Bariatric Medicine Institute
Organization Active NPI Obesity Medicine (Family Medicine) Physician · Flourtown, PA
NPI 1053971960 · NPPES record last updated Jan 30, 2023
Key facts
- NPI
- 1053971960
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obesity Medicine (Family Medicine) Physician 207QB0002X
- Legal business name
- BARIATRIC MEDICINE INSTITUTE
- Practice address
- 8 E Mill Rd
Flourtown, PA 19031-2027 - Phone
- (215) 392-9911
- Fax
- (714) 276-2677
- NPI assigned
- Jun 13, 2019
- Organization subpart
- No
Authorized official
- Name
- Margarita Elena McDonald, MD
- Title
- Medical Director
- Phone
- (215) 392-9911
Practitioners 3
-
Margarita Elena McDonald, M.D.
-
Muniyra Muhammad, NCC
-
Liza Ann Aschettino, MS, RD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200803001248 | PA | Part B Supplier - Clinic/Group Practice | 1254756687 |
Receives reassigned benefits from 3 practitioners Practice locations: Flourtown, PA |
National Provider Directory
Locations
809 Easton Rd
Willow Grove, PA 19090
Phone (215) 392-9911
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | |||
| Registered Dietitian |
133V00000X | |||
| Obesity Medicine (Family Medicine) Physician |
207QB0002X | Yes | ||
| Athletic Trainer |
2255A2300X |
Addresses
Primary practice location
8 E Mill Rd
Flourtown, PA 19031-2027
Mailing address
809 Easton Rd
Willow Grove, PA 19090-2004
Phone (215) 392-9911
Other providers in Flourtown, PA
- Rachel Helen Ascione
- Kaitlin Babyak
- Marie Bailey
- Laura A Baker
- Laurie B. Baker
- Madison Bear
- Patricia Wallace Belancio
- Nancy Belser
- Laura C Beringer
- Charles H Blonstein
All providers in Flourtown, PA · Obesity Medicine (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 Jan 30, 2023. 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.