1659359099 NPI number — ABINGTON EMERGENCY PHYSICIAN ASSOCIATES PC

Table of content: (NPI 1659359099)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659359099 NPI number — ABINGTON EMERGENCY PHYSICIAN ASSOCIATES PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ABINGTON EMERGENCY PHYSICIAN ASSOCIATES PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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 Information

NPI Number:
1659359099
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/26/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1200 OLD YORK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ABINGTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19001-3720
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-481-4546
Provider Business Mailing Address Fax Number:
215-481-4629

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1200 OLD YORK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ABINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19001-3720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-481-4546
Provider Business Practice Location Address Fax Number:
215-481-4629
Provider Enumeration Date:
01/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HARKINS
Authorized Official First Name:
F.
Authorized Official Middle Name:
THOMAS
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
215-481-4546

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 459983 . This is a "PERSONAL CHOICE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0012257850001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0048807000 . This is a "KEYSTONE HEALTH EAST" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 08801 . This is a "SENOIR HEALTH PARTNERS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 012434700 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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