University Of Penn-medical Group
Pediatric Neonatal-Perinatal Medicine
University Of Penn-medical Group is a Philadelphia, Pennsylvania based Pediatric center with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
It is located at
3400 Spruce St, 8 Ravdin, Philadelphia, Pennsylvania - 19104-4238. They can be contacted on phone at
215-662-3228.
NPI number (Unique professional ID) for University Of Penn-medical Group is
1518355627 which was assigned by NPPES on 26 Dec, 2014 and it was last updated on 19 Nov, 2020.
University Of Penn-medical Group is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
University Of Penn-medical Group basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
|---|
| Provider Name : | University Of Penn-medical Group |
|---|
Business Address:
University Of Penn-medical Group 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 : | 3400 Spruce St, 8 Ravdin
Philadelphia, PA, 19104-4238
United States |
|---|
| Phone Number : | 215-662-3228 |
|---|
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 : | 1518355627 |
|---|
| NPI Entity Type : | Organization |
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| First Enrolment Date : | 26 Dec, 2014 |
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| Last Updated On : | 19 Nov, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Chantel Jackson |
|---|
| Official Title or Position : | ENROLLMENT LEAD |
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| Phone Number : | 215-662-6187 |
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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 University Of Penn-medical Group are as mentioned. Primary taxonomy code for University Of Penn-medical Group is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207SG0201X | Medical Genetics Clinical Genetics (M.D.) | No | | PA |
| 208000000X | Pediatrics | No | | PA |
| 2080P0202X | Pediatrics Pediatric Cardiology | No | | PA |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | | PA |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
CONNECT
(CONNECT URL) | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
2.16.840.1.113883.3.1068.1 | | OTHER
Other
CMS esMD eMDR |
| 2720 DUNDEE RD # 302,
NORTHBROOK, IL, 60062-2609
United States |
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 : | 3400 Spruce St, 8 Ravdin
Philadelphia, PA, 19104-4238
United States |
|---|
| Phone Number : | 215-662-3228 |
|---|
Business Location:
Patients can refer following map for directions to
University Of Penn-medical Group practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.