NPIMap

Organization Active NPI

TPS II of PA, LLC

  • Anesthesiology Physician
  • Phila, PA
National Provider Identifier
1114975869
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
TPS II OF PA, LLC
Practice address
245 N Broad St
Ms 310
Phila, PA 19107-1518
Phone
(215) 762-4312
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Michele Haynes
Title
Manager
Phone
(215) 762-4312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

245 N Broad St
Ms 310
Phila, PA 19107-1518

Mailing address

245 N. Broad St
Ms 310
Phila, PA 19102

Other identifiers 1

IdentifierTypeStateIssuer
1012189070001MedicaidPA

National Provider Directory

National Provider Directory

Locations

245 N Broad St
#310
Phila, PA 19107

Practitioners & affiliated clinicians

Practitioners 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114975869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N. BROAD ST",
            "address_2": "MS 310",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N BROAD ST",
            "address_2": "MS 310",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191071518",
            "telephone_number": "215-762-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TPS II OF PA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-762-4312",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012189070001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.