Jefferson Medical Care, Pc

LBN: Jefferson Medical Care, Pc
Jefferson Medical Care, Pc is an health care organization with primary practice located at 211 S 9Th St Suite 305, Philadelphia PA 19107-6810. The organization recently has 8 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty. Jefferson Medical Care, Pc can be contacted via phone (215) 955-9558, or through Ristas, Hristos via phone (215) 955-9298.

Contact Information

Primary practice address
211 S 9Th St Suite 305 Philadelphia PA 19107-6810
Phone: (215) 955-9558
Fax: (215) 955-3920
Website:
Map and Directions
Authorized official contact:
Name: Ristas, Hristos
Phone: (215) 955-9298

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1164511747
LBN Legal business name Jefferson Medical Care, Pc
DBA Doing business as
Authorized official Ristas, Hristos
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Oct 14th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164511747 NPPES
Pennsylvania MEDICAID 0016886700001

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