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UNIVERSITY OF PENN - MEDICAL GROUP NPI 1568579266


NPI Information

NPI: 1568579266
Provider Name: UNIVERSITY OF PENN - MEDICAL GROUP
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
3400 SPRUCE ST
1 MALONEY
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-2300
Get Directions

UNIVERSITY OF PENN - MEDICAL GROUP is an endocrinology and diabetes and metabolism internal medicine in Philadelphia, PA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. UNIVERSITY OF PENN - MEDICAL GROUP NPI is 1568579266. 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
1 MALONEY
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 662-2300

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
1207R00000XInternal MedicineNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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
1496680OTHERPENNSYLVANIAAETNA
20346863000OTHERPENNSYLVANIAKEYSTONE
35505101OTHERNEW JERSEYNJ-MEDICAID
410809OTHERPENNSYLVANIAHEALTHPARTNERS
5273188OTHERPENNSYLVANIAMAMSI
663533OTHERPENNSYLVANIABLUE SHIELD
70002Y20116OTHERPENNSYLVANIAHEALTHNET
80006610360MEDICAIDPENNSYLVANIA
91012794OTHERPENNSYLVANIAMERCY
10CA0235OTHERPENNSYLVANIARR MEDICARE
11G00031660OTHERPENNSYLVANIAAMERICHOICE

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.