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UNIVERSITY OF PENN-MEDICAL GROUP NPI 1982717641


NPI Information

NPI: 1982717641
Provider Name: UNIVERSITY OF PENN-MEDICAL GROUP
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
3400 CIVIC CENTER BLVD
1ST FLOOR
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-2454
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UNIVERSITY OF PENN-MEDICAL GROUP is a rheumatology internal medicine in Philadelphia, PA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. UNIVERSITY OF PENN-MEDICAL GROUP NPI is 1982717641. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3400 CIVIC CENTER BLVD
1ST FLOOR
PHILADELPHIA, PA
ZIP 19104-127
Phone: (215) 662-2454

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 8/16/2006 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
1207R00000XInternal MedicinePENNSYLVANIANo
2207RR0500XInternal MedicineRheumatologyPENNSYLVANIAYes

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
10002Y20116OTHERPENNSYLVANIAHEALTHNET
20276505000OTHERPENNSYLVANIAKEYSTONE
3273257OTHERPENNSYLVANIAMAMSI
4140756OTHERPENNSYLVANIABLUE SHIELD
55443300OTHERNEW JERSEYNJ-MEDICAID
6CA0235OTHERPENNSYLVANIARR MEDICARE
7G00048560OTHERPENNSYLVANIAAMERICHOICE
831848OTHERPENNSYLVANIAHEALTHPARTNERS
9496695OTHERPENNSYLVANIAAETNA
100006610360MEDICAIDPENNSYLVANIA
11020255499OTHERPENNSYLVANIAEEIOC
121010975OTHERPENNSYLVANIAMERCY

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.