Individual provider Active NPI

Alan L Schuricht, M.D.

  • Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1114925005
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD037959E Issued in PA
Practice address
301 S 8TH St
Suite 4a
Philadelphia, PA 19106-4000
Phone
(215) 829-8455
Fax
(215) 829-8454
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA09025700 NJ
Surgery Physician 208600000X MD037959E PA Primary

Addresses

Primary practice location

301 S 8TH St
Suite 4a
Philadelphia, PA 19106-4000

Mailing address

301 S 8TH St
Suite 4a
Philadelphia, PA 19106-4000
Phone (215) 829-8455

Other identifiers 1

IdentifierTypeStateIssuer
001240781-005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060926000219 PA Practitioner - General Surgery 9931092806 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09025700NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Surgery CurrentSince May 1, 2015 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
The Pennsylvania Hospital of the University of Pennsylvania Health Sys Past Accepting new patients
Pennsylvania Surgical Associates, P.C. Surgery Past Accepting new patients

Locations

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

301 S 8th St
Philadelphia, PA 19106
Phone (215) 829-5300

301 S 8th St
Ste 4A
Philadelphia, PA 19106
Phone (215) 829-3049

3400 Spruce St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-2050

800 Walnut St
Fl 20
William Penn Annex West, PA 19107
Phone (215) 829-2092

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1114925005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 8TH ST",
            "address_2": "SUITE 4A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064000",
            "telephone_number": "215-829-8455",
            "fax_number": "215-829-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 8TH ST",
            "address_2": "SUITE 4A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064000",
            "telephone_number": "215-829-8455",
            "fax_number": "215-829-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHURICHT",
        "first_name": "ALAN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA09025700",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD037959E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001240781-005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.