Everest Medical Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD058825L Issued in PA

Legal business name

EVEREST MEDICAL CARE LLC

Practice address

2010 W Chester Pike
Suite 118
Havertown, PA 19083-2700

Phone

(215) 200-5891

Fax

(610) 649-3658

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Xiaobin Li, M.D.NPI 1346225034

Title

Medical Director

Phone

(215) 200-5891

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• LLL-USA Integrated Health Care Association

  • Research Clinic/Center
  • Havertown, PA
  • NPI 1457636037
  NPPES parent name

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Xiaobin Li, M.D.

  • Internal Medicine Physician
  • Havertown, PA
  • NPI 1346225034
  Medicare reassignment Care Compare group NPD Authorized official
• Fengzhi Liu

  • Primary Care Nurse Practitioner
  • Upper Darby, PA
  • NPI 1386428399
  Medicare reassignment Care Compare group NPD
• Lin Liu

  • Internal Medicine Physician
  • Havertown, PA
  • NPI 1063809473
  Medicare reassignment Care Compare group NPD
• Guofang Wang, M.D.

  • Hospitalist Physician
  • Ridley Park, PA
  • NPI 1326215690
  Medicare reassignment Care Compare group NPD
• Lijuan Yuan, CRNP

  • Primary Care Nurse Practitioner
  • Havertown, PA
  • NPI 1023740156
  Medicare reassignment Care Compare group NPD
• Ellie Z. Zheng, M.D.

  • General Practice Physician
  • Upper Darby, PA
  • NPI 1093100141
  Medicare reassignment Care Compare group NPD
• Helen Jin, M.D.

  • Nephrology Physician
  • Port Washington, NY
  • NPI 1306818554

  PA

  Medicare reassignment Care Compare group NPD
• Sahira Dahal

  • Family Nurse Practitioner
  • Upper Darby, PA
  • NPI 1184313488
  Medicare reassignment NPD
• Xiaodi Yu

  • Family Medicine Physician
  • Upper Darby, PA
  • NPI 1861143240
  Medicare reassignment NPD
• Latanya Keyes, APRN

  • Family Nurse Practitioner
  • Dover, DE
  • NPI 1821603945

  PA

  Medicare reassignment NPD
• Barbara Heintz, PA-C

  • Physician Assistant
  • Chester, PA
  • NPI 1013717776
  Medicare reassignment
• Shawn Lam

  • Physician Assistant
  • Philadelphia, PA
  • NPI 1659055408
  Medicare reassignment

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104878339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W CHESTER PIKE",
            "address_2": "SUITE 118",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832700",
            "telephone_number": "215-200-5891",
            "fax_number": "610-649-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W CHESTER PIKE",
            "address_2": "SUITE 118",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832700",
            "telephone_number": "215-200-5891",
            "fax_number": "610-649-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "XIAOBIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "215-200-5891",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "MD058825L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kathleen Marie Esbensen, MT-BC
• Deborah Anne Eshelman, LPC
• Katy Eustis, LMSW, LSW
• Sara Elisabeth Ewing
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• Paul Ezell, M.D.
• Onyinyechi Yvonneann Ezeugo, PHARM. D

• Clinic/Center in Havertown, PA
• Providers in Havertown, PA by specialty
• Clinic/Center in Pennsylvania

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.