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TPS IV OF PA LLC NPI 1740248905


NPI Information

NPI: 1740248905
Provider Name: TPS IV OF PA, LLC
Classification: Surgery - 2086S0127X
Entity Type: Organization

Specialization: Trauma Surgery

Address:
245 N 15TH ST
MS 310
PHILA, PA
ZIP 19102
Phone: (215) 762-4312
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TPS IV OF PA, LLC is a trauma surgery surgery in Phila, PA. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. TPS IV OF PA, LLC NPI is 1740248905. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

245 N 15TH ST
MS 310
PHILA, PA
ZIP 19102-101
Phone: (215) 762-4312
Fax: (215) 762-8656

The provider's authorized official is Po Chou .
The authorized official title is Director Of Finance And Operations and has the following contact phone number (215) 762-4798.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0127XSurgeryTrauma SurgeryYes
2207X00000XOrthopaedic SurgeryX
3207T00000XNeurological SurgeryX
42085B0100XRadiologyBody ImagingX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11011365340001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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