U. of PA Student Health Service

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

License

MD021924E Issued in PA

Legal business name

U. OF PA STUDENT HEALTH SERVICE

Practice address

399 S 34TH St
Lower Level, Penn Tower
Philadelphia, PA 19104-4316

Phone

(215) 662-2868

NPI assigned

May 8, 2007

Last updated

Aug 22, 2020By 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

Dr. Evelyn Wiener, MD

Title

Director

Phone

(215) 662-2868

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770796385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 S 34TH ST",
            "address_2": "LOWER LEVEL, PENN TOWER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044316",
            "telephone_number": "215-662-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 S 34TH ST",
            "address_2": "LOWER LEVEL, PENN TOWER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044316",
            "telephone_number": "215-662-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U. OF PA STUDENT HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIENER",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-662-2868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "PA",
            "license": "MD021924E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Student Health Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Student Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.