Organization
JEFFERSON UNIVERSITY PHYSICIANS
Active
Organization
JEFFERSON UNIVERSITY PHYSICIANS
Active
Other names
OB/GYN- Reproductive Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN PADGETT (CREDENTIALING MANAGER)
(215) 955-1175
Entity
Organization
Contact information
Practice address
833 CHESTNUT ST FL 1, PHILADELPHIA, PA 19107-4404
(215) 955-0500
Mailing address
PO BOX 828937, PHILADELPHIA, PA 19182-8937
(215) 503-1240
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0442939000
INDEPENDENCE BLUE CROSS
PA
01
—
30013039
KEYSTONE MERCY
PA
01
—
468195
AETNA
PA
01
—
484959
AETNA
PA
01
—
961111
HIGHMARK BLUE SHIELD
PA
Enumeration date
04/18/2008
Last updated
06/13/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up