Active NPI
Mark Bennet Kahn, MD
- Vascular Surgery Physician
- Wyndmoor, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD-032411-E
- Practice address
- 8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038-7976 - Phone
- (215) 836-5120
- Fax
- (215) 248-8989
- NPI assigned
- May 27, 2006
- Last updated
- Dec 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MD-032411-E | PA | Primary |
Addresses
Primary practice location
8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038-7976
Mailing address
6601 Springbank St
Philadelphia, PA 19119-3712
Phone (215) 849-0667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-032411-E | PA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Metro Physicians Specialty Group, P.C. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients | |
| Einstein Practice Plan Inc | Past | Accepting new patients | |
| Minimally Invasive Care Institute of Lehigh Valley LLC | Vascular Surgery | Past | Accepting new patients |
| Vascular Diagnostic Center PC | Vascular Surgery | Past | Accepting new patients |
Locations
3450 High Point Blvd
Ste 200
Bethlehem, PA 18017
Phone (484) 896-9880
1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
700 S Henderson Rd
Ste 225
King of Prussia, PA 19406
Phone (484) 403-1818
252 S 4th St
#2
Lebanon, PA 17042
Phone (717) 270-3751
252 S 4th St
Fl 2
Lebanon, PA 17042
Phone (717) 270-3751
139 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 423-9708
2808 N 5th Street Hwy
Reading, PA 19605
Phone (610) 266-7644
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Chester, PA
- NPI 1568819084
-
- Cardiovascular Disease Physician
- Bala Cynwyd, PA
- NPI 1568407757
-
- Diagnostic Radiology Physician
- Chester, PA
- NPI 1154776797
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
-
- Vascular Surgery Physician
- Bethlehem, PA
- NPI 1477083335
-
- Vascular & Interventional Radiology Physician
- Pottstown, PA
- NPI 1528233954
Vascular Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1003863937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 SPRINGBANK ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191193712",
"telephone_number": "215-849-0667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 FLOURTOWN AVE",
"address_2": "STE 2",
"city": "WYNDMOOR",
"state": "PA",
"postal_code": "190387976",
"telephone_number": "215-836-5120",
"fax_number": "215-248-8989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "MARK",
"middle_name": "BENNET",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "MD-032411-E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyndmoor, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.