Dr Ala Stanford Center for Health Equity

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DR ALA STANFORD CENTER FOR HEALTH EQUITY

Practice address

7979 State Rd
Philadelphia, PA 19136-3407

Phone

(484) 270-6200

Fax

(484) 270-6200

NPI assigned

Jan 1, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Cynthia Antoinette Taylor

Title

Director of Operations

Phone

(484) 270-6200

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dr Ala Stanford Center For Health Equity - NE Other name

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khary Blackmon, M.S

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1528441920
  NPD (past)
• Denina Helm, MD

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1780659177
  NPD (past)
• Jamie Vincenti Redwing, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Philadelphia, PA
  • NPI 1730180316
  NPD (past)
• Elizabeth W Schmidt, MSN, CRNP

  • Primary Care Nurse Practitioner
  • Philadelphia, PA
  • NPI 1346362076
  NPD (past)
• Ala Stanford

  • Surgery Physician
  • Charlotte, NC
  • NPI 1750394037
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735689600000",
    "number": "1104635515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191322652",
            "telephone_number": "484-270-6200",
            "fax_number": "484-270-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7979 STATE RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191363407",
            "telephone_number": "484-270-6200",
            "fax_number": "484-270-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALA STANFORD CENTER FOR HEALTH EQUITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-01",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANTOINETTE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "484-270-6200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104112213-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Ala Stanford Center For Health Equity - NE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.