National Provider Identifier Database

UNIV OF PENN OB GYN
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.


Contact Information

UNIV OF PENN - OB-GYN
800 WALNUT ST
10TH FLOOR
PHILADELPHIA, PA19107-5109
Phone: 215-829-2345
Fax:
Website:
Specialty Taxonomy Code
* Obstetrics & Gynecology 207V00000X
Ambulatory Family Planning Facility 261QA0005X
Ambulatory Fertility Facility 261QA0006X
Gynecologic Oncology 207VX0201X

* Indicates primary specialty

NPI Profile & details for UNIV OF PENN - OB-GYN

NPI Number 1386765857
Legal business name
LBN
UNIV OF PENN - OB-GYN
Authorized official ELIZABETH JOHNSTON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/03/2007
Last updated 10/24/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ Medicaid: 7298609
  • PA Medicaid: 1007448840
  • PA Other: 921502 AETNA
  • PA Other: 065511 BLUE SHIELD
  • PA Other: 2Y21658 HEALTHNET
  • PA Other: 0052759000 KEYSTONE
  • PA Other: 1012026 KEYSTONE MERCY
  • PA Other: CG4675 RAILROAD MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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