TIA ROSE WISDO (NPI# 1427642263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427642263 |
| Entity Type | Individual |
| Full Name | TIA ROSE WISDO |
| Gender | Female |
| Practice Address | 4170 City Ave Philadelphia PA 19131 |
| Practice Telephone | 2158716100 |
| Mailing Address | 4170 City Ave Philadelphia PA 19131 |
| Mailing Telephone | 2158716100 |
| Certification Date | 2021-02-23 |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-02-23 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address | 4170 CITY AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780279158 | Cally Richardson | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-03-07 |
| 1730774365 | Veronica Kim-Quy Pham | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-03-05 |
| 1851986996 | Amanda Marie Fellin | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-03-01 |
| 1881289965 | Bruna Kiane Ruthner | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-03-01 |
| 1215521299 | Jessica Huston | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-02-22 |
| 1972196012 | Jennifer Grugan | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-02-19 |
| 1023601218 | Shaina Yadav | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-02-18 |
| 1669065744 | Gabrielle Elizabeth Evans | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-02-18 |
| 1528651809 | Dylan Yurasits | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-02-17 |
| 1336732999 | Savannah Danielle Taranto | Student in an Organized Health Care Education/Training Program | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-02-15 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center · Rehabilitation | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1033735071 | Provision Point LLC | Durable Medical Equipment & Medical Supplies · Dialysis Equipment & Supplies | 2560 Belmont Ave, Philadelphia, PA 19131 | 2020-06-24 |
| 1033748264 | Mona Anne Dasgupta | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4170 City Ave, Philadelphia, PA 19131 | 2020-04-08 |
| 1952930406 | Alexandra Maria Cruz | Student in an Organized Health Care Education/Training Program | 4190 City Avenue, Phialdelphia, PA 19131 | 2020-04-06 |
| 1134774888 | Arti D Mistry | Dentist · General Practice | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist · Gerontology | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1114417060 | Christopher Maroon | Dentist · General Practice | 1575 N 52nd St Ste 705, Philadelphia, PA 19131 | 2018-05-16 |
| 1487143541 | Tanvi Patel | Dentist · General Practice | 1575 N 52nd St Ste 705, Philadelphia, PA 19131 | 2018-05-04 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| Find all providers in zip 19131 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780279158 | Cally Richardson | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-03-07 | |
| 1730774365 | Veronica Kim-Quy Pham | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-03-05 | |
| 1659966729 | Jessica Clark | 1025 Walnut St, Philadelphia, PA 19107-5001 | 2021-03-01 | |
| 1851986996 | Amanda Marie Fellin | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-03-01 | |
| 1881289965 | Bruna Kiane Ruthner | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-03-01 | |
| 1306430079 | Nicholas Decarlo | 4190 City Ave Ste 207, Philadelphia, PA 19131-1627 | 2021-02-23 | |
| 1336733070 | Ruth Michelle Joanis | 4190 City Ave, Philadelphia, PA 19131-1626 | 2021-02-23 | |
| 1215521299 | Jessica Huston | 4170 City Ave, Philadelphia, PA 19131-1610 | 2021-02-22 | |
| 1285228197 | George Boukas | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2021-02-22 | |
| 1881288868 | Hannah M Eichen | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2021-02-21 | |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053458455 | Wisdo Family Medicine, James John Wisdo Do Pa | Family Medicine | 2685 Sw 32nd Pl Ste 500, Ocala, FL 34471-7867 | 2007-02-01 |
| 1871574681 | Thomas M Wisdo | Pharmacist | 3400 Edgmont Ave, Brookhaven, PA 19015-2804 | 2005-11-09 |
| 1053511253 | Corinne Marie Wisdo | Podiatrist | 907 Medical Cir, Myrtle Beach, SC 29572-4116 | 2007-07-25 |
| 1508837998 | James John Wisdo | Family Medicine | 2685 Sw 32nd Pl Ste 500, Ocala, FL 34471-7867 | 2006-02-01 |
| 1124060017 | Jeffrey John Wisdo | Chiropractor | 7060 Valley Creek Plz, #121, Woodbury, MN 55125-2269 | 2006-06-12 |
| 1831336692 | Amy Lynne Wisdo | Podiatrist | 11945 Grandhaven Dr, Suite G, Murrells Inlet, SC 29576-8091 | 2009-01-15 |
| 1831256486 | Raymond Gerard Wisdo | Chiropractor | 1308 Macdade Blvd, Folsom, PA 19033-1612 | 2007-01-02 |
| 1558996546 | The Eye Doctor At St. Rose LLC · The Eye Doc At St. Rose | Eyewear Supplier | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1407832876 | Rose Hill Health Services, LLC · Lakepoint Nursing and Rehabilitation Center Rose Hill | Custodial Care Facility · Adult Care Home | 601 N Rose Hill Rd, Rose Hill, KS 67133-9336 | 2005-12-19 |
| 1114200805 | Glen Rose I Enterprises, LLC · Cherokee Rose Nursing and Rehabilitation | Skilled Nursing Facility | 203 Gibbs Blvd, Glen Rose, TX 76043-4309 | 2011-09-20 |
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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.