Core Performance Physicians

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD072993L Issued in PA

Legal business name

CORE PERFORMANCE PHYSICIANS

Practice address

1200 Constitution Ave
Suite 110
Philadelphia, PA 19112-1329

Phone

(267) 592-3200

Fax

(888) 393-3980

NPI assigned

Dec 1, 2015

Organization subpart

No

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

Authorized official

Name

Ann Marie O'Shea

Title

Ceo

Phone

(267) 592-3200

Specialties & licenses 4

Addresses

Other names 1

• Vincera Core Physicians Doing business as

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1912371048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CONSTITUTION AVE",
            "address_2": "SUITE 110",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191121329",
            "telephone_number": "267-592-3200",
            "fax_number": "888-393-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CONSTITUTION AVE",
            "address_2": "SUITE 110",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191121329",
            "telephone_number": "267-592-3200",
            "fax_number": "888-393-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PERFORMANCE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "O'SHEA",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-592-3200"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "PA",
            "license": "MD442923",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD072993L",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD437907",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vincera Core Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cordova Care LLC
• Francis Cordova, MD
• Daniel Peter Cordua, MFT, LMT
• Core Community Services LLC
• Core Performance and Rehabilitation
• Core Performance Physicians, LLC
• Core Wellness Centers LLC
• Corecare Behavioral Health
• Corecare Behavioral Health Management, Inc.
• Freda Coren, MD

• Surgery Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.