Organization Active NPI

Family Care Medical Center

  • Family Medicine Physician
  • Chalfont, PA
National Provider Identifier
1093761405
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD041215-E Issued in PA
Legal business name
FAMILY CARE MEDICAL CENTER
Practice address
1700 Horizon Dr
Suite 203
Chalfont, PA 18914-3950
Phone
(215) 997-0890
Fax
(215) 997-9652
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Mrs. Dawn E. Dorn, LPN
Title
Office Manager
Phone
(215) 997-0890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD041215-E PA Primary

Addresses

Primary practice location

1700 Horizon Dr
Suite 203
Chalfont, PA 18914-3950

Mailing address

1700 Horizon Dr
Suite 203
Chalfont, PA 18914-3950
Phone (215) 997-0890

Other identifiers 1

IdentifierTypeStateIssuer
01843089MedicaidPA

National Provider Directory

National Provider Directory

Locations

599 W State St
Ste 308
Doylestown, PA 18901

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDAFAA

Practitioners & affiliated clinicians

Practitioners 2

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1093761405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HORIZON DR",
            "address_2": "SUITE 203",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143950",
            "telephone_number": "215-997-0890",
            "fax_number": "215-997-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HORIZON DR",
            "address_2": "SUITE 203",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143950",
            "telephone_number": "215-997-0890",
            "fax_number": "215-997-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-997-0890",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD041215-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01843089",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalfont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.