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CHESTNUT HILL CLINIC COMPANY LLC NPI 1508936071


NPI Information

NPI: 1508936071
Provider Name: CHESTNUT HILL CLINIC COMPANY, LLC

Doing Business As: FAMILY MEDICINE WYNCOTE TOWER HEALTH MEDICAL GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 39D1101000

Address:
8835 GERMANTOWN AVE
PHILADELPHIA, PA
ZIP 19118
Phone: (215) 248-8200
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CHESTNUT HILL CLINIC COMPANY, LLC 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. CHESTNUT HILL CLINIC COMPANY, LLC NPI is 1508936071. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Medicine Wyncote Tower Health Medical Group.

The provider's business location address is:

8835 GERMANTOWN AVE
PHILADELPHIA, PA
ZIP 19118-718
Phone: (215) 248-8200
Fax: (215) 248-1022

The provider's authorized official is Robert Ehinger .
The authorized official title is Sr Vp Financial Operations and has the following contact phone number (484) 628-4681.

The CLIA number assigned to this NPI record is 39D1101000 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 11/18/2021.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
2207RG0100XInternal MedicineGastroenterologyNo
3207V00000XObstetrics & GynecologyNo
4207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
5207QS0010XFamily MedicineSports MedicineNo
6207VX0201XObstetrics & GynecologyGynecologic OncologyNo
72084P0800XPsychiatry & NeurologyPsychiatryNo
8208600000XSurgeryNo
9225100000XPhysical TherapistNo
10367A00000XAdvanced Practice MidwifeNo
11207R00000XInternal MedicineYes
121041C0700XSocial WorkerClinicalNo
13207Q00000XFamily MedicineNo

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.