1073826285 NPI number — DR. MARGARET MILLS HOPEMAN M.D.

Table of content: CAMERON HAROLD BYERS P.A.-C. (NPI 1750350302)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073826285 NPI number — DR. MARGARET MILLS HOPEMAN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOPEMAN
Provider First Name:
MARGARET
Provider Middle Name:
MILLS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GAECKLE
Provider Other First Name:
MARGARET
Provider Other Middle Name:
HOPEMAN
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1073826285
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/06/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3701 MARKET ST STE 800
Provider Second Line Business Mailing Address:
PENN FERTILITY CARE
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19104-5502
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3701 MARKET ST STE 800
Provider Second Line Business Practice Location Address:
PENN FERTILITY CARE
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19104-5502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-662-2970
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/16/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  2010019216 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2010019216 . This is a "MISSOURI CONDITIONAL TEMPORARY LICENSE NUMBER" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".