1609831890 NPI number — ARIA HEALTH PHYSICIAN SERVICES

Table of content: (NPI 1609831890)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609831890 NPI number — ARIA HEALTH PHYSICIAN SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARIA HEALTH PHYSICIAN SERVICES
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:
1609831890
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/12/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 825395
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:
19182-5395
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-612-4088
Provider Business Mailing Address Fax Number:
215-612-4323

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3998 RED LION RD
Provider Second Line Business Practice Location Address:
ANESTHESIA DEPARTMENT
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19114-1436
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-612-4088
Provider Business Practice Location Address Fax Number:
215-612-4323
Provider Enumeration Date:
04/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FINN
Authorized Official First Name:
MARY
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
VP OF FINANCE
Authorized Official Telephone Number:
215-710-3757

Provider Taxonomy Codes

  • Taxonomy code: 207LP2900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2765495000 . This is a "KEYSTONE,IBC PM" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1896336 . This is a "HIGHMARK BLUE SHIELD- PM" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2128112000 . This is a "KEYSTONE IBC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 30002901 . This is a "KEYSTONE MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 30567 . This is a "HP BUCKS DIV" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 01697 . This is a "H P TORRESDALE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007526250039 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 32888 . This is a "HEALTH PARTNERS PM" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007526250051 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1442908 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 30563 . This is a "H P FRANKFORD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007526250041 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3056444 . This is a "AETNA CONTRACT" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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