Organization Active NPI

TPS IV of PA., LLC

  • Durable Medical Equipment & Medical Supplies
  • Willow Grove, PA
National Provider Identifier
1063731370
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TPS IV OF PA., LLC
Practice address
2500 Maryland Rd
Pennwood Building, Suite 131
Willow Grove, PA 19090-1216
Phone
(215) 830-9255
Fax
(215) 830-3306
NPI assigned
May 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Mr. Wesley O. James
Title
Regional Cfo, Tenet
Phone
(404) 265-5009

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2500 Maryland Rd
Pennwood Building, Suite 131
Willow Grove, PA 19090-1216

Mailing address

PO Box 827965
Philadelphia, PA 19182-7965
Phone (215) 830-9255

Other names 1

  • University Orthopaedic Institute Doing business as

National Provider Directory

National Provider Directory

Locations

2500 Maryland Rd
Ste 131
Willow Grove, PA 19090
Phone (215) 659-9004

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1063731370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827965",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191827965",
            "telephone_number": "215-830-9255",
            "fax_number": "215-830-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MARYLAND RD",
            "address_2": "PENNWOOD BUILDING, SUITE 131",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901216",
            "telephone_number": "215-830-9255",
            "fax_number": "215-830-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TPS IV OF PA., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Orthopaedic Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.