Medx Acquisition Corporation

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MEDX ACQUISITION CORPORATION

Practice address

279 Great Valley Pkwy
Malvern, PA 19355-1308

Phone

(610) 971-1900

Fax

(610) 971-2200

NPI assigned

Nov 6, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Keith W Destefano

Title

President & Ceo

Phone

(610) 971-1900

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1043464811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 GREAT VALLEY PKWY",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551308",
            "telephone_number": "610-971-1900",
            "fax_number": "610-971-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 GREAT VALLEY PKWY",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551308",
            "telephone_number": "610-971-1900",
            "fax_number": "610-971-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDX ACQUISITION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "DESTEFANO",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "610-971-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen McKeown
• Carolyn M McWilliams, RPH
• Joy G. Mears, M.S.
• Medical Associates of the Main Line, PC
• Medrite Medical Care PC
• Medx Operating Company, LLC
• Lisa Beth Meeder, CRNA
• Jenna Nicole Mercadante, PSYD
• Alison Metzler, PSY.D.
• Cassandra Joan Meyer

• Ambulatory Surgical Clinic/Center in Malvern, PA
• Providers in Malvern, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.