HR Physician Services
Organization Active NPI Surgery Physician · Southampton, PA
NPI 1043401748 · NPPES record last updated Jul 20, 2012
Key facts
- NPI
- 1043401748
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- HR PHYSICIAN SERVICES
- Practice address
- 45 Second Street Pike
Suite 100
Southampton, PA 18966-3806 - Phone
- (215) 633-3456
- Fax
- (215) 245-5941
- NPI assigned
- Aug 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Russell R Wagner
- Title
- Chief Financial Officer
- Phone
- (215) 856-1114
Other NPIs on the same Medicare enrollment 40
Practitioners 22
-
David Binder, MD
-
Emily Ann Cohick, CRNP
-
Tara Monihan Dupre, PA-C
-
Anusha Edara, M.D
-
Jenny Ann Graber, MD
-
Mark J Kotapka, MD
-
Stacy L Krisher, MD
-
Jessica Kroes, MD
-
Anna Marrissa Mazor, D.O.
-
Melanie Renee Ware, D.O.
-
Gregory J Berry, DO
-
Shilpi Mittal, MD
-
Nagasasikanth R Mopuri, MD,MBA,MHA
-
Kogulan Nadesakumaran, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040311000028 | PA | Part B Supplier - Clinic/Group Practice | 0042109902 |
Receives reassigned benefits from 373 practitioners 40 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Philadelphia, PA; Meadowbrook, PA; Richboro, PA; Rockledge, PA; Southampton, PA; Warminster, PA; Warmister, PA; Willow Grove, PA… |
National Provider Directory
Locations
1650 Huntingdon Pike
Ste 118
Meadowbrook, PA 19046
Phone (215) 914-2600
1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
45 Second Street Pike
Suite 100
Southampton, PA 18966-3806
Mailing address
1648 Huntingdon Pike
1St Floor Business Office
Meadowbrook, PA 19046-8001
Phone (215) 938-2040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015313400030 | Medicaid | PA |
Other names
- Comprehensive Breast Care Surgeons
Other providers in Southampton, PA
- Holistic Change Counseling
- Sharon Lynne Homan
- Homesense LLC
- Horizons Behavioral Health
- Dianna Horn
- Jordan Huber
- Huntingdon Valley Homecare LLC
- Infectious Diseases Associates, P.C.
- Integral Nuclear Associates LLC
- Internal Medicine Specialist LLC
All providers in Southampton, PA · Surgery 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 Jul 20, 2012. 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.