Organization Active NPI

Methodist Associates in Healthcare, Inc

  • Internal Medicine Physician
  • Bala Cynwyd, PA
National Provider Identifier
1073095691
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
METHODIST ASSOCIATES IN HEALTHCARE, INC
Practice address
225 E City Ave Ste 109
Bala Cynwyd, PA 19004-1724
Phone
(215) 503-3838
NPI assigned
Aug 30, 2018
Last updated
Jun 13, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
JCP INTERNAL MEDICINE@ BALAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Dawn Padgett
Title
Credentialing Manager
Phone
(215) 955-1175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

225 E City Ave Ste 109
Bala Cynwyd, PA 19004-1724

Mailing address

PO Box 828937
Philadelphia, PA 19182-8937
Phone (215) 503-1240

National Provider Directory

National Provider Directory
Tax ID family
Methodist Associates in Healthcare Heart Station38 organizations share this tax ID, including this one
Part of
Methodist Associates in Healthcare Heart Station

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1073095691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828937",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191828937",
            "telephone_number": "215-503-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CITY AVE STE 109",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041724",
            "telephone_number": "215-503-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST ASSOCIATES IN HEALTHCARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JCP INTERNAL MEDICINE@ BALA",
        "enumeration_date": "2018-08-30",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "215-955-1175"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.