UNIVERSITY OF PENN-MEDICAL GROUP
NPI 1235527342
Obstetrics & Gynecology - Gynecologic Oncology in Philadelphia, PA

Active since December 26, 2014
3400 CIVIC CENTER BLVD, 3RD FLOOR, PHILADELPHIA, PA 19104(215) 662-3318 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 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 1235527342) is a healthcare organization registered as a gynecologic oncology 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

NPI1235527342
Entity TypeOrganization
Primary Taxonomy207VX0201X
Legal Business NameUNIVERSITY OF PENN-MEDICAL GROUP
Location Address3400 CIVIC CENTER BLVD, 3RD FLOORPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center Blvd, 3rd FloorPhiladelphia, PA 19104-5127 · (215) 662-3318
Organization SubpartNo
Authorized OfficialChante L JacksonEnrollment Lead · (215) 662-6187
Enumeration DateDecember 26, 2014
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
NPI 1235527342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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 1235527342. It was assigned to this organization in the NPPES registry on December 26, 2014.

Where is University Of Penn-Medical Group located?

University Of Penn-Medical Group is located at 3400 Civic Center Blvd 3rd Floor, Philadelphia, PA 19104. The listed phone number is (215) 662-3318.

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

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

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 August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.