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UNIVERSITY OF PENN-PA TRAUMA NPI 1275640971


NPI Information

NPI: 1275640971
Provider Name: UNIVERSITY OF PENN-PA TRAUMA
Classification: Surgery - 2086S0102X
Entity Type: Organization

Specialization: Surgical Critical Care

Address:
3400 SPRUCE ST
2 DULLES
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-7320
Get Directions

UNIVERSITY OF PENN-PA TRAUMA is a surgical critical care surgery in Philadelphia, PA. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. UNIVERSITY OF PENN-PA TRAUMA NPI is 1275640971. 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
2 DULLES
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 662-7320
Fax: (215) 349-5917

The provider's authorized official is Elizabeth Johnston .
The authorized official title is Executive Director and has the following contact phone number (215) 662-7583.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 6/10/2011.


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
1208600000XSurgeryPENNSYLVANIANo
22086S0102XSurgerySurgical Critical CarePENNSYLVANIAYes

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
116227OTHERPENNSYLVANIAAETNA
2508416MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
347456OTHERPENNSYLVANIAMERCY
4203660OTHERPENNSYLVANIAEEIOC
50002Y21672OTHERPENNSYLVANIAHEALTHNET
60109803000OTHERPENNSYLVANIAKEYSTONE
7273260OTHERPENNSYLVANIAMAMSI
8CA6626OTHERPENNSYLVANIARR MEDICARE
97308701OTHERPENNSYLVANIANJ-MEDICAID
10G00100770OTHERPENNSYLVANIAAMERICHOICE
1108930OTHERPENNSYLVANIAHEALTHPARTNERS
12508416OTHERPENNSYLVANIABLUE SHIELD
131008145030MEDICAIDPENNSYLVANIA

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: 11/14/2023

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.