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JEFFERSON UNIVERSITY PHYSICIAN NPI 1861666174


NPI Information

NPI: 1861666174
Provider Name: JEFFERSON UNIVERSITY PHYSICIAN

Other Name: SURGERY

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
833 CHESTNUT ST
SUITE 630
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-0800
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JEFFERSON UNIVERSITY PHYSICIAN is a surgery in Philadelphia, PA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. JEFFERSON UNIVERSITY PHYSICIAN NPI is 1861666174. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Surgery.

The provider's business location address is:

833 CHESTNUT ST
SUITE 630
PHILADELPHIA, PA
ZIP 19107-414
Phone: (215) 955-0800

The provider's authorized official is John Ogunkeye .
The authorized official title is Executive Director and has the following contact phone number (215) 955-2562.

The enumeration date for this NPI number is 4/17/2008 and was last updated on 4/28/2008.


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
1208600000XSurgeryYes

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
17585403MEDICAIDNEW JERSEY
27551703MEDICAIDNEW JERSEY
3507462OTHERPENNSYLVANIAAETNA
41821657OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
51153665OTHERPENNSYLVANIAKEYSTONE MERCY
61153629OTHERPENNSYLVANIAKEYSTONE MERCY
77531401MEDICAIDNEW JERSEY
81153656OTHERPENNSYLVANIAKEYSTONE MERCY
91153628OTHERPENNSYLVANIAKEYSTONE MERCY
107550405MEDICAIDNEW JERSEY
111153258OTHERPENNSYLVANIAKEYSTONE MERCY
127535805MEDICAIDNEW JERSEY
131153651OTHERPENNSYLVANIAKEYSTONE MERCY
147512007MEDICAIDNEW JERSEY
158455708MEDICAIDNEW JERSEY
161062654OTHERPENNSYLVANIAKEYSTONE MERCY
172678933000OTHERPENNSYLVANIAINDEPENDENCE BLUE CROSS
181156151OTHERPENNSYLVANIAKEYSTONE MERCY
197531303MEDICAIDNEW JERSEY

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

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