Temple Physician Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TEMPLE PHYSICIAN INC.

Practice address

1600 Loney St
Philadelphia, PA 19111-2935

Phone

(215) 742-1166

Fax

(215) 745-1333

NPI assigned

May 7, 2007

Organization subpart

Yes

Parent organization

TEMPLE PHYSICIANS INC.As reported in NPPES

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

Authorized official

Name

Lynnie Savering

Title

Director

Phone

(215) 926-9015

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Internal Medicine @ Jeanes - Loney Street Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Part of

Temple Physicians Inc

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1063625366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820933",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820933",
            "telephone_number": "215-926-9000",
            "fax_number": "215-226-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LONEY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112935",
            "telephone_number": "215-742-1166",
            "fax_number": "215-745-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE PHYSICIAN INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEMPLE PHYSICIANS INC.",
        "enumeration_date": "2007-05-07",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "SAVERING",
        "authorized_official_first_name": "LYNNIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-926-9015"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007278000069",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC (KHPE & PC)",
            "identifier": "0756985076",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30041229",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1961930",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine @ Jeanes - Loney Street",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Temple Physicians Inc
• Temple Physicians Inc
• Temple Physicians Inc

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.