Mercy Management of Sepa

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

MERCY MANAGEMENT OF SEPA

Practice address

501 S 54TH St Ste 186
Philadelphia, PA 19143-1900

Phone

(215) 748-9530

Fax

(215) 748-9199

NPI assigned

Aug 3, 2017

Organization subpart

No

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

Authorized official

Name

Amiee Brennan

Title

Credentialing Supervisor

Phone

(610) 567-6964

Specialties & licenses 14

Addresses

Other names 1

• SEPA Multi - Specialty Group Doing business as

Tax ID family

Academic Emergency Serv21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

• Mercy Fitzgerald Crna Services

  • Certified Registered Nurse Anesthetist
  • Darby, PA
  • NPI 1922284439
  NPD tax ID
• Mercy Hospital of Philadelphia

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1487963294
  NPD tax ID
• Mercy Management of Sepa

  • Registered Dietitian
  • Philadelphia, PA
  • NPI 1043233000
  NPD tax ID
• Mercy Management of Sepa

  • Gynecology Physician
  • Philadelphia, PA
  • NPI 1295758233
  NPD tax ID
• Mercy Management of Sepa

  • Adult Health Nurse Practitioner
  • Darby, PA
  • NPI 1396261764
  NPD tax ID
• Mercy Management of Sepa

  • Interventional Cardiology Physician
  • Darby, PA
  • NPI 1609193838
  NPD tax ID
• Mercy Management of Sepa

  • Rheumatology Physician
  • Conshohocken, PA
  • NPI 1649445248
  NPD tax ID
• Mercy Management of Sepa

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1689657215
  NPD tax ID
• Mercy Management of Sepa

  • Medical Oncology Physician
  • Philadelphia, PA
  • NPI 1821089426
  NPD tax ID
• Mercy Management of Sepa

  • Diabetes Educator Registered Nurse
  • Philadelphia, PA
  • NPI 1831206549
  NPD tax ID
• Mercy Management of Sepa

  • Radiation Oncology Physician
  • Darby, PA
  • NPI 1982120366
  NPD tax ID
• Mercy Management of Southeastern Pennsylvani

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Darby, PA
  • NPI 1821560350
  NPD tax ID

