Temple Faculty Practice Plan, Inc

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

TEMPLE FACULTY PRACTICE PLAN, INC

Doing business as

Temple Faculty Radiation Oncology Associates

Practice address

3401 N Broad St
Philadelphia, PA 19140-5103

Phone

(215) 707-4233

Fax

(215) 707-8062

NPI assigned

Sep 10, 2018

Last updated

Sep 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tonya Woodard

Title

Director Revenue Cycle

Phone

(215) 707-3911

Specialties & licenses 1

Addresses

Other names 1

• Temple Faculty Radiation Oncology Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allison Aggon, D.O.

  • Surgery Physician
  • Philadelphia, PA
  • NPI 1972759900
  NPD
• Praise Augustus, MD

  • Obstetrics & Gynecology Physician
  • Pittsburgh, PA
  • NPI 1154724268
  NPD
• Vincent Francis Baldassano, MD

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1326198664
  NPD
• Eli Balshan

  • Anatomic Pathology & Clinical Pathology Physician
  • Philadelphia, PA
  • NPI 1215314554
  NPD
• Joseph Nicholas Bodor, MD, PHD

  • Medical Oncology Physician
  • Philadelphia, PA
  • NPI 1528486586
  NPD
• Petra Emad Brayo, M.D.

  • Neurology Physician
  • Philadelphia, PA
  • NPI 1144752023
  NPD
• Georgios M Charatzoglou, MD

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1043208077
  NPD
• Alexander Ga Ming Chau, MD

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1578055661
  NPD
• Raju Chelluri

  • Urology Physician
  • Scranton, PA
  • NPI 1619400397
  NPD
• Jian Fu, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Philadelphia, PA
  • NPI 1558774083
  NPD
• Terrence Deray Habiyaremye, MD

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1841929882
  NPD
• Tiffany Peng Hwa, MD

  • Otology & Neurotology Physician
  • Philadelphia, PA
  • NPI 1730506973
  NPD

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1295218972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-707-4233",
            "fax_number": "215-707-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103",
            "telephone_number": "215-707-4233",
            "fax_number": "215-707-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE FACULTY PRACTICE PLAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "215-707-3911"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temple Faculty Radiation Oncology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Temple Faculty Practice Plan, Inc (Temple Faculty Pulmonary Associates)
• Temple Faculty Practice Plan, Inc (Temple Faculty Physical Therapy Associates)
• Temple Faculty Practice Plan, Inc (Temple Faculty Anesthesiology Critical Care Associates)
• Temple Faculty Practice Plan, Inc (Temple Faculty Palliative Medicine)
• Temple Faculty Practice Plan, Inc (Temple Faculty Orthopedics & Sports Medicine Associates)
• Temple Faculty Practice Plan, Inc (Temple Faculty Family Medicine Peds Associates)
• Temple Faculty Practice Plan, Inc (Temple Faculty Vascular Surgery Associates)
• Temple Faculty Practice Plan, Inc (Temple Faculty Pain Management Associates)
• Temple Faculty Practice Plan, Inc (Temple Faculty Oncology Associates)
• Temple Faculty Practice Plan, Inc (Temple Faculty Psychiatry Associates)

• Radiation Oncology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Radiation Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.