Organization Active NPI

Oxford Valley Medical Practice PC

  • Family Medicine Physician
  • Langhorne, PA
National Provider Identifier
1093771420
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS005896L Issued in PA
Legal business name
OXFORD VALLEY MEDICAL PRACTICE PC
Practice address
320 Middletown Blvd Ste 301
Langhorne, PA 19047-3202
Phone
(267) 568-2042
Fax
(267) 568-2089
NPI assigned
Apr 25, 2006
Last updated
Mar 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Dr. Michael David Smith, D.O.NPI 1992760219
Title
Physician/President
Phone
(215) 262-5736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS005896L PA Primary

Addresses

Primary practice location

320 Middletown Blvd Ste 301
Langhorne, PA 19047-3202

Mailing address

320 Middletown Blvd Ste 301
PO Box 908
Langhorne, PA 19047-3202
Phone (267) 568-2042

Other identifiers 1

IdentifierTypeStateIssuer
1038470520001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200122001873 PA Part B Supplier - Clinic/Group Practice 5991130817 Receives reassigned benefits from 1 practitioner
Practice locations: Langhorne, PA

National Provider Directory

National Provider Directory

Locations

300 Middletown Blvd
Ste 100
Langhorne, PA 19047
Phone (215) 741-6146

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22939/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1093771420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MIDDLETOWN BLVD STE 301",
            "address_2": "PO BOX 908",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473202",
            "telephone_number": "267-568-2042",
            "fax_number": "267-568-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MIDDLETOWN BLVD STE 301",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473202",
            "telephone_number": "267-568-2042",
            "fax_number": "267-568-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD VALLEY MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "215-262-5736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005896L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038470520001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.