Individual provider Active NPI

Teresa Kang, PA C

  • Physician Assistant
  • King of Prussia, PA
National Provider Identifier
1124073812
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA052028 Issued in PA
Practice address
170 N Henderson Rd
Suite 306
King of Prussia, PA 19406-2155
Phone
(610) 337-1558
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA052028 PA Primary

Addresses

Primary practice location

170 N Henderson Rd
Suite 306
King of Prussia, PA 19406-2155

Mailing address

170 N Henderson Rd
Suite 306
King of Prussia, PA 19406-2155
Phone (610) 337-1558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Emergency Physicians LLC CurrentSince Oct 1, 2010 Accepting new patients
Tri-County Emergency Physicians, Inc Past Accepting new patients
Lehigh Valley Bone Muscle and Joint Physician Assistant Past Accepting new patients
Tri-County Emergency Physicians Inc Past Accepting new patients

Locations

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

Organizations & group practices 4

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1124073812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 N HENDERSON RD",
            "address_2": "SUITE 306",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062155",
            "telephone_number": "610-337-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N HENDERSON RD",
            "address_2": "SUITE 306",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062155",
            "telephone_number": "610-337-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "TERESA",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.