TEMPLE CRITICAL CARE SCC
NPI 1356339477
Surgery - Surgical Critical Care in Philadelphia, PA

Active since October 12, 2005
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-3133(215) 707-3945 Get Directions Write a Review

NPPES record last updated: June 15, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 15, 2018, Mar 4, 2016 (2 updates tracked since 2016).

  • Organization
  • Surgery
  • Surgical Critical Care

About TEMPLE CRITICAL CARE SCC

This page provides the complete NPI Profile along with additional information for Temple Critical Care Scc, a provider established in Philadelphia, Pennsylvania operating as a Surgery, focusing in surgical critical care . The healthcare provider is registered in the NPI registry with number 1356339477 assigned on October 2005. The practitioner's primary taxonomy code is 2086S0102X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Temple Critical Care Scc. The authorized official of this NPI record is Tonya Woodard (Credentialing/manager)

NPI
1356339477 Verify this NPI
Provider Legal Name
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Other Organization Name
TEMPLE CRITICAL CARE SCC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3401 N BROAD ST PHILADELPHIA, PA 19140
Location Phone
(215) 707-3133
Location Fax
(215) 707-3945
Mailing Address
2450 W HUNTING PARK AVE PHILADELPHIA, PA 19129
Mailing Phone
(215) 707-3133
Mailing Fax
(215) 707-3945
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-12-2005
Last Update Date
06-15-2018
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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

Surgery Surgical Critical Care

Taxonomy Code
2086S0102X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TONYA WOODARD

Authorized Official Title
CREDENTIALING/MANAGER
Authorized Official Phone
(215) 707-3911

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
1007780130682MEDICAID (05)PA 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
3401 N BROAD ST
PHILADELPHIA, PA 19140
Pharmacist (Pharmacotherapy)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Gastroenterology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Interventional Cardiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Nephrology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Nuclear Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Physical Medicine & Rehabilitation
3401 N BROAD ST, BSMT ROCK PAVILION
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST, 3RD FL OUT PATIENT BLDG
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST, 3RD FLOOR OUT PATIENT BLDG
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST, 3RD FL OUT PATIENT BLDG
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Pathology (Clinical Pathology/Laboratory Medicine)
3401 N BROAD ST, 2ND FLOOR
PHILADELPHIA, PA 19140
Pathology (Clinical Pathology/Laboratory Medicine)
3401 N BROAD ST, 2ND FLOOR
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST, 3RD FL OUT PATIENT BLDG
PHILADELPHIA, PA 19140
Pathology (Clinical Pathology/Laboratory Medicine)
3401 N BROAD ST, 2ND FLOOR
PHILADELPHIA, PA 19140
Internal Medicine (Hematology & Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Nephrology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Pathology (Clinical Pathology/Laboratory Medicine)
3401 N BROAD ST, 2ND FLOOR
PHILADELPHIA, PA 19140

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356339477, enumerated as an "organization" on October 12, 2005.

The provider is located at 3401 N BROAD ST PHILADELPHIA, PA 19140 and the phone number is (215) 707-3133.

Surgery with taxonomy code 2086S0102X and a focus in Surgical Critical Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.