UNIVERSITY OF PENN-PA TRAUMA
NPI 1275640971
Surgery - Surgical Critical Care in Philadelphia, PA

Active since August 25, 2006
3400 SPRUCE ST, 2 DULLES, PHILADELPHIA, PA 19104(215) 662-7320(215) 349-5917 Get Directions Write a Review

NPPES record last updated: June 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About University Of Penn-pa Trauma NPPES

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

UNIVERSITY OF PENN-PA TRAUMA (NPI 1275640971) is a healthcare organization registered as a surgical critical care in Philadelphia, Pennsylvania and active in the NPI registry since August 2006. The organization lists Elizabeth Johnston, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1275640971
Entity TypeOrganization
Primary Taxonomy2086S0102X
Legal Business NameUNIVERSITY OF PENN-PA TRAUMA
Location Address3400 SPRUCE ST, 2 DULLESPhiladelphia, PA 19104-4206
Mailing Address3624 Market St, Suite 560 WPhiladelphia, PA 19104-2614 · (215) 662-2286 · Fax (215) 615-0500
Fax(215) 349-5917
Organization SubpartNo
Authorized OfficialElizabeth JohnstonExecutive Director · (215) 662-7583
Enumeration DateAugust 25, 2006
Last NPPES UpdateJune 10, 2011
NPI 1275640971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X
3400 SPRUCE ST, Philadelphia, PA 19104

Other Identifiers 13

Other16227PA · Aetna
Medicare ID-Type Unspecified508416PA
Other47456PA · Mercy
Other203660PA · Eeioc
Other0002Y21672PA · Healthnet
Other0109803000PA · Keystone
Other273260PA · Mamsi
OtherCA6626PA · Rr Medicare
Other7308701PA · Nj-medicaid
OtherG00100770PA · Americhoice
Other08930PA · Healthpartners
Other508416PA · Blue Shield
Medicaid1008145030PA

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.

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
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-Pa Trauma's NPI number?

The NPI number for University Of Penn-Pa Trauma is 1275640971. It was assigned to this organization in the NPPES registry on August 25, 2006.

Where is University Of Penn-Pa Trauma located?

University Of Penn-Pa Trauma is located at 3400 Spruce St 2 Dulles, Philadelphia, PA 19104. The listed phone number is (215) 662-7320.

What is University Of Penn-Pa Trauma's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

What insurance does University Of Penn-Pa Trauma accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Penn-Pa Trauma 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-Pa Trauma was last updated on June 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.