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MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA NPI 1891771994


NPI Information

NPI: 1891771994
Provider Name: MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA

Doing Business As: MMS-MERCY ORTHPAEDICS ASSOCIATES

Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Organization

Specialization: Adult Reconstructive Orthopaedic Surgery

Address:
501 S 54TH ST
SUITE 28
PHILADELPHIA, PA
ZIP 19143
Phone: (215) 748-9822
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MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA is an adult reconstructive orthopaedic surgery orthopaedic surgery in Philadelphia, PA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA NPI is 1891771994. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mms-mercy Orthpaedics Associates.

The provider's business location address is:

501 S 54TH ST
SUITE 28
PHILADELPHIA, PA
ZIP 19143-900
Phone: (215) 748-9822
Fax: (215) 748-9717

The provider's authorized official is Douglas C Smith .
The authorized official title is Vp Financial Services and has the following contact phone number (610) 567-6964.

The enumeration date for this NPI number is 12/20/2005 and was last updated on 5/9/2008.


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
1207XX0005XOrthopaedic SurgerySports MedicineMD042497PENNSYLVANIANo
2207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryMD047458PENNSYLVANIAYes

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
133316OTHERPENNSYLVANIAHEALTH PARTNERS
21251834000OTHERPENNSYLVANIADEPARTMENT OF LABOR
31007787930159MEDICAIDPENNSYLVANIA
4074894MEDICARE PINPENNSYLVANIA
51544388OTHERPENNSYLVANIABLUE SHIELD
62228682000OTHERPENNSYLVANIAKEYSTONE HEALTH PLAN EAST
72957200OTHERPENNSYLVANIAAETNA HMO
830010804OTHERPENNSYLVANIAKERYSTONE MERCY HEALTH PL
9DA5351MEDICARE PINPENNSYLVANIA

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

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