VANSANT MEDICINE INC NPI 1538501192

NPI Information

NPI: 1538501192
Provider Name: VANSANT MEDICINE, INC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
901 E PASSYUNK AVE
PHILADELPHIA, PA
ZIP 19147
Phone: (215) 551-0200
Get Directions

VANSANT MEDICINE, INC is an adult medicine family medicine in Philadelphia, PA. The provider is definition to come. VANSANT MEDICINE, INC NPI is 1538501192. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

901 E PASSYUNK AVE
PHILADELPHIA, PA
ZIP 19147-924
Phone: (215) 551-0200
Fax: (215) 551-0209

The provider's authorized official is Monika Vansant .
The authorized official title is President and has the following contact phone number (215) 551-0200.

The enumeration date for this NPI number is 7/24/2013 and was last updated on 7/24/2013.

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	111N00000X	Chiropractor		DC006091L	PENNSYLVANIA	No
2	261QP2300X	Clinic/Center	Primary Care	OS010207L	PENNSYLVANIA	No
3	207QA0505X	Family Medicine	Adult Medicine	OS010207L	PENNSYLVANIA	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
1	H18014	MEDICARE UPIN	PENNSYLVANIA
2	18130700001	MEDICAID	PENNSYLVANIA
3	038628	MEDICARE OSCAR/CERTIFICATION	PENNSYLVANIA

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

NPI Synchronization or Removal

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