University of Penn OB/GYN

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

UNIVERSITY OF PENN OB/GYN

Practice address

3400 Spruce St
5 Dulles
Philadelphia, PA 19104-4206

Phone

(215) 662-2730

NPI assigned

Apr 16, 2008

Last updated

Apr 16, 2008By 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

Paula Starnes

Title

Enrollment Coordinator

Phone

(215) 615-0502

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1750555165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "5 DULLES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "5 DULLES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF PENN OB/GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "STARNES",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "ENROLLMENT COORDINATOR",
        "authorized_official_telephone_number": "215-615-0502"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTON",
            "identifier": "3423812000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Penn - Medical Group
• University of Penn - Oral Surgery Associates
• University of Penn - PA ER
• University of Penn - Vascular Lab
• University of Penn Chop Dental
• University of Penn Psychiatry
• University of Penn-Anesthesia
• University of Penn-Anesthesia
• University of Penn-Dental Med Asst (Penn Personalized Care)
• University of Penn-Medical Group

• Clinical Medical Laboratory in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.