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EAST NORRITON PHYSICIANS SERVICES NPI 1922091057


NPI Information

NPI: 1922091057
Provider Name: EAST NORRITON PHYSICIANS SERVICES

Doing Business As: AUDUBON FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 39D2276090

Address:
3301 RIDGE PIKE
EAGLEVILLE, PA
ZIP 19403
Phone: (610) 539-9100
Get Directions

EAST NORRITON PHYSICIANS SERVICES is a family medicine in Eagleville, 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. EAST NORRITON PHYSICIANS SERVICES NPI is 1922091057. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Audubon Family Medicine.

The provider's business location address is:

3301 RIDGE PIKE
EAGLEVILLE, PA
ZIP 19403-411
Phone: (610) 539-9100
Fax: (610) 539-6570

The provider's authorized official is Peter B Kenniff .
The authorized official title is Cfo and has the following contact phone number (610) 567-6967.

The CLIA number assigned to this NPI record is 39D2276090 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2005 and was last updated on 3/11/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1482OTHERPENNSYLVANIAAUSHC OFFICE NUMBER
20019374OTHERPENNSYLVANIAAUSHC HMO
31026860OTHERPENNSYLVANIAKMHP
41007594660054MEDICAIDPENNSYLVANIA
5001OTHERPENNSYLVANIATRICARE
60410118001OTHERPENNSYLVANIAKHPE
7586245OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
84646217OTHERPENNSYLVANIAAUSHC PPO
9CG4432MEDICARE PINPENNSYLVANIA
10586245MEDICARE 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: 5/5/2024

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.