Rachel Diane Simonsen
Physician Assistant

Address: 1741 Frankford Ave Ste 100a, Philadelphia, PA 19125-2445
Phone: 2154252424

Rachel Diane Simonsen (NPI# 1922589365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1922589365
Entity Type Individual
Full Name Rachel Diane Simonsen
Credential PA-C
Gender Female
Practice Address 1741 Frankford Ave Ste 100a
Philadelphia
PA 19125-2445
Practice Telephone 2154252424
Practice Fax Number 2154250342
Mailing Address 2450 W Hunting Park Ave
Philadelphia
PA 19129-1302
Mailing Telephone 2159269022
Mailing Fax Number 2159269022
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2018-08-23
Last Update Date 2020-10-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers MA060055 PA

Other Provider Identifier

State Identifier Issuer Type Code
PA 1035566360004 MEDICAID

Secondary Practice Locations

Address Telephone Number Fax Number
100 E Lehigh Ave # Chc-1, Philadelphia, PA 191251012 2157071866 2157071876

Physician Overview

NPI 1922589365
PAC ID by PECOS 3577817618
Professional Enrollment ID I20181108001627
Full Name Rachel Diane Jenkins
Organization Legal Name TEMPLE PHYSICIANS INC
Phone Number 2159263535
Gender F
Graduation Year 2018
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 2062317233
Number of Group Practice Members 177
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390027 TEMPLE UNIVERSITY HOSPITAL

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497351704 Lindsay Morgan Mirakian Physician Assistant 36304 Delaire Landing Rd, Philadelphia, PA 19114-5246 2020-12-10
1649875956 Brianna Salas Physician Assistant 4031 Sheffield Ave, Philadelphia, PA 19136-3101 2020-12-03
1780283986 Margaret Ann Malloy Physician Assistant 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 2020-10-20
1174122493 Juliana Debnam Physician Assistant 235 S 15th St Apt 904, Philadelphia, PA 19102-5031 2020-10-19
1457950867 Kyllington Spotts Physician Assistant 1151 N 3rd St Unit 301, Philadelphia, PA 19123-1578 2020-10-19
1598375925 Meredith Jeanne Behr Physician Assistant 5401 N Broad St, Philadelphia, PA 19141 2020-07-31
1457977944 Jiyean Yoo Physician Assistant 2929 Walnut St Apt 4424, Philadelphia, PA 19104-5096 2020-06-19
1356987747 Jennifer Rose Cueni Physician Assistant 2120 Brandywine St, Philadelphia, PA 19130-3107 2019-11-21
1730740408 Olivia Anne Leventry Physician Assistant 109 Fairmount Ave, Philadelphia, PA 19123-3004 2019-06-24
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
Find all providers in PHILADELPHIA

Office Location

Street Address 1741 FRANKFORD AVE STE 100A
City PHILADELPHIA
State PA
Zip Code 19125-2445

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194241810 Latiana Ridgell Registered Nurse 1080 N. Delaware Ave, Suite 300d, Phildelphia, PA 19125 2017-08-15
1659800175 Michael William Pelekanos Psychiatry & Neurology 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 2017-06-08
1063940187 Travis J Dichoso Psychiatry & Neurology 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 2017-06-02
1891232419 Kristin Marie Iannuzzelli Counselor 1114 Earl Street, Philadelphia, PA 19125 2017-01-20
1811440399 Temple University Hospital Psychiatric Hospital 100 East Lehigh Ave Suite 305b, Philadelphia, PA 19125 2016-08-01
1518343359 Tamer Hassan Zayed Moustafa Dentist 100 E Lehigh Ave # Pm2, Philadelphia, PA 19125 2015-08-04
1235564337 Ron Benjamin Radiology 2055 E Fletcher St, Philadelphia, PA 19125 2013-09-08
1457799165 Ross Andrew Levine Dentist 100 E. Lehigh Ave, Pedatric Dental Associates, Philadelphia, PA 19125 2013-06-05
1518228543 Kristen Kathleen Howland Occupational Therapist 404 East Flora St, Philadelphia, PA 19125 2012-06-06
1447539754 Kiran Majeed Psychiatry & Neurology 100 E. Lehigh Aveune, Suite # 105, Philadelphia, PA 19125 2011-08-04
Find all providers in zip 19125

Competitor

Search similar providers

City PHILADELPHIA
Zip Code 19125

Improve Information

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Dataset Information

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.