1477605095 NPI number — TEMPLE PHYSICIANS INC.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477605095 NPI number — TEMPLE PHYSICIANS INC.

Employer Identification Number (EIN):

Provider Organization Name:

TEMPLE PHYSICIANS INC.

Provider Last Name:

Provider First Name:

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

Provider Gender Code:

Provider Other Organization Name:

TPI NEH SURGERY

Provider Other Organization Name Type Code:

5

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1477605095

Entity Type Code:

Organization

Replacement NPI:

Last Update Date:

02/01/2008

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

PO BOX 820933

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

PHILADELPHIA

Provider Business Mailing Address State Name:

PA

Provider Business Mailing Address Postal Code:

19182-0933

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

215-926-9000

Provider Business Mailing Address Fax Number:

215-226-8285

Provider First Line Business Practice Location Address:

2230 E ALLEGHENY AVE

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

PHILADELPHIA

Provider Business Practice Location Address State Name:

PA

Provider Business Practice Location Address Postal Code:

19134-3830

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

215-634-3418

Provider Business Practice Location Address Fax Number:

215-634-4872

Provider Enumeration Date:

01/16/2007

Authorized Official Last Name:

SAVERING

Authorized Official First Name:

LYNNIE

Authorized Official Middle Name:

Authorized Official Title or Position:

DIRECTOR

Authorized Official Telephone Number:

215-926-9015

• Taxonomy code: 208600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
• Taxonomy code: 208G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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• Identifier: 15730 . This is a "ELDER HEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 7832788 . This is a "AETNA PPO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 35999 . This is a "HEALTH PARTNERS SITE #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 0756985000 . This is a "IBC (KHPE & PC)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 8080392 . This is a "CIGNA CAP & PPO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 1170578 . This is a "AETNA HMO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
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• Identifier: CD4829 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".