GASTRO ASSOC OF FCCC, MGI
NPI 1417221607
Internal Medicine - Gastroenterology in Philadelphia, PA

Q: What is Fox Chase Cancer Center Medical Group Inc,'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since March 06, 2012

333 COTTMAN AVE, PHILADELPHIA, PA 19111(215) 214-1424(215) 214-1425 Get Directions Write a Review

NPPES record last updated: June 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Gastro Assoc Of Fccc, Mgi NPPES

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

GASTRO ASSOC OF FCCC, MGI (NPI 1417221607) is a healthcare organization registered as a gastroenterology in Philadelphia, Pennsylvania and active in the NPI registry since March 2012. The organization lists Tonya Woodard, Credentialing/manager, as its authorized official.

NPPES Registry Identity

NPI1417221607

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameFOX CHASE CANCER CENTER MEDICAL GROUP INC,

Location Address333 COTTMAN AVEPhiladelphia, PA 19111

Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302 · (215) 214-1424 · Fax (215) 214-1425

Phone(215) 214-1424

Fax(215) 214-1425

Organization SubpartNo

Authorized OfficialTonya WoodardCredentialing/manager · (215) 707-3911

Enumeration DateMarch 6, 2012

Last NPPES UpdateJune 14, 2018

✔ NPI 1417221607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

333 COTTMAN AVE, Philadelphia, PA 19111

Open in Google Maps ↗

Other Names 1

Doing Business AsGastro Assoc Of Fccc, Mgi

Other Identifiers 1

Medicaid1026888280012PA

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

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.

FOX CHASE CANCER CENTER MEDICAL GROUP, INC.

Anesthesiology

333 COTTMAN AVE, MED STAFF OFFICE
PHILADELPHIA, PA 19111

Philadelphia County (215) 728-6900

JAMES SUN MD

Surgery (Surgical Oncology)

333 COTTMAN AVE
PHILADELPHIA, PA 19111

Philadelphia County (215) 854-9799

MS. MALA T KAILASAM MD

Internal Medicine

333 COTTMAN AVE, FOX CHASE CANCER CENTER
PHILADELPHIA, PA 19111

Philadelphia County (215) 728-6900

HEALTH SERVICES OF FOX CHASE CANCER CTR.

Radiology (Diagnostic Radiology)

333 COTTMAN AVE, RADIOLOGY ASSOCIATES OF FCCC
PHILADELPHIA, PA 19111

Philadelphia County (215) 728-6900

ELENA DREYZIN PA-C

Physician Assistant

333 COTTMAN AVE
PHILADELPHIA, PA 19111

Philadelphia County (888) 369-2427

FREWEINI TESFALEDET PA

Physician Assistant

333 COTTMAN AVE
PHILADELPHIA, PA 19111

Philadelphia County (215) 728-6900

MARIUSZ A WASIK MD

Pathology (Anatomic Pathology)

333 COTTMAN AVE
PHILADELPHIA, PA 19111

Philadelphia County (215) 728-3675

DR. BARBARA C. CAVANAUGH M.D.

Radiology (Diagnostic Radiology)

333 COTTMAN AVE
PHILADELPHIA, PA 19111

Philadelphia County (215) 728-3883

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 Fox Chase Cancer Center Medical Group Inc,'s NPI number?

The NPI number for Fox Chase Cancer Center Medical Group Inc, is 1417221607. It was assigned to this organization in the NPPES registry on March 6, 2012. The provider is doing business as Gastro Assoc Of Fccc, Mgi.

Where is Fox Chase Cancer Center Medical Group Inc, located?

Fox Chase Cancer Center Medical Group Inc, is located at 333 Cottman Ave, Philadelphia, PA 19111. The listed phone number is (215) 214-1424.

What is Fox Chase Cancer Center Medical Group Inc,'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Fox Chase Cancer Center Medical Group Inc, was last updated on June 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.