NPIMap

Organization Active NPI

Fox Chase Cancer Center Medical Group, Inc.

Doing business as Anesthesia Assoc of FCCC, MGI

  • Anesthesiology Physician
  • Philadelphia, PA
National Provider Identifier
1003174731
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
FOX CHASE CANCER CENTER MEDICAL GROUP, INC.
Doing business as
Anesthesia Assoc of FCCC, MGI
Practice address
333 Cottman Ave
Med Staff Office
Philadelphia, PA 19111-2434
Phone
(215) 728-6900
NPI assigned
May 1, 2012
Last updated
Jun 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
J. Robert Beck, MD
Title
Sr. VP
Phone
(215) 214-1538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

333 Cottman Ave
Med Staff Office
Philadelphia, PA 19111-2434

Mailing address

333 Cottman Ave
Anesthesia Dept
Philadelphia, PA 19111-2434
Phone (215) 728-6900

Other names 1

  • Anesthesia Assoc of FCCC, MGI Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1003174731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COTTMAN AVE",
            "address_2": "ANESTHESIA DEPT",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112434",
            "telephone_number": "215-728-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COTTMAN AVE",
            "address_2": "MED STAFF OFFICE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112434",
            "telephone_number": "215-728-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX CHASE CANCER CENTER MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "J. ROBERT",
        "authorized_official_title_or_position": "SR. VP",
        "authorized_official_telephone_number": "215-214-1538",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anesthesia Assoc of FCCC, MGI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.