POTTSTOWN MEDICAL SPECIALISTS INC NPI 1053428425

NPI Information

NPI: 1053428425
Provider Name: POTTSTOWN MEDICAL SPECIALISTS, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1610 MEDICAL DRIVE
SUITE 310
POTTSTOWN, PA
ZIP 19464
Phone: (610) 327-4200
Get Directions

POTTSTOWN MEDICAL SPECIALISTS, INC is a family medicine in Pottstown, 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. POTTSTOWN MEDICAL SPECIALISTS, INC NPI is 1053428425. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1610 MEDICAL DRIVE
SUITE 310
POTTSTOWN, PA
ZIP 19464
Phone: (610) 327-4200
Fax: (610) 327-8160

The provider's authorized official is Shana M Enochs .
The authorized official title is Credentialing Specialist and has the following contact phone number (610) 327-4200.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 7/14/2016.

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
1	207LP2900X	Anesthesiology	Pain Medicine	MD048926L	PENNSYLVANIA	No
2	207R00000X	Internal Medicine				No
3	207RC0000X	Internal Medicine	Cardiovascular Disease			No
4	207RG0100X	Internal Medicine	Gastroenterology			No
5	207RH0003X	Internal Medicine	Hematology & Oncology			No
6	207RI0011X	Internal Medicine	Interventional Cardiology			No
7	207RN0300X	Internal Medicine	Nephrology			No
8	207RP1001X	Internal Medicine	Pulmonary Disease			No
9	207RR0500X	Internal Medicine	Rheumatology			No
10	207RS0012X	Internal Medicine	Sleep Medicine			No
11	207XX0005X	Orthopaedic Surgery	Sports Medicine			No
12	208000000X	Pediatrics				No
13	2084N0400X	Psychiatry & Neurology	Neurology	MD072338L	PENNSYLVANIA	No
14	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic			No
15	207Q00000X	Family Medicine				Yes

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
1	0007964850006	MEDICAID	PENNSYLVANIA
2	026191	MEDICARE PIN

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: 4/28/2024

NPI Synchronization or Removal

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