CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST

Address: 1930 South Broad St, Unit 28, Penn Urgent Care South Philadelphia, Philadelphia, PA 19145-2328
Phone: 2154197500

CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST (NPI# 1508380452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508380452
Entity Type Organization
Organization Name CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST
Practice Address 1930 South Broad St, Unit 28
Penn Urgent Care South Philadelphia
Philadelphia
PA 19145-2328
Mailing Address 250 King of Prussia Rd Fl 4
Radnor
PA 19087-5235
Practice Telephone 2154197500
Practice Fax Number 2154197505
Mailing Telephone 6109021720
Mailing Fax Number 6109021789
Enumeration Date 2017-08-02
Last Update Date 2020-06-26
Authorized Official Name RONALD B BARG (OWNER)
Authorized Official Telephone 6109021720
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine PA Allopathic & Osteopathic Physicians
N 207RH0002X Internal Medicine
Specialization: Hospice and Palliative Medicine
PA Allopathic & Osteopathic Physicians
N 207RH0002X Internal Medicine
Specialization: Hospice and Palliative Medicine
Allopathic & Osteopathic Physicians
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
Allopathic & Osteopathic Physicians
N 207ZP0105X Pathology
Specialization: Clinical Pathology/Laboratory Medicine
PA Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
PA Allopathic & Osteopathic Physicians
N 208600000X Surgery Allopathic & Osteopathic Physicians
N 208C00000X Colon & Rectal Surgery Allopathic & Osteopathic Physicians
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
Physician Assistants & Advanced Practice Nursing Providers
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
PA Ambulatory Health Care Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
250 King of Prussia Rd Fl 4, Radnor, PA 190875235 6109021720 6109021789
230 W Washington Square, Suite 102, Penn Palliative Care Pah, Philadelphia, PA 191063500 2158293985 2158293340
240 Middletown Blvd Ste 205, Langhorne, PA 190471832 2157522424 2157500656

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1942319777 Clinical Care Associates of The University of Pennsylvania Health Syst Orthopaedic Surgery 230 W Washington Sq, 5th Floor, Philadelphia, PA 19106-3500 2006-08-29
1790737468 Clinical Care Associates of The University of Pennsylvania Health Syst Psychiatry & Neurology 250 King of Prussia Rd, 4th Floor, Radnor, PA 19087-5220 2006-05-17

Office Location

Street Address 1930 SOUTH BROAD ST, UNIT 28
PENN URGENT CARE SOUTH PHILADELPHIA
City PHILADELPHIA
State PA
Zip Code 19145-2328

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376069559 Kyle James Hughes Physical Therapist 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 2017-08-18
1821519752 John A Takacs Dmd Clinic/Center 1707w Passyunk Ave, Philadelphia, PA 19145 2017-06-30
1033573209 Kenneth Donahue Dentist 1517 Packer Avenue, Philadelphia, PA 19145 2016-04-13
1437516895 Kimberly Wyand Physical Therapist 2129 Oregon St, Philadelphia, PA 19145 2016-01-15
1760856538 Liji Vipin Nurse Practitioner 1615 Oregon Ave, Philadelphia, PA 19145 2015-11-17
1528333846 Gina Marie Doyle Registered Nurse 1930 S. Broad Street, Philadelphia, PA 19145 2012-03-20
1639446214 Thao T Tran Pharmacist 2014-24 South Broad St, Philadelphia, PA 19145 2011-11-25
1649573171 Phyllis Yang Internal Medicine 1700 S Broad St, Unit 201, Philadelphia, PA 19145 2010-12-05
1326364613 South Philadelphia Open Mri, LLC Clinic/Center 1834 West Oregon Avenue, Philadelphia, PA 19145 2010-04-13
1417271818 Christopher James Mammola Physical Therapy Assistant 1413 W. Moyamensing Ave., Philadelphia, PA 19145 2010-03-15
Find all providers in zip 19145

Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154968709 On Demand Urgent Care Group PC Clinic/Center 5828 Market St, Philadelphia, PA 19139-3152 2019-12-03
1205486891 Mydoc Urgent Care Chinatown Clinic/Center 1008 Arch St Ste 102, Philadelphia, PA 19107-3002 2019-09-16
1114491594 On Demand Urgent Care Group PC Clinic/Center 1500 Spring Garden St Ste R105, Philadelphia, PA 19130-4067 2019-01-18
1538667704 Premier Urgent Care At Kennett Square, LLC Clinic/Center 10050 Roosevelt Blvd Ste 2, Philadelphia, PA 19116-3965 2018-01-23
1679084354 Premier Urgent Care At Kennett Square, LLC Clinic/Center 2231 Bryn Mawr Avenue, Philadelphia, PA 19131-2399 2017-10-20
1811432776 On Demand Urgent Care Group, PC Clinic/Center 1217 S Broad St, Philadelphia, PA 19147-4401 2017-01-03
1902341860 On Demand Urgent Care Group, PC Clinic/Center 1420 Chestnut St, Philadelphia, PA 19102-2505 2017-01-03
1629525282 Mydoc Urgent Care Clinic/Center 3717 Chestnut St, Suite 202, Philadelphia, PA 19104-3164 2016-09-01
1013361575 Jefferson Acute Care Physicians, PC Clinic/Center 2021 Chestnut St, Philadelphia, PA 19103-3373 2016-04-20
1881083723 On Demand Urgent Care Group PC Clinic/Center 3356 Aramingo Ave, Philadelphia, PA 19134-4506 2015-01-15
Find all providers in PHILADELPHIA

Competitor

Search similar providers

City PHILADELPHIA
Zip Code 19145

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.