Individual provider Active NPI

Taine Tayard Pechet, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Philadelphia, PA
National Provider Identifier
1669415683
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD073603L Issued in PA
Practice address
3400 Civic Center Blvd FL 1
Philadelphia, PA 19104-5161
Phone
(215) 615-5864
Fax
(215) 349-8432
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA07305200 NJ
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 25MA07305200 NJ
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD073603L PA Primary

Addresses

Primary practice location

3400 Civic Center Blvd FL 1
Philadelphia, PA 19104-5161

Mailing address

3400 Civic Center Blvd FL 1
Philadelphia, PA 19104-5161
Phone (215) 615-5864

Other identifiers 1

IdentifierTypeStateIssuer
PE1307068OtherPABLUE SHIELD

Other names 1

  • Taine Tayard Valere Pechet Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040618000307 PA Practitioner - Thoracic SurgeryPractitioner - General Surgery 9133104821 Reassigns benefits to 1 organization
I20061101000372 NJ Practitioner - Thoracic SurgeryPractitioner - General Surgery 9133104821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
Harvard Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1 E New York Ave
Thor Surg Somers PT
Somers Point, NJ 08244-2340
Phone (215) 662-9195

51 N 39TH St
Philadelphia, PA 19104-2640
Phone (215) 615-5864

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Egg Harbor Township, NJ, CCN 317066
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07305200NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jul 1, 2004 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince May 1, 2015 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Surgery CurrentSince Jul 1, 2004 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Jefferson University Physicians Surgery Past Accepting new patients
Presbyterian Medical Center of the University of Pennsylvania Health S Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

409 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 427-4336

1865 Route 70 E
Ste 220
Cherry Hill, NJ 08003
Phone (856) 429-0505

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

3400 Spruce St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-2050

700 Spruce St
Ste 305
Philadelphia, PA 19106
Phone (215) 829-2092

3737 Market St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-8664

3400 Civic Center Blvd
Fl 1
Philadelphia, PA 19104
Phone (215) 615-5864

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

3400 Spruce St
Fl 6
Philadelphia, PA 19104
Phone (215) 615-0800

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

800 Walnut St
Fl 20
William Penn Annex West, PA 19107
Phone (215) 829-2092

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1669415683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045161",
            "telephone_number": "215-615-5864",
            "fax_number": "215-349-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045161",
            "telephone_number": "215-615-5864",
            "fax_number": "215-349-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHET",
        "first_name": "TAINE",
        "middle_name": "TAYARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA07305200",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "25MA07305200",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD073603L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "PE1307068",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAINE",
            "last_name": "PECHET",
            "middle_name": "TAYARD VALERE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.