Jefferson Headache Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

438132 Issued in PA

Legal business name

JEFFERSON HEADACHE CENTER

Practice address

111 S 11TH St
Suite 8130 Gibbon Building
Philadelphia, PA 19107-4824

Phone

(215) 955-2727

Fax

(215) 955-6682

NPI assigned

Sep 21, 2009

Last updated

Sep 21, 2009By 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

Ms. Patrice S Guild, DIRECTOR, OPERATIONS

Title

Director of Operations

Phone

(215) 955-2212

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Ronald S. Kaiser, PH.D.

  • Psychologist
  • Philadelphia, PA
  • NPI 1801914338
  NPD (past)
• Todd Rozen, MD

  • Neurology Physician
  • Jacksonville, FL
  • NPI 1902999006
  NPD (past)

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1396079695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "SUITE 8130 GIBBON BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-2727",
            "fax_number": "215-955-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "SUITE 8130 GIBBON BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-2727",
            "fax_number": "215-955-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON HEADACHE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "GUILD",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "215-955-2212",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DIRECTOR, OPERATIONS"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "438132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE NUMBER",
            "identifier": "438132",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jefferson Acute Care Physicians, PC (Jefferson Urgent Care)
• Jefferson Acute Care Physicians, PC (Jefferson Urgent Care)
• Jefferson Ambulatory Surgery Services, LLC (Jefferson Surgery Center - Torresdale)
• Jefferson Community Physicians
• Jefferson Family Care
• Jefferson Headache Center
• Jefferson Health - Northeast
• Jefferson Health - Northeast
• Jefferson Hospital
• Jefferson Medical Care, PC

• General Acute Care Hospital in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Acute Care Hospital in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.