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MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA NPI 1194701292


NPI Information

NPI: 1194701292
Provider Name: MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA

Doing Business As: MMS-MERCY MEDICAL ASSOCIATES AT EASTWICK

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
2821 ISLAND AVE
SUITE D& E
PHILADELPHIA, PA
ZIP 19153
Phone: (215) 863-6110
Get Directions

MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA is an internal medicine in Philadelphia, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA NPI is 1194701292. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mms-mercy Medical Associates At Eastwick.

The provider's business location address is:

2821 ISLAND AVE
SUITE D& E
PHILADELPHIA, PA
ZIP 19153-300
Phone: (215) 863-6110
Fax: (215) 863-6111

The provider's authorized official is Doug;as 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 5/9/2008.


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
1207R00000XInternal MedicineYes

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
11551070OTHERPENNSYLVANIABLUE SHIELD
22059546OTHERPENNSYLVANIAAETNA MEDICARE
31551070OTHERPENNSYLVANIABLUE SHIELD PA 65
42059546OTHERPENNSYLVANIAAETNA HMO PPO
52234269001OTHERPENNSYLVANIAKEYSTONE HEALTH PLAN PCP
6DC7284MEDICARE PINPENNSYLVANIA
72234269001OTHERPENNSYLVANIAKEYSTONE HEALTH PCP 65
81551070OTHERPENNSYLVANIABLUE SHIELD COMP
92234269001OTHERPENNSYLVANIAAMERIHEALTH DELAWARE
102234269001OTHERPENNSYLVANIAAMERIHEALTH HMO
11125186900OTHERPENNSYLVANIADEPT OF LABOR
121551070OTHERPENNSYLVANIAAMERIHEALTH ADMIN
132234269001OTHERPENNSYLVANIABLUE SHIELD ILIN
14100778793 0152MEDICAIDPENNSYLVANIA
15074946MEDICARE PINPENNSYLVANIA
162234269001OTHERPENNSYLVANIAAMERIHEALTH NEW JERSEY
1730010759OTHERPENNSYLVANIAKEYSTONE MERCY

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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