARE
Pennsylvania Other 0002Y20116 RR MEDICARE
Pennsylvania MEDICAID 0006610360 RR MEDICARE
Pennsylvania Other 273252 RR MEDICARE
Pennsylvania Other 0176009000 RR MEDICARE
Pennsylvania Other G00031680 RR MEDICARE

Popular Providers