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MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA NPI 1235116047


NPI Information

NPI: 1235116047
Provider Name: MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA

Doing Business As: MMS-MERCY ONCOLOGY

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
501 S 54TH ST
SUITE 186
PHILADELPHIA, PA
ZIP 19143
Phone: (215) 748-9530
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MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA is a hematology and oncology internal medicine in Philadelphia, PA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA NPI is 1235116047. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mms-mercy Oncology.

The provider's business location address is:

501 S 54TH ST
SUITE 186
PHILADELPHIA, PA
ZIP 19143-900
Phone: (215) 748-9530
Fax: (215) 748-9119

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 12/22/2005 and was last updated on 5/25/2010.


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
1207RH0003XInternal MedicineHematology & OncologyYes

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
12621808000OTHERPENNSYLVANIAKEYSTONE HEALTH PLAN EAST
2073764R4XMEDICARE PINPENNSYLVANIA
3107787930162MEDICAIDPENNSYLVANIA
45674521OTHERPENNSYLVANIAAUSHC HMO
530026505OTHERPENNSYLVANIAKEYSTONE MERCY HEALTH PLA
61783573OTHERPENNSYLVANIABLUE SHIELD
78496224OTHERPENNSYLVANIAAUSHC PPO

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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