Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Univ of Penn-Orthopedic Surgery

Organization Sports Medicine (Family Medicine) Physician · NPI 1962515965

Univ of Penn-Orthopedic Surgery is a Sports Medicine (Family Medicine) Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
10
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Practice location Address checks out

3400 Spruce St 2 Silverstein
Philadelphia, PA 19104-4206
Phone: (215) 662-3340
Fax: (215) 349-5928
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Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X (PA)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Orthopaedic Hand Surgery Physician Taxonomy 207XS0106X
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X
Orthopaedic Foot and Ankle Surgery Physician Taxonomy 207XX0004X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X
Orthopaedic Trauma Physician Taxonomy 207XX0801X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X (PA)
Plastic Surgery Physician Taxonomy 208200000X

Record details

NPI number1962515965
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Johnston — Executive Director · (215) 662-7583
NPI enumeratedAugust 16, 2006
Last updated in NPPESJune 10, 2011
Mailing address3624 Market St, Suite 560 W, Philadelphia, PA 19104-2614

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