Active NPI
HR Physician Services
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Meadowbrook, PA
National Provider Identifier
1104017805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MD429774
- Legal business name
- HR PHYSICIAN SERVICES
- Practice address
- 1650 Huntingdon Pike
Suite 208
Meadowbrook, PA 19046-8004 - Phone
- (215) 938-3230
- Fax
- (215) 938-3245
- NPI assigned
- Aug 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Urofsky
- Title
- Executive Vice President
- Phone
- (215) 938-2021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD429774 | PA | Primary |
Addresses
Primary practice location
1650 Huntingdon Pike
Suite 208
Meadowbrook, PA 19046-8004
Mailing address
1648 Huntingdon Pike
1St Floor Business Office
Meadowbrook, PA 19046-8001
Phone (215) 938-2040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015313400030 | Medicaid | PA |
Other names 1
- Meadowbrook Cardiovascular & Thoracic Surgery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040311000028 | PA | Part B Supplier - Clinic/Group Practice | 0042109902 |
Receives reassigned benefits from 373 practitioners 40 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Philadelphia, PA; Meadowbrook, PA; Richboro, PA; Rockledge, PA; Southampton, PA; Warminster, PA; Warmister, PA; Willow Grove, PA… |
Other NPIs on the same Medicare enrollment 40
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Orthopaedic Surgery of the Spine Physician
- Meadowbrook, PA
- NPI 1265004345
O20040311000028
-
- Cardiovascular Disease Physician
- Meadowbrook, PA
- NPI 1467454439
O20040311000028
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186444800000",
"number": "1104017805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1648 HUNTINGDON PIKE",
"address_2": "1ST FLOOR BUSINESS OFFICE",
"city": "MEADOWBROOK",
"state": "PA",
"postal_code": "190468001",
"telephone_number": "215-938-2040",
"fax_number": "215-938-2042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 HUNTINGDON PIKE",
"address_2": "SUITE 208",
"city": "MEADOWBROOK",
"state": "PA",
"postal_code": "190468004",
"telephone_number": "215-938-3230",
"fax_number": "215-938-3245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HR PHYSICIAN SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-07",
"last_updated": "2007-08-07",
"status": "A",
"authorized_official_last_name": "UROFSKY",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "215-938-2021"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "PA",
"license": "MD429774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015313400030",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Meadowbrook Cardiovascular & Thoracic Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Meadowbrook, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.