Temple Physicians Inc.
Organization Active NPI Family Medicine Physician · Philadelphia, PA
NPI 1013068899 · NPPES record last updated Mar 4, 2008
Key facts
- NPI
- 1013068899
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- TEMPLE PHYSICIANS INC.
- Practice address
- 412 W Lehigh Ave # 22
Philadelphia, PA 19133-3148 - Phone
- (215) 425-0124
- Fax
- (215) 425-5786
- NPI assigned
- Jan 16, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- TEMPLE PHYSICIANS INC.
Authorized official
- Name
- Lynnie Savering
- Title
- Director
- Phone
- (215) 926-9019
Corporate family (same tax ID) 14
Practitioners 5
-
Brandon Cherry, PA-C
-
Hiu Ying Joanna Choi, M.D.
-
Izolda Lishansky, MD
-
Pooja Lothe, M.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310000054 | PA | Part B Supplier - Clinic/Group Practice | 2062317233 |
Receives reassigned benefits from 494 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Temple Physicians Inc
- Part of
- Temple Physicians Inc
Locations
2301 E Allegheny Ave
Fl 1
Philadelphia, PA 19134
Phone (215) 291-3880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
412 W Lehigh Ave # 22
Philadelphia, PA 19133-3148
Mailing address
PO Box 820933
Philadelphia, PA 19182-0933
Phone (215) 926-9010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0476622 | Other | PA | AETNA HMO |
| 0756985051 | Other | PA | IBC (KHPE & PC) |
| 15384 | Other | PA | ELDER HEALTH |
| 1007278000093 | Medicaid | PA | |
| 10108 | Other | PA | HEALTH PARTNERS SITE # |
| 5761619 | Other | PA | AETNA PPO |
| 1005207 | Other | PA | KEYSTONE MERCY |
| 1961905 | Other | PA | HIGHMARK BLUE SHIELD |
Other names
- TPI Family Medicine Lehigh
Other providers in Philadelphia, PA
- Temple Physicians Inc
- Temple Physicians Inc
- Temple Physicians Inc
- Temple Physicians Inc.
- Temple Physicians Inc.
- Temple Physicians Inc.
- Temple Physicians Inc.
- Temple Physicians Inc.
- Temple Physicians Inc.
- Temple Physicians Inc.
All providers in Philadelphia, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.