Pulmonary Associates of Drexel Hill, PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PULMONARY ASSOCIATES OF DREXEL HILL, PC

Practice address

2100 Keystone Ave
Suite 309
Drexel Hill, PA 19026-1129

Phone

(610) 394-9860

Fax

(610) 394-9922

NPI assigned

Aug 24, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Kelley

Title

Office Manager

Phone

(610) 394-9860

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Joshua Jack Koehler, PA-C

  • Physician Assistant
  • Wyomissing, PA
  • NPI 1811019821
  NPD (past)
• Catherine Ann Riley, M.D.

  • Pulmonary Disease Physician
  • Bryn Mawr, PA
  • NPI 1841493285

  Pulmonary Disease

  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124011283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 KEYSTONE AVE",
            "address_2": "SUITE 309",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261129",
            "telephone_number": "610-394-9860",
            "fax_number": "610-394-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 KEYSTONE AVE",
            "address_2": "SUITE 309",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261129",
            "telephone_number": "610-394-9860",
            "fax_number": "610-394-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY ASSOCIATES OF DREXEL HILL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-394-9860",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011579070007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prospect DCMH, LLC
• Prospect Health Access Network, Inc.
• Prospect Health Access Network, Inc.
• Prospect Health Access Network, Inc.
• Psych Choices of the Delaware Valley, LLC
• Quality Angels Home Care Agency
• Geoffrey Rabie, DMD
• Bonnie L Rabinowitch, MD
• Radiation Oncology Associates of Delaware County
• John James Radomile Jr., DDS,FAGD

• All providers in Drexel Hill, PA
• Pulmonary Disease Physician 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.