TODD D. VLADYKA DO NPI 1700887858

NPI Information

  • NPI: 1700887858
  • Provider Name: TODD D. VLADYKA, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 4190 CITY LINE AVE
    SUITE 100
    PHILADELPHIA, PA
    ZIP 19131
  • Phone: (215) 871-6380

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NPI Details

Todd D. Vladyka, DO is a family medicine in Philadelphia, PA. 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. Todd D. Vladyka, DO NPI is 1700887858. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4190 CITY LINE AVE
SUITE 100
PHILADELPHIA, PA
ZIP 19131-626
Phone: (215) 871-6380
Fax: (215) 871-6381

The enumeration date for this NPI number is 8/10/2005 and was last updated on 5/16/2011.

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
1207Q00000XFamily MedicineOS009403LPENNSYLVANIAYes

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 Other Provider Identifier Issuer
1G83748MEDICARE UPIN
2001696813MEDICAIDPENNSYLVANIA
3021208E7HMEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA

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: 11/21/2025

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