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UNIV OF PENN - RADIOLOGY NPI 1013920503


NPI Information

NPI: 1013920503
Provider Name: UNIV OF PENN - RADIOLOGY
Classification: Radiology - 2085N0700X
Entity Type: Organization

Specialization: Neuroradiology

Address:
3400 SPRUCE ST
GROUND FLOOR DULLES
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-3005
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UNIV OF PENN - RADIOLOGY is a neuroradiology radiology in Philadelphia, PA. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. UNIV OF PENN - RADIOLOGY NPI is 1013920503. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3400 SPRUCE ST
GROUND FLOOR DULLES
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 662-3005
Fax: (215) 662-7011

The provider's authorized official is Elizabeth Johnston .
The authorized official title is Executive Director and has the following contact phone number (215) 662-3005.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiologyYes
22085N0904XRadiologyNuclear RadiologyX
32085R0202XRadiologyDiagnostic RadiologyX
42085R0204XRadiologyVascular & Interventional RadiologyX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1160728OTHERPENNSYLVANIABLUE SHIELD
21001258770MEDICAIDPENNSYLVANIA
33Y30270OTHERPENNSYLVANIAHEALTHNET
4002144OTHERPENNSYLVANIAAETNA
50834536000OTHERPENNSYLVANIAKEYSTONE
610371OTHERPENNSYLVANIAHEALTHPARTNERS
745459OTHERPENNSYLVANIAKEYSTONE MERCY
88837007MEDICAIDNEW JERSEY
9DA4009OTHERPENNSYLVANIARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.