Drexel University
Organization Active NPI Medical Toxicology (Emergency Medicine) Physician · Philadelphia, PA
NPI 1306940960 · NPPES record last updated Jul 30, 2014
Key facts
- NPI
- 1306940960
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Toxicology (Emergency Medicine) Physician 207PT0002X
- Legal business name
- DREXEL UNIVERSITY
- Practice address
- 230 N Broad St
Philadelphia, PA 19102-1121 - Phone
- (215) 762-7963
- Fax
- (215) 762-5793
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
Authorized official
- Name
- David Janiec
- Title
- Director of Payer Contracting
- Phone
- (215) 255-7766
Other NPIs on the same Medicare enrollment 45
Practitioners 8
-
Elizabeth Gancher, M.D.
-
Aswin Mathew, M.D.
-
Lauren McCormack, M.D., M.P.H.
-
Leon McCrea, MD
-
Debra Simsovits, DO
-
James Andrew Clyne, D.O.
-
Dana C Farabaugh, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140729001682 | PA | Part B Supplier - Clinic/Group Practice | 5496664740 |
Receives reassigned benefits from 340 practitioners 45 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Philadelphia, PA; Warminster, PA; Elkins Park, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Toxicology (Emergency Medicine) Physician |
207PT0002X | PA | Yes |
Addresses
Primary practice location
230 N Broad St
Philadelphia, PA 19102-1121
Mailing address
1601 Cherry St
Suite 11511
Philadelphia, PA 19102-1321
Phone (215) 255-7822
Other names
- Drexel Toxicology
Other providers in Philadelphia, PA
- Drexel University
- Drexel University
- Drexel University
- Drexel University
- Drexel University
- Drexel University
- Drexel University
- Drexel University
- Drexel University
- Drexel University
All providers in Philadelphia, PA · Medical Toxicology (Emergency Medicine) Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.