ANNE RADOVICK WONDISFORD
NPI 1730025339
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 27, 2026PECOS Enrolled
3400 SPRUCE ST, PHILADELPHIA, PA 19104(215) 662-2250 Get Directions Write a Review

NPPES record last updated: May 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2026, Apr 27, 2026 (2 updates tracked since 2026).

About Anne Radovick Wondisford NPPES

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

ANNE RADOVICK WONDISFORD (NPI 1730025339) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730025339
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANNE RADOVICK WONDISFORD
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238
Sole ProprietorYes
Enumeration DateApril 27, 2026
Last NPPES UpdateMay 16, 20262 updates tracked since enumeration
NPPES CertifiedMay 16, 2026
NPI 1730025339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3400 SPRUCE ST, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Anne Radovick Wondisford is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Anne Wondisford's NPI number?

The NPI number for Anne Wondisford is 1730025339. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Where is Anne Wondisford located?

Anne Wondisford practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-2250.

What is Anne Wondisford's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Anne Wondisford enrolled in Medicare?

Yes. Anne Wondisford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anne Wondisford was last updated on May 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.