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MERCY MANAGEMENT OF SEPA NPI 1861478976


NPI Information

NPI: 1861478976
Provider Name: MERCY MANAGEMENT OF SEPA

Doing Business As: MMS-LEON CLARKE, MD

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
501 S 54TH ST
SUITE 537
PHILADELPHIA, PA
ZIP 19143
Phone: (215) 748-9653
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MERCY MANAGEMENT OF SEPA is a surgery in Philadelphia, PA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. MERCY MANAGEMENT OF SEPA NPI is 1861478976. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mms-leon Clarke, Md.

The provider's business location address is:

501 S 54TH ST
SUITE 537
PHILADELPHIA, PA
ZIP 19143-900
Phone: (215) 748-9653
Fax: (215) 748-9667

The provider's authorized official is Douglas C Smith .
The authorized official title is Vp Financial Services and has the following contact phone number (610) 567-6964.

The enumeration date for this NPI number is 12/20/2005 and was last updated on 6/16/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
130010808OTHERPENNSYLVANIAKEYSTONE MERCY HEALTH PLA
2125182900OTHERPENNSYLVANIAOWCP
31007787930154MEDICAIDPENNSYLVANIA
44597364OTHERPENNSYLVANIAAETNA PPO
53032802OTHERPENNSYLVANIAAETNA HMO
6074927MEDICARE PINPENNSYLVANIA
72227092000OTHERPENNSYLVANIAKEYSTONE HEALTH PLAN EAST
81542222OTHERPENNSYLVANIABLUE SHIELD
9DA5351MEDICARE PINPENNSYLVANIA

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: 11/14/2023

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