Organization Active NPI

Med Center 100

  • Occupational Medicine Clinic/Center
  • Exton, PA
National Provider Identifier
1073731014
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
MED CENTER 100
Practice address
625 N. Pottstown Pike
Exton, PA 19341
Phone
(610) 903-0640
Fax
(610) 903-0637
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Cheryl Mitman
Title
Office Manager
Phone
(610) 903-0643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

625 N. Pottstown Pike
Exton, PA 19341

Mailing address

625 N. Pottstown Pike
Exton, PA 19341
Phone (610) 903-0640

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073731014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N. POTTSTOWN PIKE",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "19341",
            "telephone_number": "610-903-0640",
            "fax_number": "610-903-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N. POTTSTOWN PIKE",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "19341",
            "telephone_number": "610-903-0640",
            "fax_number": "610-903-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CENTER 100",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITMAN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-903-0643",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.