Temple Faculty Practice Plan, Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

TEMPLE FACULTY PRACTICE PLAN, INC

Practice address

41922 N Mill Dr
Magnolia, TX 77354-1850

Phone

(215) 707-7237

NPI assigned

Apr 6, 2020

Organization subpart

No

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

Authorized official

Name

Bridget Ferrarie

Title

Manager, Payer Credentialing

Phone

(215) 707-2433

Specialties & licenses 1

Addresses

Other names 1

• Temple Faculty Radiology Texas Doing business as

Practitioners 1

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

• Chaim Tuckman, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1023464641
  NPD (past)

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1043849656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41922 N MILL DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773541850",
            "telephone_number": "215-707-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE FACULTY PRACTICE PLAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "FERRARIE",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "MANAGER, PAYER CREDENTIALING",
        "authorized_official_telephone_number": "215-707-2433"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temple Faculty Radiology Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Temple Faculty Radiology Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Asif Ali Syed, RPH
• Joanne Takenaka, LPA
• Robert Mark Tamborello, DDS
• Andrea A Tate, ATC, LAT
• Warren Taylor
• Edward L Terrasson, MD
• Texas Minor Emergency Center, LP
• Texas Performance Projects Inc
• Texas Professional Pharmacy LLC
• The Jeremiah Center, LLC

• Diagnostic Radiology Physician in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.