UNIVERSITY OF PENN-MEDICAL GROUP
NPI 1447648464
Surgery - Vascular Surgery in Philadelphia, PA

NPI Status: Active since December 29, 2014

Contact Information

3400 CIVIC CENTER BLVD
2 EAST PAVILLION
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 615-4949

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  • Organization
  • Surgery
  • Vascular Surgery
  • Accepts Insurance

About UNIVERSITY OF PENN-MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for University Of Penn-medical Group, a provider established in Philadelphia, Pennsylvania operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1447648464 assigned on December 2014. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 5 years ago. University Of Penn-medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Chante L Jackson (Enrollment Lead)

NPI
1447648464
Provider Name
UNIVERSITY OF PENN-MEDICAL GROUP
Entity Type
Organization
Location Address
3400 CIVIC CENTER BLVD 2 EAST PAVILLION PHILADELPHIA, PA 19104
Location Phone
(215) 615-4949
Mailing Address
3400 CIVIC CENTER BLVD 2 EAST PAVILLION PHILADELPHIA, PA 19104
Mailing Phone
(215) 615-4949
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-29-2014
Last Update Date
11-19-2020
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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 Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
License State
PA
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Premier Bronze HSA - EPO
  • Premier Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
  • BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS

*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

CHANTE L JACKSON

Authorized Official Title
ENROLLMENT LEAD
Authorized Official Phone
(215) 662-6187

Reviews for UNIVERSITY OF PENN-MEDICAL GROUP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447648464
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
248712416412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 1 + 2 + 4 + 1 + 6 + 4 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1447648464 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

MS. LINDA MARGUERITA MILLER RN CRNP

Nurse Practitioner

(Pediatrics)

3400 CIVIC CENTER BLVD
ENT DEPT FIRST FLOOR WOOD BLDG
PHILADELPHIA, PA
ZIP 19104

(215) 590-3440

BELINDA K BIRNBAUM MD

Internal Medicine

(Rheumatology)

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104

(215) 662-2454

MR. STEPHEN HARVIE WALKER CRNP

Nurse Practitioner

(Pediatrics)

3400 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA, DIVISION OF CARDIO
PHILADELPHIA, PA
ZIP 19104

(215) 590-5248

MRS. JENNIFER M SIEGLE RN, CPNP

Nurse Practitioner

(Pediatrics)

3400 CIVIC CENTER BLVD
5TH FLOOR WOOD BUILDING
PHILADELPHIA, PA
ZIP 19104

(215) 590-4075

MRS. JULIE R CHIAPPA CPNP

Nurse Practitioner

(Pediatrics)

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104

(215) 590-1000

MICHAEL DONAHUE C.R.N.P.

Nurse Practitioner

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104

(215) 590-3749

MS. SHARON L BURT CRNP

Nurse Practitioner

(Family)

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104

(215) 590-4339

MS. MONICA E. CHURCH CRNP

Nurse Practitioner

(Family)

3400 CIVIC CENTER BLVD
5 WOOD
PHILADELPHIA, PA
ZIP 19104

(215) 590-1346

NOREEN MCDANIEL-YAKSCOE MSN,CRNP

Nurse Practitioner

(Pediatrics)

3400 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA MAIN BUILDING
PHILADELPHIA, PA
ZIP 19104

(215) 590-7099

MRS. PATRICIA J SCHULTZ CRNP

Nurse Practitioner

(Pediatrics)

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104

(215) 590-2208

MARC S LEVINE MD

Radiology

(Diagnostic Radiology)

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104

(215) 662-3005

SUSAN HILTON MD

Radiology

(Diagnostic Radiology)

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104

(215) 662-3005

CHRISTINA M PREIS CRNP

Nurse Practitioner

(Pediatrics)

3400 CIVIC CENTER BLVD
CHOP/ DIVISION OF ENDOCRINOLOGY
PHILADELPHIA, PA
ZIP 19104

(215) 590-3860

DANIEL J RADER MD

Internal Medicine

3400 CIVIC CENTER BLVD
EAST PAVILION 2ND FLOOR
PHILADELPHIA, PA
ZIP 19104

(215) 615-4949

ALAIN H ROOK MD

Dermatology

3400 CIVIC CENTER BLVD
1-330S PERELMAN CENTER
PHILADELPHIA, PA
ZIP 19104

(215) 662-2737

DR. ANN LAWRENCE OSULLIVAN PHD CRNP FAAN

Nurse Practitioner

(Pediatrics)

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104

(215) 590-5035

MRS. CAROL SCHUMACHER CRNP

Registered Nurse

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104

(215) 590-7699

KEITH CENGEL MD, PHD

Radiology

(Radiation Oncology)

3400 CIVIC CENTER BLVD
CONCOURSE LEVEL
PHILADELPHIA, PA
ZIP 19104

(215) 662-2428

KELLI B YOUNG MSN,CRNP

Nurse Practitioner

(Critical Care Medicine)

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104

(215) 590-5657

MICHELE ANN AMBROSINO CRNP

Nurse Practitioner

(Neonatal, Critical Care)

3400 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104

(215) 590-5657

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447648464, enumerated as an "organization" on December 29, 2014.

The provider is located at 3400 CIVIC CENTER BLVD 2 EAST PAVILLION PHILADELPHIA, PA 19104 and the phone number is (215) 615-4949.

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.

The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to verify.