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UNIVERSITY OF PENN-MEDICAL GROUP NPI 1194832899


NPI Information

NPI: 1194832899
Provider Name: UNIVERSITY OF PENN-MEDICAL GROUP
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
3400 SPRUCE ST
3 SILVERSTEIN BUILDING, SUITE D
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-6932
Get Directions

UNIVERSITY OF PENN-MEDICAL GROUP is an infectious disease internal medicine in Philadelphia, PA. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. UNIVERSITY OF PENN-MEDICAL GROUP NPI is 1194832899. 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
3 SILVERSTEIN BUILDING, SUITE D
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 662-6932
Fax: (215) 662-7899

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 8/25/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0200XInternal MedicineInfectious DiseaseYes
22080P0208XPediatricsPediatric Infectious DiseasesNo

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
1G00048530OTHERPENNSYLVANIAAMERICHOICE
20345789000OTHERPENNSYLVANIAKEYSTONE
3043054OTHERPENNSYLVANIABLUE SHIELD
40002Y20116OTHERPENNSYLVANIAHEALTHNET
55467403OTHERPENNSYLVANIANJ-MEDICAID
6CA0235OTHERPENNSYLVANIARR MEDICARE
70006610360MEDICAIDPENNSYLVANIA
8496686OTHERPENNSYLVANIAAETNA
91010882OTHERPENNSYLVANIAMERCY
10273224OTHERPENNSYLVANIAMAMSI
1110724OTHERPENNSYLVANIAHEALTHPARTNERS

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.