Mercy Management of Sepa

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS003117L Issued in PA

Legal business name

MERCY MANAGEMENT OF SEPA

Doing business as

Mercy Medical Associates at Darby

Practice address

1501 Lansdowne Ave
Suite 101
Darby, PA 19023-1333

Phone

(610) 534-6310

Fax

(610) 534-6350

NPI assigned

Feb 4, 2008

Last updated

Feb 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Douglas C Smith

Title

VP Financial Patient Services

Phone

(610) 567-6601

Specialties & licenses 1

Addresses

Other names 1

• Mercy Medical Associates at Darby Doing business as

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1124206958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W ELM ST",
            "address_2": "SUITE 100",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194284108",
            "telephone_number": "610-567-6964",
            "fax_number": "610-567-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE",
            "address_2": "SUITE 101",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-534-6310",
            "fax_number": "610-534-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MANAGEMENT OF SEPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP FINANCIAL PATIENT SERVICES",
        "authorized_official_telephone_number": "610-567-6601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS003117L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Medical Associates at Darby",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Catholic Medical Center of Southeastern,PA (Mercy Pharmacy)
• Mercy Diagnostic Imaging PC (Mid Atlantic Radiology Consultants, LLC)
• Mercy Fitzgerald Crna Services
• Mercy Fitzgerald Hospital
• Mercy Management of SE PA (Mercy Fitzgerald CRNA Services)
• Mercy Management of Sepa (SEPA Pain Management)
• Mercy Management of Sepa (SEPA Midlevel Practioners)
• Mercy Management of Sepa (MMS-Mercy Interventional Cardiology)
• Mercy Management of Sepa (MMS-Richard Kanoff, DO)
• Mercy Management of Sepa (MMS-Mercy Gynecologic Associates)

• Internal Medicine Physician in Darby, PA
• Providers in Darby, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.