UNIVERSITY OF PENN - MEDICAL GROUP
NPI 1912014614
Medical Genetics - Clinical Genetics (M.D.) in Philadelphia, PA
NPI Status: Active since August 25, 2006
Contact Information
3400 SPRUCE ST
ONE MALONEY
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-4740
- Organization
- Medical Genetics
- Clinical Genetics (M.D.)
- 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, a provider established in Philadelphia, Pennsylvania operating as a Medical Genetics, focusing in clinical genetics (m.d.) . The healthcare provider is registered in the NPI registry with number 1912014614 assigned on August 2006. The practitioner's primary taxonomy code is 207SG0201X. 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
- 1912014614
- Provider Name
- UNIVERSITY OF PENN - MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 3400 SPRUCE ST ONE MALONEY PHILADELPHIA, PA 19104
- Location Phone
- (215) 662-4740
- Mailing Address
- 3400 SPRUCE ST ONE MALONEY PHILADELPHIA, PA 19104
- Mailing Phone
- (215) 662-4740
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-25-2006
- Last Update Date
- 11-20-2020
- Code Navigator
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
Medical Genetics Clinical Genetics (M.D.)
- Taxonomy Code
- 207SG0201X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
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 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics |
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 |
|---|---|---|---|
| 980167 | OTHER (01) | PA | AETNA |
| 0002Y20116 | OTHER (01) | PA | HEALTHNET |
| 0006610360 | MEDICAID (05) | PA | |
| CA0235 | OTHER (01) | PA | RR MEDICARE |
| 0053945000 | OTHER (01) | PA | KEYSTONE |
| 147249 | OTHER (01) | PA | BLUE SHIELD |
| G00053120 | OTHER (01) | PA | AMERICHOICE |
| 7768508 | OTHER (01) | NJ | NJ-MEDICAID |
| 1061396 | OTHER (01) | PA | MERCY |
| 26256 | OTHER (01) | PA | HEALTHPARTNERS |
| 273231 | OTHER (01) | PA | MAMSI |
Reviews for UNIVERSITY OF PENN - MEDICAL GROUP
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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 | 9 | 1 | 2 | 0 | 1 | 4 | 6 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 2 | 2 | 0 | 1 | 8 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 2 + 2 + 0 + 1 + 8 + 6 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1912014614 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1114924719 | DR. HARRY BART SMELTZ DO Individual | Anesthesiology | 3400 SPRUCE ST 6 DULLES PHILADELPHIA, PA 19104 (215) 349-8310 |
| 1366439705 | ISSAM A MARDINI MD Individual | Anesthesiology (Pain Medicine) | 3400 SPRUCE ST HUP-DULLES 6, ANESTHESIOLOGY DEPT PHILADELPHIA, PA 19104 (610) 416-4145 |
| 1780673673 | BARBARA A BERNHARDT MS Individual | Genetic Counselor, MS | 3400 SPRUCE ST 535 MALONEY BLDG PHILADELPHIA, PA 19104 (215) 662-4740 |
| 1932198827 | MS. JILL ELISE STOPFER MS Individual | Genetic Counselor, MS | 3400 SPRUCE ST 2007 PENN TOWER PHILADELPHIA, PA 19104 (215) 349-8143 |
| 1104800085 | MS. ROSEMARY THERESA MCMENAMIN CRNP Individual | Nurse Practitioner (Adult Health) | 3400 SPRUCE ST GOUND FLOOR SILVERSTEIN PHILADELPHIA, PA 19104 (215) 662-6963 |
| 1578541298 | MS. LYNN GODMILOW MSW Individual | Genetic Counselor, MS | 3400 SPRUCE ST ROOM 538 MALONEY BUILDING PHILADELPHIA, PA 19104 (215) 662-4740 |
| 1568433373 | DR. JAMES DAVID KOLKER MD Individual | Radiology (Radiation Oncology) | 3400 SPRUCE ST PHILADELPHIA, PA 19104 (215) 662-2428 |
| 1790757128 | DR. RUTH HERMAN STEINMAN M.D. Individual | Psychiatry & Neurology (Psychiatry) | 3400 SPRUCE ST 2016 PENN TOWER PHILADELPHIA, PA 19104 (215) 615-0534 |
| 1780636399 | JUDITH ANNE O' DONNELL MD Individual | Internal Medicine (Infectious Disease) | 3400 SPRUCE ST 3 SILVERSTEIN PHILADELPHIA, PA 19104 (215) 662-6932 |
| 1942257068 | UNIVERSITY OF PENN-RAD ONC Organization | Radiology (Radiation Oncology) | 3400 SPRUCE ST 2 DONNER BUILDING PHILADELPHIA, PA 19104 (215) 662-2428 |
| 1205875705 | MONICA R PAMMER PH Individual | Physician Assistant | 3400 SPRUCE ST GROUNDS RHOADS PAVILION PHILADELPHIA, PA 19104 (215) 662-6779 |
| 1477592970 | WILLIAM BAXT MD Individual | Emergency Medicine | 3400 SPRUCE ST GROUND SILVER STE N BLDG PHILADELPHIA, PA 19104 (215) 662-6963 |
| 1205877669 | CHARALAMBOS I ANDREADIS MD Individual | Internal Medicine (Medical Oncology) | 3400 SPRUCE ST 15 PENN TOWER PHILADELPHIA, PA 19104 (215) 662-3914 |
| 1740221100 | ROLF SCHLICHTER MD Individual | Anesthesiology | 3400 SPRUCE ST 4 DULLES BUILDING PHILADELPHIA, PA 19104 (215) 349-8310 |
| 1942241641 | ALISON W LOREN MD Individual | Internal Medicine (Hematology & Oncology) | 3400 SPRUCE ST 15 PENN TOWER PHILADELPHIA, PA 19104 (215) 662-3914 |
| 1487695102 | SUSAN M DOMCHEK MD Individual | Internal Medicine (Medical Oncology) | 3400 SPRUCE ST 15 PENN TOWER PHILADELPHIA, PA 19104 (215) 662-3914 |
| 1174566970 | CAROLYN L CAMBOR MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 3400 SPRUCE ST PHILADELPHIA, PA 19104 (215) 614-1428 |
| 1902849292 | DU PONT GUERRY IV MD Individual | Internal Medicine (Hematology) | 3400 SPRUCE ST 15 PENN TOWER PHILADELPHIA, PA 19104 (215) 662-3914 |
| 1811930100 | DONALD E TSAI MD Individual | Internal Medicine (Medical Oncology) | 3400 SPRUCE ST 15 PENN TOWER PHILADELPHIA, PA 19104 (215) 662-3914 |
| 1639112923 | STEPHEN EMERSON MD Individual | Internal Medicine (Hematology & Oncology) | 3400 SPRUCE ST 15 PENN TOWER PHILADELPHIA, PA 19104 (215) 662-3914 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912014614, enumerated in the NPI registry as an "organization" on August 25, 2006
The provider is located at 3400 Spruce St One Maloney Philadelphia, Pa 19104 and the phone number is (215) 662-4740
This medical organization specializes in Medical Genetics with taxonomy code 207SG0201X with a focus in Clinical Genetics (M.D.)
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 August 25, 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.