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DR. JULIA ANGELA ELCOCK-VENGEN M.D. NPI 1578575940


NPI Information

NPI: 1578575940
Provider Name: DR. JULIA ANGELA ELCOCK-VENGEN, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: TRINITY MEDICAL ASSOCIATES, PA

PECOS Registration: Yes

Address:
1401 S 31ST ST
PHILADELPHIA, PA
ZIP 19146
Phone: (215) 755-7700
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DR. Julia Angela Elcock-vengen, M.D. is a family medicine in Philadelphia, PA with 37 years of experience. 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. DR. Julia Angela Elcock-vengen, M.D. NPI is 1578575940. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

1401 S 31ST ST
PHILADELPHIA, PA
ZIP 19146-506
Phone: (215) 755-7700
Fax: (215) 755-3177

The NPI 1578575940 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 4/6/2017.


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
1207Q00000XFamily MedicineMD062119LPENNSYLVANIAYes

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
1EL720989MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
20017329470001MEDICAIDPENNSYLVANIA
3F29499MEDICARE UPINPENNSYLVANIA

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.