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UNIVERSITY OF PENN-MEDICAL GROUP NPI 1790173805


NPI Information

NPI: 1790173805
Provider Name: UNIVERSITY OF PENN-MEDICAL GROUP
Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
3400 SPRUCE ST
3 SILVERSTEIN BUILDING
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-3487
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UNIVERSITY OF PENN-MEDICAL GROUP is a neurological surgery in Philadelphia, PA. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. UNIVERSITY OF PENN-MEDICAL GROUP NPI is 1790173805. 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
PHILADELPHIA, PA
ZIP 19104-238
Phone: (215) 662-3487

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

The enumeration date for this NPI number is 12/26/2014 and was last updated on 11/20/2020.


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
1207T00000XNeurological SurgeryPENNSYLVANIAYes
22085N0700XRadiologyNeuroradiologyPENNSYLVANIANo

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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