SHUJIE YAN (NPI# 1093300477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093300477 |
| Entity Type | Individual |
| Full Name | SHUJIE YAN |
| Gender | Female |
| Credential | D.M.D |
| Practice Address | 240 S 40th St Philadelphia PA 19104-6030 |
| Practice Telephone | 9515530096 |
| Mailing Address | 466 Karlann Dr Black Hawk CO 80422-4073 |
| Mailing Telephone | 9515530096 |
| Certification Date | 2021-03-07 |
| Enumeration Date | 2021-03-07 |
| Last Update Date | 2021-03-07 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 1223G0001X | Dentist Specialization: General Practice | NA | CO | Dental Providers |
| Street Address | 240 S 40TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-6030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205428489 | Kristina Mendlowski | Student in an Organized Health Care Education/Training Program | 240 S 40th St, Philadelphia, PA 19104-6030 | 2021-02-09 |
| 1932791340 | Ya-Wei Chen | Student in an Organized Health Care Education/Training Program | 240 S 40th St, Philadelphia, PA 19104-6030 | 2021-02-07 |
| 1043800667 | Trustees of The University of Pennsylvania | Anesthesiology | 240 S 40th St, Philadelphia, PA 19104-6030 | 2021-01-19 |
| 1215533609 | Hannah Alexandra Liss | Dentist | 240 S 40th St, Philadelphia, PA 19104-6030 | 2020-12-10 |
| 1164023800 | Nasim Levin | Dentist · Endodontics | 240 S 40th St, Philadelphia, PA 19104-6030 | 2020-11-07 |
| 1992304497 | Meena Matloob | Dentist | 240 S 40th St, Philadelphia, PA 19104-6030 | 2020-10-26 |
| 1851905905 | Nathan Yip | Specialist | 240 S 40th St, Philadelphia, PA 19104-6030 | 2020-09-06 |
| 1730706334 | Jessie Jiang | Student in an Organized Health Care Education/Training Program | 240 S 40th St, Philadelphia, PA 19104-6030 | 2020-06-30 |
| 1376160192 | Rebecca Gollub | Dentist · Pediatric Dentistry | 240 S 40th St, Philadelphia, PA 19104-6030 | 2020-06-26 |
| 1629697586 | Sri Sai Jaahnavi Kodali | Student in an Organized Health Care Education/Training Program | 240 S 40th St, Philadelphia, PA 19104-6030 | 2020-04-10 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291767 | Joyce Ganas | Dentist · Pediatric Dentistry | 240 South 40th Street, Upenn Department of Dentistry, Philadelphia, PA 19104-6030 | 2020-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225623275 | Jennie Berman | Nurse Practitioner · Acute Care | 3400 Civic Center Blvd, Perelman Center for Advanced Medicine, 4 South, Philadelphia, PA 19104 | 2021-03-02 |
| 1346830015 | Albert Griffith | Pharmacist | 3400 Civic Center Blvd, West Pavilion Room 101, Philadelphia, PA 19104 | 2021-01-26 |
| 1740886399 | Sarah Mcmanness | Nurse Practitioner · Acute Care | 52 N 39th St, Philadelphia, PA 19104 | 2020-12-09 |
| 1578169330 | Erica English Dougherty · Erica English | Nurse Practitioner | 3400 Civic Center Boulevard, Perelman Center for Advanced Medicine, 3rd Floor West, Philadelphia, PA 19104 | 2020-12-08 |
| 1295338473 | Scott Halperin | Pharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 3925 Walnut Street, Cvs, Philadelphia, PA 19104 | 2020-11-19 |
| 1518569599 | Melissa Ann Attanasio | Nurse Practitioner | 3400 Spruce Street, Floor 5 Ravdin Building, Philadelphia, PA 19104 | 2020-11-13 |
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1942809538 | Terry P Huh | Specialist/Technologist, Other | 3900 Delancey St, Pennvet Hostpial, Philadelphia, PA 19104 | 2020-10-23 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center · Federally Qualified Health Center (FQHC) | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1376161562 | Janine Andrea Vonlanthen | Surgery · Pediatric Surgery | 3401 Civic Center Blvd, Devision of General Surgery, Philadelphia, PA 19104 | 2020-07-14 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396339693 | Briana E Jones | 6140a Woodland Ave, Philadelphia, PA 19142-3224 | 2021-02-26 | |
| 1194319152 | Smile Team PC | 1335 W Tabor Rd Ste 312, Philadelphia, PA 19141-3041 | 2021-02-21 | |
| 1891386413 | Smile Defenders LLC | 3117 Kensington Ave, Philadelphia, PA 19134-2420 | 2021-01-27 | |
| 1447841135 | Aria Sharma | 358 E Wyoming Ave, Philadelphia, PA 19120-4435 | 2021-01-27 | |
| 1942802699 | Port Richmond Dental Center | 3162 Richmond St Fl 1, Philadelphia, PA 19134-5827 | 2020-11-09 | |
| 1790385581 | Samir Zahedpasha | 1933 Delancey Pl, Philadelphia, PA 19103-6611 | 2020-10-29 | |
| 1588270060 | Suwadad A Aldawodie | 2119 Cottman Ave, Philadelphia, PA 19149-1122 | 2020-09-20 | |
| 1144830134 | Charles Tolliferreo Jr. | 61 W Chelten Ave, Philadelphia, PA 19144-2701 | 2020-08-04 | |
| 1205446481 | Zainab Abdul Rehman Sheikh | 2455 Grant Ave, Philadelphia, PA 19114-1004 | 2020-08-03 | |
| 1407464423 | Ping Wang | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-07-15 | |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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| 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.