Active NPI
Temple University Hospital
- Critical Access Hospital
- Philadelphia, PA
National Provider Identifier
1780830117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- MT188302
- Legal business name
- TEMPLE UNIVERSITY HOSPITAL
- Practice address
- 3401 N Broad St
Philadelphia, PA 19140-5103 - Phone
- (215) 707-3133
- NPI assigned
- Aug 18, 2008
- Last updated
- Aug 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sandra Patricia Medinilla, M.D.
- Title
- Surgical Resident
- Phone
- (215) 990-9286
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | MT188302 | PA | Primary |
Addresses
Primary practice location
3401 N Broad St
Philadelphia, PA 19140-5103
Mailing address
142 E Hartwell LN
Philadelphia, PA 19118-3431
Phone (215) 990-9286
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219017600000",
"number": "1780830117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 E HARTWELL LN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191183431",
"telephone_number": "215-990-9286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405103",
"telephone_number": "215-707-3133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEMPLE UNIVERSITY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-18",
"last_updated": "2008-08-18",
"status": "A",
"authorized_official_last_name": "MEDINILLA",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "SURGICAL RESIDENT",
"authorized_official_telephone_number": "215-990-9286",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "PA",
"license": "MT188302",
"primary": true
}
],
"identifiers": [],
"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 Aug 18, 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.