1447247093 NPI number — DR. MICHAEL POSNER MD

Table of content: DR. MICHAEL POSNER MD (NPI 1447247093)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447247093 NPI number — DR. MICHAEL POSNER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
POSNER
Provider First Name:
MICHAEL
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1447247093
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/17/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
711 LAWN AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SELLERSVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18960-1575
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-257-8053
Provider Business Mailing Address Fax Number:
215-257-2020

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
711 LAWN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SELLERSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18960-1575
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-257-8053
Provider Business Practice Location Address Fax Number:
215-257-2020
Provider Enumeration Date:
09/29/2005

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: 207W00000X , with the licence number:  MD058449L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 30015474 . This is a "KEYSTONE MERCY INDIVIDUAL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 001598705 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3615280 . This is a "AETNA INDIVIDUAL ID" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0710502000 . This is a "IBC INDIVIDUAL ID" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: P00828695 . This is a "RR MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 8269667 . This is a "CIGNA INDIVIDUAL ID" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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