NPIMap

Organization Active NPI

Alla Shpaner MD,PC

  • Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1740450188
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD067856L Issued in PA
Legal business name
ALLA SHPANER MD,PC
Practice address
2375 Woodward St
Philadelphia, PA 19115-5120
Phone
(215) 676-4948
Fax
(215) 676-8858
NPI assigned
Feb 29, 2008
Last updated
Feb 29, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ALLA SHPANER MD,PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Dr. Alla Shpaner, MDNPI 1972500809
Title
President
Phone
(215) 676-4948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD067856L PA Primary

Addresses

Primary practice location

2375 Woodward St
Philadelphia, PA 19115-5120

Mailing address

2375 Woodward St
Philadelphia, PA 19115-5120
Phone (215) 676-4948

Other identifiers 1

IdentifierTypeStateIssuer
001740475002MedicaidPA

National Provider Directory

National Provider Directory
Part of
Alla Shpaner MDPC

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1740450188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 WOODWARD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191155120",
            "telephone_number": "215-676-4948",
            "fax_number": "215-676-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 WOODWARD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191155120",
            "telephone_number": "215-676-4948",
            "fax_number": "215-676-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLA SHPANER MD,PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLA SHPANER MD,PC",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "SHPANER",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-676-4948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "MD067856L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001740475002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.