Provider Type Icon

METHODIST ASSOCIATES IN HEALTHCARE INC NPI 1053355131


NPI Information

NPI: 1053355131
Provider Name: METHODIST ASSOCIATES IN HEALTHCARE, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 39D1008779

Address:
2301 S BROAD ST
2ND FLOOR
PHILADELPHIA, PA
ZIP 19148
Phone: (215) 952-9936
Get Directions

METHODIST ASSOCIATES IN HEALTHCARE, INC is a family medicine in Philadelphia, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. METHODIST ASSOCIATES IN HEALTHCARE, INC NPI is 1053355131. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2301 S BROAD ST
2ND FLOOR
PHILADELPHIA, PA
ZIP 19148-542
Phone: (215) 952-9936
Fax: (215) 952-1247

The provider's authorized official is Dawn Padgett .
The authorized official title is Credentialing Supervisor and has the following contact phone number (215) 955-1175.

The CLIA number assigned to this NPI record is 39D1008779 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 12/14/2021.


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
1207Q00000XFamily MedicinePENNSYLVANIAYes
2207QG0300XFamily MedicineGeriatric MedicinePENNSYLVANIANo
3207R00000XInternal MedicineNo
4207RA0201XInternal MedicineAllergy & ImmunologyPENNSYLVANIANo
5207RG0100XInternal MedicineGastroenterologyNo
6207RP1001XInternal MedicinePulmonary DiseasePENNSYLVANIANo
7207RP1001XInternal MedicinePulmonary DiseaseNo
8207V00000XObstetrics & GynecologyNo
92085R0202XRadiologyDiagnostic RadiologyNo
10208800000XUrologyPENNSYLVANIANo
11208M00000XHospitalistNo
12213E00000XPodiatristPENNSYLVANIANo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.