Individual provider Active NPI

Elizabeth Ann Filler, MD

  • Pediatrics Physician
  • Collegeville, PA
National Provider Identifier
1124386461
Registry record updated Dec 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
470895 Issued in PA
Practice address
3770 Ridge Pike
Collegeville, PA 19426-3170
Phone
(484) 832-8843
NPI assigned
Apr 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A127879 CA
Pediatrics Physician 208000000X 470895 PA Primary

Addresses

Primary practice location

3770 Ridge Pike
Collegeville, PA 19426-3170

Mailing address

3770 Ridge Pike
Collegeville, PA 19426-3170
Phone (610) 489-8130

Other practice location 1

31 Roche Bros Way
North Easton, MA 02356-1032
Phone (508) 894-8760

Other practice location 2

2403 Allison Rd
Beaufort, SC 29902-5923
Phone (843) 524-1078

Other names 1

  • Elizabeth Ann Spradlin Former name

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
I20200730001546 PA Practitioner - Pediatric Medicine 0941429740 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A127879CAMDPediatrics Physician
470895PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pottstown Clinic Company LLC Pediatrics CurrentSince Jun 29, 2020 Accepting new patients
Children'S Hospital of Philadelphia Pediatrics Past Accepting new patients

Locations

800 Heritage Dr
Ste 820
Pottstown, PA 19464
Phone (610) 323-6835

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

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

Organizations & group practices 2

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": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639872000000",
    "number": "1124386461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 RIDGE PIKE",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263170",
            "telephone_number": "610-489-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 RIDGE PIKE",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263170",
            "telephone_number": "484-832-8843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Roche Bros Way",
            "address_purpose": "LOCATION",
            "city": "North Easton",
            "state": "MA",
            "postal_code": "023561032",
            "country_code": "US",
            "telephone_number": "508-894-8760",
            "fax_number": "508-894-8762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2403 Allison Rd",
            "address_purpose": "LOCATION",
            "city": "Beaufort",
            "state": "SC",
            "postal_code": "299025923",
            "country_code": "US",
            "telephone_number": "843-524-1078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FILLER",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2021-12-19",
        "certification_date": "2021-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A127879",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "470895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SPRADLIN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Collegeville, PA

Sources for this page

Verify at the official NPI Registry.