Temple Faculty Practice Plan, Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

TEMPLE FACULTY PRACTICE PLAN, INC

Doing business as

Temple Faculty Urology Associates

Practice address

3509 N Broad St
Philadelphia, PA 19140-4105

Phone

(215) 707-3375

Fax

(215) 707-4758

NPI assigned

Sep 13, 2018

Last updated

Sep 13, 2018By 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

Tonya Woodard

Title

Director Revenue Cycle

Phone

(215) 707-3911

Specialties & licenses 1

Addresses

Other names 1

• Temple Faculty Urology Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sayed M Ali, MD

  • Diagnostic Radiology Physician
  • Philadelphia, PA
  • NPI 1578552469
  NPD
• Penny Anderson, M.D.

  • Radiation Oncology Physician
  • Philadelphia, PA
  • NPI 1811969868
  NPD
• Karissa C Arthur, MD

  • Neurology Physician
  • Philadelphia, PA
  • NPI 1750815270
  NPD
• Brenda S Auerbach, CRNA

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
  • NPI 1427022821
  NPD
• Robert Stephen Auerbach, DO

  • Gynecology Physician
  • Phila, PA
  • NPI 1861478034
  NPD
• Shemeica Binns, MD

  • Sports Medicine (Family Medicine) Physician
  • Philadelphia, PA
  • NPI 1740784446
  NPD
• Christina Burgess

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
  • NPI 1720363823
  NPD
• Jacqueline Marie Burnell

  • Infectious Disease Physician
  • Philadelphia, PA
  • NPI 1710306832
  NPD
• Danielle Marie Canter

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1750885125
  NPD
• Jo Ann Chalal, MD

  • Radiation Oncology Physician
  • Philadelphia, PA
  • NPI 1316944424
  NPD
• Elizabeth Michaela Cooke

  • Audiologist
  • Phila, PA
  • NPI 1063306629
  NPD
• Daniel Anthony Delportal, M.D.

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1881820835
  NPD

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1992288112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-707-3375",
            "fax_number": "215-707-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105",
            "telephone_number": "215-707-3375",
            "fax_number": "215-707-4758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191112430",
            "country_code": "US",
            "telephone_number": "215-707-3375",
            "fax_number": "215-707-4758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4817-21 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19141",
            "country_code": "US",
            "telephone_number": "215-707-3375",
            "fax_number": "215-707-4758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8380 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Elkins Park",
            "state": "PA",
            "postal_code": "190271539",
            "country_code": "US",
            "telephone_number": "215-707-3375",
            "fax_number": "215-707-4758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "PA",
            "postal_code": "190343314",
            "country_code": "US",
            "telephone_number": "215-707-3375",
            "fax_number": "215-707-4758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191036231",
            "country_code": "US",
            "telephone_number": "215-875-9710",
            "fax_number": "215-875-9714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEMPLE FACULTY PRACTICE PLAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "215-707-3911"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temple Faculty Urology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Temple Faculty Practice Plan, Inc (Temple Faculty OB/GYN Associates)
• Temple Faculty Practice Plan, Inc (Temple Faculty Pediatric Physicians)
• Temple Faculty Practice Plan, Inc (Temple Faculty Optometry Associates)
• Temple Faculty Practice Plan, Inc (Temple Faculty Pathology Associates)
• Temple Faculty Practice Plan, Inc (Temple Faculty Pediatric Associates)
• Temple Health System Transport Team, Inc.
• Temple Neurology
• Temple Physician Inc.
• Temple Physician Inc.
• Temple Physician Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.