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PENNSPORT INTERNAL MEDICINE GROUP, PC
NPI 1114100336
Internal Medicine in Phila, PA

Active since December 11, 2007
1817 S 2ND ST, PHILA, PA 19148(215) 389-3368(215) 389-1225 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pennsport Internal Medicine Group, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENNSPORT INTERNAL MEDICINE GROUP, PC (NPI 1114100336) is a healthcare organization registered as an internal medicine in Phila, Pennsylvania and active in the NPI registry since December 2007. The organization lists Kenneth Winokur, President, as its authorized official.

NPPES Registry Identity

NPI1114100336
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePENNSPORT INTERNAL MEDICINE GROUP, PC
Location Address1817 S 2ND STPhila, PA 19148-1945
Mailing Address1817 S 2nd StPhila, PA 19148-1945 · (215) 389-3368 · Fax (215) 389-1225
Phone(215) 389-3368
Fax(215) 389-1225
Organization SubpartNo
Authorized OfficialKenneth WinokurPresident · (215) 389-6120
Enumeration DateDecember 11, 2007
Last NPPES UpdateApril 18, 2016
✔ NPI 1114100336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · OS003325L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1817 S 2ND ST, Phila, PA 19148
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN426882PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH D WINOKUR DO
Internal Medicine
1817 S 2ND ST
PHILA, PA 19148
Philadelphia County (215) 389-6120
DR. MARK J MOZULAY M.D.
Radiology (Diagnostic Radiology)
1817 S 2ND ST
PHILADELPHIA, PA 19148
Philadelphia County (856) 223-9372

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pennsport Internal Medicine Group, PC's NPI number?

The NPI number for Pennsport Internal Medicine Group, PC is 1114100336. It was assigned to this organization in the NPPES registry on December 11, 2007.

Where is Pennsport Internal Medicine Group, PC located?

Pennsport Internal Medicine Group, PC is located at 1817 S 2nd St, Phila, PA 19148. The listed phone number is (215) 389-3368.

What is Pennsport Internal Medicine Group, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Pennsport Internal Medicine Group, PC was last updated on April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.