Organization Active NPI

Respiratory Associates, LTD

  • Specialist
  • Wynnewood, PA
National Provider Identifier
1073534939
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RESPIRATORY ASSOCIATES, LTD
Practice address
1001 City Ave
WB 113
Wynnewood, PA 19096-3902
Phone
(610) 896-0280
Fax
(610) 896-0286
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Authorized official

Name
Ms. Marie Campbell
Title
Admin Asst
Phone
(610) 896-0280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1001 City Ave
WB 113
Wynnewood, PA 19096-3902

Mailing address

1001 City Ave
WB 113
Wynnewood, PA 19096-3902
Phone (610) 896-0280

Other identifiers 1

IdentifierTypeStateIssuer
000801585001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031103000590 PA Part B Supplier - Clinic/Group Practice 9537071006 Receives reassigned benefits from 3 practitioners
Practice locations: Philadelphia, PA; Wynnewood, PA

National Provider Directory

National Provider Directory

Locations

5735 Ridge Ave
Ste 102
Philadelphia, PA 19128
Phone (610) 896-0280

1001 City Line Ave
Unit WB113
Wynnewood, PA 19096
Phone (610) 896-0280

Practitioners & affiliated clinicians

Practitioners 8

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": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1073534939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CITY AVE",
            "address_2": "WB 113",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963902",
            "telephone_number": "610-896-0280",
            "fax_number": "610-896-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CITY AVE",
            "address_2": "WB 113",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963902",
            "telephone_number": "610-896-0280",
            "fax_number": "610-896-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESPIRATORY ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "ADMIN ASST",
        "authorized_official_telephone_number": "610-896-0280",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000801585001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.