UNIVERSITY OF PENN-MEDICAL GROUP NPI 1558759571

NPI Information

NPI: 1558759571
Provider Name: UNIVERSITY OF PENN-MEDICAL GROUP
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3400 SPRUCE ST
GROUND FLOOR DULLES
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-3005
Get Directions

UNIVERSITY OF PENN-MEDICAL GROUP is a diagnostic radiology radiology in Philadelphia, PA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. UNIVERSITY OF PENN-MEDICAL GROUP NPI is 1558759571. 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 19104-238
Phone: (215) 662-3005

The provider's authorized official is Chante L Jackson .
The authorized official title is Enrollment Lead and has the following contact phone number (215) 662-6187.

The enumeration date for this NPI number is 12/29/2014 and was last updated on 11/19/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	207U00000X	Nuclear Medicine		PENNSYLVANIA	No
2	2085N0700X	Radiology	Neuroradiology	PENNSYLVANIA	No
3	2085N0904X	Radiology	Nuclear Radiology	PENNSYLVANIA	No
4	2085P0229X	Radiology	Pediatric Radiology	PENNSYLVANIA	No
5	2085R0202X	Radiology	Diagnostic Radiology	PENNSYLVANIA	Yes
6	2085R0204X	Radiology	Vascular & Interventional Radiology	PENNSYLVANIA	No

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »