UNIVERSITY OF PENN-MEDICAL GROUP
NPI 1679677975
Internal Medicine - Hematology & Oncology in Philadelphia, PA
NPI Status: Active since September 08, 2006
Contact Information
3400 CIVIC CENTER BLVD
2ND FLOOR
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 615-5858
- Organization
- Internal Medicine
- Hematology & Oncology
- Accepts Insurance
About UNIVERSITY OF PENN-MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for University Of Penn-medical Group, an internist established in Philadelphia, Pennsylvania operating as a Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1679677975 assigned on September 2006. The practitioner's primary taxonomy code is 207RH0003X. The provider is registered as an organization and their NPI record was last updated 5 years ago. University Of Penn-medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Chante L Jackson (Enrollment Lead)
- NPI
- 1679677975
- Provider Name
- UNIVERSITY OF PENN-MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 3400 CIVIC CENTER BLVD 2ND FLOOR PHILADELPHIA, PA 19104
- Location Phone
- (215) 615-5858
- Mailing Address
- 3400 CIVIC CENTER BLVD 2ND FLOOR PHILADELPHIA, PA 19104
- Mailing Phone
- (215) 615-5858
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-08-2006
- Last Update Date
- 11-19-2020
- Code Navigator
An internist like University Of Penn-medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Hematology & Oncology
- Taxonomy Code
- 207RH0003X
- Type
- Allopathic & Osteopathic Physicians
- License State
- PA
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RH0000X | Allopathic & Osteopathic Physicians | Internal Medicine | (PA) |
| 2 | 207RX0202X | Allopathic & Osteopathic Physicians | Internal Medicine | (PA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0002Y20116 | OTHER (01) | PA | HEALTHNET |
| G00031630 | OTHER (01) | PA | AMERICHOICE |
| 0006610360 | MEDICAID (05) | PA | |
| 0351401000 | OTHER (01) | PA | KEYSTONE |
| 496685 | OTHER (01) | PA | AETNA |
| CA0235 | OTHER (01) | PA | RR MEDICARE |
| 10743 | OTHER (01) | PA | HEALTHPARTNERS |
| 5517907 | MEDICAID (05) | NJ | |
| 1010825 | OTHER (01) | PA | MERCY |
| 140847 | OTHER (01) | PA | BLUE SHIELD |
| 273218 | OTHER (01) | PA | MAMSI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 7 | 9 | 6 | 7 | 7 | 9 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 12 | 7 | 14 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 1 + 2 + 7 + 1 + 4 + 9 + 1 + 4 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1679677975 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417944844 | MS. LINDA MARGUERITA MILLER RN CRNP Individual | Nurse Practitioner (Pediatrics) | 3400 CIVIC CENTER BLVD ENT DEPT FIRST FLOOR WOOD BLDG PHILADELPHIA, PA 19104 (215) 590-3440 |
| 1669469573 | BELINDA K BIRNBAUM MD Individual | Internal Medicine (Rheumatology) | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 662-2454 |
| 1194702688 | MR. STEPHEN HARVIE WALKER CRNP Individual | Nurse Practitioner (Pediatrics) | 3400 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA, DIVISION OF CARDIO PHILADELPHIA, PA 19104 (215) 590-5248 |
| 1023064169 | MRS. JENNIFER M SIEGLE RN, CPNP Individual | Nurse Practitioner (Pediatrics) | 3400 CIVIC CENTER BLVD 5TH FLOOR WOOD BUILDING PHILADELPHIA, PA 19104 (215) 590-4075 |
| 1508804576 | MRS. JULIE R CHIAPPA CPNP Individual | Nurse Practitioner (Pediatrics) | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1598705881 | MICHAEL DONAHUE C.R.N.P. Individual | Nurse Practitioner | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-3749 |
| 1114968724 | MS. SHARON L BURT CRNP Individual | Nurse Practitioner (Family) | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-4339 |
| 1871533406 | MS. MONICA E. CHURCH CRNP Individual | Nurse Practitioner (Family) | 3400 CIVIC CENTER BLVD 5 WOOD PHILADELPHIA, PA 19104 (215) 590-1346 |
| 1063454353 | NOREEN MCDANIEL-YAKSCOE MSN,CRNP Individual | Nurse Practitioner (Pediatrics) | 3400 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA MAIN BUILDING PHILADELPHIA, PA 19104 (215) 590-7099 |
| 1083656003 | MRS. PATRICIA J SCHULTZ CRNP Individual | Nurse Practitioner (Pediatrics) | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-2208 |
| 1275560112 | MARC S LEVINE MD Individual | Radiology (Diagnostic Radiology) | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 662-3005 |
| 1891722799 | SUSAN HILTON MD Individual | Radiology (Diagnostic Radiology) | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 662-3005 |
| 1063444875 | CHRISTINA M PREIS CRNP Individual | Nurse Practitioner (Pediatrics) | 3400 CIVIC CENTER BLVD CHOP/ DIVISION OF ENDOCRINOLOGY PHILADELPHIA, PA 19104 (215) 590-3860 |
| 1316979610 | DANIEL J RADER MD Individual | Internal Medicine | 3400 CIVIC CENTER BLVD EAST PAVILION 2ND FLOOR PHILADELPHIA, PA 19104 (215) 615-4949 |
| 1760417372 | ALAIN H ROOK MD Individual | Dermatology | 3400 CIVIC CENTER BLVD 1-330S PERELMAN CENTER PHILADELPHIA, PA 19104 (215) 662-2737 |
| 1437177417 | DR. ANN LAWRENCE OSULLIVAN PHD CRNP FAAN Individual | Nurse Practitioner (Pediatrics) | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-5035 |
| 1982612529 | MRS. CAROL SCHUMACHER CRNP Individual | Registered Nurse | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-7699 |
| 1013010511 | KEITH CENGEL MD, PHD Individual | Radiology (Radiation Oncology) | 3400 CIVIC CENTER BLVD CONCOURSE LEVEL PHILADELPHIA, PA 19104 (215) 662-2428 |
| 1669573614 | KELLI B YOUNG MSN,CRNP Individual | Nurse Practitioner (Critical Care Medicine) | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-5657 |
| 1023194024 | MICHELE ANN AMBROSINO CRNP Individual | Nurse Practitioner (Neonatal, Critical Care) | 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-5657 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679677975, enumerated in the NPI registry as an "organization" on September 08, 2006
The provider is located at 3400 Civic Center Blvd 2nd Floor Philadelphia, Pa 19104 and the phone number is (215) 615-5858
This medical organization specializes in Internal Medicine with taxonomy code 207RH0003X with a focus in Hematology & Oncology
The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.