NPIMap

Organization Active NPI

Mitchell a Anolik MD PC

  • Dermatology Physician
  • Phila, PA
National Provider Identifier
1013954833
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD0155618E Issued in PA
Legal business name
MITCHELL A ANOLIK MD PC
Practice address
2310 E Allegheny Ave
Phila, PA 19134-4401
Phone
(215) 427-1111
Fax
(215) 423-7799
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

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

Authorized official

Name
Dr. Mitchell A Anolik, MD
Title
President
Phone
(215) 427-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MD0155618E PA Primary

Addresses

Primary practice location

2310 E Allegheny Ave
Phila, PA 19134-4401

Mailing address

2310 E Allegheny Ave
Phila, PA 19134-4401
Phone (215) 427-1111

Other identifiers 6

IdentifierTypeStateIssuer
0005886420004MedicaidPA
070011814OtherPARAILROAD MEDICARE
4329255OtherPAAETNA
000134092OtherPAHIGHMARK BLUE SHIELD
0057093000OtherPAKEYSTONE HMO
7750486001OtherPACIGNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1013954833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 E ALLEGHENY AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191344401",
            "telephone_number": "215-427-1111",
            "fax_number": "215-423-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 E ALLEGHENY AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191344401",
            "telephone_number": "215-427-1111",
            "fax_number": "215-423-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL A ANOLIK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "ANOLIK",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-427-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD0155618E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005886420004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070011814",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4329255",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000134092",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HMO",
            "identifier": "0057093000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7750486001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.