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PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE NPI 1881635704


NPI Information

NPI: 1881635704
Provider Name: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4190 CITY AVE
PHILADELPHIA, PA
ZIP 19131
Phone: (215) 871-6562
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PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE 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. PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE NPI is 1881635704. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4190 CITY AVE
PHILADELPHIA, PA
ZIP 19131-626
Phone: (215) 871-6562
Fax: (215) 871-6781

The provider's authorized official is Kenneth J Veit .
The authorized official title is Sr Vp For Academic Affairs And Dean and has the following contact phone number (215) 871-6562.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 9/13/2021.


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
1103T00000XPsychologistNo
2204D00000XNeuromusculoskeletal Medicine & OMMNo
3207QG0300XFamily MedicineGeriatric MedicineNo
4207R00000XInternal MedicineNo
5207RC0200XInternal MedicineCritical Care MedicineNo
6207RP1001XInternal MedicinePulmonary DiseaseNo
7207X00000XOrthopaedic SurgeryNo
8208600000XSurgeryNo
9363A00000XPhysician AssistantNo
10208000000XPediatricsNo
11208100000XPhysical Medicine & RehabilitationNo
12207Q00000XFamily MedicineYes

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
11007772030027MEDICAIDPENNSYLVANIA
2CC3119OTHERPENNSYLVANIARAIL ROAD MEDICARE

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.