Active NPI
Univ of Penn-Neurosurgery
- Neurological Surgery Physician
- Philadelphia, PA
National Provider Identifier
1962515973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- UNIV OF PENN-NEUROSURGERY
- Practice address
- 3400 Spruce St
3 Silverstein
Philadelphia, PA 19104-4206 - Phone
- (215) 662-3487
- Fax
- (215) 349-5534
- NPI assigned
- Aug 16, 2006
- 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
- Elizabeth Johnston
- Title
- Executive Director
- Phone
- (215) 662-7583
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | PA | Primary |
Addresses
Primary practice location
3400 Spruce St
3 Silverstein
Philadelphia, PA 19104-4206
Mailing address
3624 Market St
Suite 560 W
Philadelphia, PA 19104-2614
Phone (215) 662-2286
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118188100 | Other | PA | ACS |
| 273496 | Other | PA | MAMSI |
| 055952 | Other | PA | BLUE SHIELD |
| 06713 | Other | PA | HEALTHPARTNERS |
| 093237 | Other | PA | AETNA |
| CG4674 | Other | PA | RR MEDICARE |
| 0052213000 | Other | PA | KEYSTONE |
| 0002Y20049 | Other | PA | HEALTHNET |
| 0007557130 | Medicaid | PA | |
| 4193113 | Other | NJ | NJ-MEDICAID |
| 47781 | Other | PA | MERCY |
| G00031380 | Other | PA | AMERICHOICE |
National Provider Directory
National Provider DirectoryLocations
440 E Marshall St
Fl 1
West Chester, PA 19380
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1861618043
-
- Adult Health Nurse Practitioner
- Philadelphia, PA
- NPI 1609937358
-
- Nurse Practitioner
- Philadelphia, PA
- NPI 1912939349
-
- Interventional Cardiology Physician
- Philadelphia, PA
- NPI 1558534172
-
- Clinical Cardiac Electrophysiology Physician
- Philadelphia, PA
- NPI 1134283476
-
- Advanced Heart Failure and Transplant Cardiology Physician
- Philadelphia, PA
- NPI 1770637357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382659200000",
"number": "1962515973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3624 MARKET ST",
"address_2": "SUITE 560 W",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191042614",
"telephone_number": "215-662-2286",
"fax_number": "866-586-2431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"address_2": "3 SILVERSTEIN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044206",
"telephone_number": "215-662-3487",
"fax_number": "215-349-5534"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIV OF PENN-NEUROSURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2013-10-25",
"status": "A",
"authorized_official_last_name": "JOHNSTON",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "215-662-7583"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS",
"identifier": "118188100",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "273496",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "055952",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "06713",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "093237",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CG4674",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0052213000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0002Y20049",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007557130",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ-MEDICAID",
"identifier": "4193113",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY",
"identifier": "47781",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "G00031380",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
- Univ of Penn - Rehab Medicine
- Univ of Penn Imaging Center
- Univ of Penn Radiation Oncology
- Univ of Penn- OB-GYN
- Univ of Penn-Cardiac Transplant
- Univ of Penn-Orthopedic Surgery
- Univ of Penn-Otorhinolaryngology
- Univ of Penn-Scheie Eye Institute
- Univ of Penn-Urology
- Universal Audenried Charter High School
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.