UNIVERSITY OF PENN-MEDICAL GROUP
NPI 1194113118
Plastic Surgery in Philadelphia, PA

Active since December 29, 2014
3400 CIVIC CENTER BLVD, SOUTH PAVILLION 1ST FLOOR, PHILADELPHIA, PA 19104(215) 662-7300 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About University Of Penn-medical Group NPPES

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

UNIVERSITY OF PENN-MEDICAL GROUP (NPI 1194113118) is a healthcare organization registered as a plastic surgery in Philadelphia, Pennsylvania and active in the NPI registry since December 2014. The organization lists Chante L Jackson, Enrollment Lead, as its authorized official.

NPPES Registry Identity

NPI1194113118
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameUNIVERSITY OF PENN-MEDICAL GROUP
Location Address3400 CIVIC CENTER BLVD, SOUTH PAVILLION 1ST FLOORPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center Blvd, South Pavillion 1st FloorPhiladelphia, PA 19104-5127 · (215) 662-7300
Organization SubpartNo
Authorized OfficialChante L JacksonEnrollment Lead · (215) 662-6187
Enumeration DateDecember 29, 2014
Last NPPES UpdateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
NPI 1194113118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedPodiatristTaxonomy 213E00000X
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104

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 University Of Penn-Medical Group's NPI number?

The NPI number for University Of Penn-Medical Group is 1194113118. It was assigned to this organization in the NPPES registry on December 29, 2014.

Where is University Of Penn-Medical Group located?

University Of Penn-Medical Group is located at 3400 Civic Center Blvd South Pavillion 1st Floor, Philadelphia, PA 19104. The listed phone number is (215) 662-7300.

What is University Of Penn-Medical Group's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

What insurance does University Of Penn-Medical Group accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Penn-Medical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Of Penn-Medical Group was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.