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JESSE RYAN VICTOR M.D. NPI 1851738702


NPI Information

NPI: 1851738702
Provider Name: JESSE RYAN VICTOR, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: METHODIST ASSOCIATES IN HEALTHCARE, INC

PECOS Registration: Yes

Address:
3998 RED LION RD STE 213
PHILADELPHIA, PA
ZIP 19114
Phone: (215) 612-5699
Get Directions

Jesse Ryan Victor, M.D. is a neurology psychiatry neurology in Philadelphia, PA with 11 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Jesse Ryan Victor, M.D. NPI is 1851738702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

3998 RED LION RD STE 213
PHILADELPHIA, PA
ZIP 19114-440
Phone: (215) 612-5699

The NPI 1851738702 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/3/2013 and was last updated on 10/12/2020.


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 MedicineTRN19079FLORIDANo
22084N0400XPsychiatry & NeurologyNeurologyMD462116PENNSYLVANIAYes

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.