Organization
UNIV OF PENN - OB/GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR)
(215) 662-7583
Entity
Organization
Contact information
Practice address
3400 SPRUCE ST, 1000 COURTYARD BUILDING, PHILADELPHIA, PA 19104-4206
(215) 662-3318
Mailing address
3400 SPRUCE ST, 1000 COURTYARD BUILDING, PHILADELPHIA, PA 19104-4206
(215) 662-3318
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VE0102X
Reproductive Endocrinology Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052759000
KEYSTONE
PA
01
—
039030
BLUE SHIELD
PA
05
—
1007448840
—
PA
01
—
1012026
KEYSTONE MERCY
PA
01
—
24223
HEALTHPARTNERS
PA
01
—
2Y20350
HEALTHNET
PA
01
—
544297
AETNA
PA
05
—
7298609
—
NJ
01
—
CA2050
RAILROAD MEDICARE
PA
Enumeration date
08/29/2006
Last updated
12/20/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us