CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST NPI 1790737468

NPI Information

NPI: 1790737468
Provider Name: CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST
Classification: Hospitalist - 208M00000X
Entity Type: Organization
Address:
150 MONUMENT RD FL 4
BALA CYNWYD, PA
ZIP 19004
Phone: (610) 239-2871
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CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST is a hospitalist in Bala Cynwyd, PA. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST NPI is 1790737468. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

150 MONUMENT RD FL 4
BALA CYNWYD, PA
ZIP 19004-702
Phone: (610) 239-2871
Fax: (610) 239-2885

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 5/17/2006 and was last updated on 8/9/2023.

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	2084N0400X	Psychiatry & Neurology	Neurology		No
2	208600000X	Surgery		PENNSYLVANIA	No
3	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism		No
4	207RH0002X	Internal Medicine	Hospice and Palliative Medicine		No
5	207RI0200X	Internal Medicine	Infectious Disease		No
6	207RR0500X	Internal Medicine	Rheumatology		No
7	207RS0012X	Internal Medicine	Sleep Medicine		No
8	207V00000X	Obstetrics & Gynecology			No
9	207PE0004X	Emergency Medicine	Emergency Medical Services		No
10	207PS0010X	Emergency Medicine	Sports Medicine		No
11	207R00000X	Internal Medicine			No
12	207RC0000X	Internal Medicine	Cardiovascular Disease	PENNSYLVANIA	No
13	208M00000X	Hospitalist			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1343994	OTHER	PENNSYLVANIA	BLUE SHIELD
2	428207	OTHER	PENNSYLVANIA	BLUE SHIELD
3	100730664	MEDICAID	PENNSYLVANIA

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: 5/5/2024

NPI Synchronization or Removal

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