Locations

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1982128690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W ELM ST",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194284108",
            "telephone_number": "610-567-6964",
            "fax_number": "610-567-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S 54TH ST STE 186",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431900",
            "telephone_number": "215-748-9530",
            "fax_number": "215-748-9199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Lansdowne Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231333",
            "country_code": "US",
            "telephone_number": "610-534-6142",
            "fax_number": "610-534-6136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S 54th St Ste 226",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191431900",
            "country_code": "US",
            "telephone_number": "484-494-5344",
            "fax_number": "484-494-5414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S 54th St Ste 126",
            "address_purpose": "LOCATION",
            "city": "Phila",
            "state": "PA",
            "postal_code": "191431900",
            "country_code": "US",
            "telephone_number": "215-748-9302",
            "fax_number": "215-748-9869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1503 Lansdowne Ave Ste 3001",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231306",
            "country_code": "US",
            "telephone_number": "610-586-4100",
            "fax_number": "610-586-4114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Baltimore Pike Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190642800",
            "country_code": "US",
            "telephone_number": "484-479-2600",
            "fax_number": "484-479-2699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Lansdowne Ave",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231200",
            "country_code": "US",
            "telephone_number": "610-567-5392",
            "fax_number": "610-237-2797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S 54th St Ste 128",
            "address_purpose": "LOCATION",
            "city": "Phila",
            "state": "PA",
            "postal_code": "191431900",
            "country_code": "US",
            "telephone_number": "215-748-9872",
            "fax_number": "215-748-9535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Lansdowne Ave Ofc Bldg",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231333",
            "country_code": "US",
            "telephone_number": "610-237-5817",
            "fax_number": "610-237-5819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Lansdowne Ave Ste 307",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231333",
            "country_code": "US",
            "telephone_number": "610-534-6170",
            "fax_number": "610-534-6159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Baltimore Pike Ste 109",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190642852",
            "country_code": "US",
            "telephone_number": "610-534-6270",
            "fax_number": "610-534-6269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4190 City Ave Ste 315",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191311633",
            "country_code": "US",
            "telephone_number": "610-534-6270",
            "fax_number": "610-534-6269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S 54th St Ste 478",
            "address_purpose": "LOCATION",
            "city": "Phila",
            "state": "PA",
            "postal_code": "191431900",
            "country_code": "US",
            "telephone_number": "215-748-9833",
            "fax_number": "215-748-9864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Lansdowne Ave Ofc Bldg",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231333",
            "country_code": "US",
            "telephone_number": "610-237-5817",
            "fax_number": "610-237-5819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S 54th St Ste 227",
            "address_purpose": "LOCATION",
            "city": "Phila",
            "state": "PA",
            "postal_code": "191431900",
            "country_code": "US",
            "telephone_number": "215-748-9653",
            "fax_number": "215-748-9667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Lansdowne Ave Fl Mob1",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231333",
            "country_code": "US",
            "telephone_number": "215-748-9653",
            "fax_number": "215-748-9809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5346 Cedar Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191431918",
            "country_code": "US",
            "telephone_number": "215-747-6661",
            "fax_number": "215-471-1418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1575 N 52nd St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191314736",
            "country_code": "US",
            "telephone_number": "215-747-6661",
            "fax_number": "215-471-1418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Lansdowne Ave Fl South",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231333",
            "country_code": "US",
            "telephone_number": "610-237-4210",
            "fax_number": "610-237-4214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S 54th St",
            "address_purpose": "LOCATION",
            "city": "Phila",
            "state": "PA",
            "postal_code": "191431900",
            "country_code": "US",
            "telephone_number": "215-748-9021",
            "fax_number": "215-748-9022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Lansdowne Ave",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231200",
            "country_code": "US",
            "telephone_number": "610-237-5851",
            "fax_number": "610-237-4017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S 54th St",
            "address_purpose": "LOCATION",
            "city": "Phila",
            "state": "PA",
            "postal_code": "191431900",
            "country_code": "US",
            "telephone_number": "610-567-5408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1503 Lansdowne Ave Ste 3003",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231308",
            "country_code": "US",
            "telephone_number": "484-494-5344",
            "fax_number": "484-494-5414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S 54th St Ste 28",
            "address_purpose": "LOCATION",
            "city": "Phila",
            "state": "PA",
            "postal_code": "191431900",
            "country_code": "US",
            "telephone_number": "610-534-6142",
            "fax_number": "610-534-6136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 Providence Rd Ste 8/9",
            "address_purpose": "LOCATION",
            "city": "Secane",
            "state": "PA",
            "postal_code": "190182920",
            "country_code": "US",
            "telephone_number": "610-534-6128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Lansdowne Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231333",
            "country_code": "US",
            "telephone_number": "610-534-6142",
            "fax_number": "610-534-6139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S 54th St Ste 128",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191431900",
            "country_code": "US",
            "telephone_number": "215-748-9872",
            "fax_number": "215-748-9535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S 54th St Ste 226",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191431900",
            "country_code": "US",
            "telephone_number": "610-534-6170",
            "fax_number": "610-534-6159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S 54th St Ste 28",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191431900",
            "country_code": "US",
            "telephone_number": "215-748-9822",
            "fax_number": "215-748-9717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 Providence Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Secane",
            "state": "PA",
            "postal_code": "190182900",
            "country_code": "US",
            "telephone_number": "610-237-2770",
            "fax_number": "610-237-2771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1503 Lansdowne Ave Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231330",
            "country_code": "US",
            "telephone_number": "610-237-2770",
            "fax_number": "610-237-2771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Lansdowne Ave Bldg G103",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231200",
            "country_code": "US",
            "telephone_number": "610-237-7950",
            "fax_number": "610-237-7955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Lansdowne Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231333",
            "country_code": "US",
            "telephone_number": "610-534-6270",
            "fax_number": "610-534-6269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY MANAGEMENT OF SEPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "AMIEE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "610-567-6964"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEPA Multi - Specialty Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Management of Sepa
• Mercy Management of Sepa
• Mercy Management of Sepa
• Mercy Management of Sepa
• Mercy Management of Sepa
• Mercy Management of Southeastern Pennsylvani
• Mercy Management of Southeastern Pennsylvani
• Mercy Management of Southeastern Pennsylvania
• Mercy Management of Southeastern Pennsylvania
• Mercy Management of Southeastern Pennsylvania

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.