Stephan A Grupp

M.D. | Pediatric Hematology-Oncology | Male

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Complete Profile:

Stephan A Grupp basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Stephan A Grupp
Credential :	M.D.
Gender :	Male

Business Address:

Stephan A Grupp address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Hem/onc Philadelphia, PA, 19104-4319 United States
Phone Number :	215-590-3535
Fax Number :	215-590-3992

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1154339570
NPI Entity Type :	Individual
First Enrolment Date :	03 Aug, 2006
Last Updated On :	15 Apr, 2013

Medicare Participation:

Stephan A Grupp participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9830185602
Medicare Enrollment ID :	I20040426000614
Primary Specialty :	Hematology/oncology
Medical School :	University Of Cincinnati College Of Medicine
Graduation Year :	1987
Accepts Medicare?	Yes. Stephan A Grupp accepts medicare insurance.

Group Practice Association:

Stephan A Grupp is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Stephan A Grupp is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Childrens Health Care Associates Inc	1355253527	172	3401 Civic Ctr Blvd Philadelphia, PA - 191044319	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephan A Grupp are as mentioned. Primary taxonomy code for Stephan A Grupp, M.D. is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	MD058050L	PA
2080P0204X	Pediatrics Pediatric Emergency Medicine	No	MD058050L	PA
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	MD058050L	PA

Legacy Identifiers:

Other legacy medical identifiers of Stephan A Grupp such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
001575649	MEDICAID	PA
7224109	MEDICAID	NJ

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	100 E Penn Sq, 9th Floor Philadelphia, PA, 19107-3323 United States
Phone Number :	267-425-9234
Fax Number :	267-425-9299

Business Location:

Patients can refer following map for directions to Stephan A Grupp practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.