Temple Physicians Inc
Organization Active NPI Internal Medicine Physician · Philadelphia, PA
NPI 1124495833 · NPPES record last updated Aug 28, 2015
Key facts
- NPI
- 1124495833
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- TEMPLE PHYSICIANS INC
- Practice address
- 7500 Central Ave
Suite 202
Philadelphia, PA 19111-2430 - Phone
- (215) 742-5099
- Fax
- (215) 742-0665
- NPI assigned
- Aug 28, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- TEMPLE PHYSICIANS INC
Authorized official
- Name
- Lynnie Savering
- Title
- Director Patient Accounting
- Phone
- (215) 926-9015
Corporate family (same tax ID) 24
Practitioners 10
-
Patrick C Howell, PA-C
-
Johanna L Moore, PAC
-
Fiona Stavri, MD
-
Sherwin Thomas, MD
-
Matthew Gordon, MD
-
Alvin Kingcade, PA-C
-
Rohit M Desai, M.D.
-
Audrey Ann Fisher, PAC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310000054 | PA | Part B Supplier - Clinic/Group Practice | 2062317233 |
Receives reassigned benefits from 494 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Temple Physicians Inc
- Part of
- Temple Physicians Inc
Locations
7500 Central Ave
Ste 202
Philadelphia, PA 19111
Phone (215) 742-5099
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | |||
| Medical Physician Assistant |
363AM0700X | |||
| Adult Health Nurse Practitioner |
363LA2200X |
Addresses
Primary practice location
7500 Central Ave
Suite 202
Philadelphia, PA 19111-2430
Mailing address
7500 Central Ave
Suite 202
Philadelphia, PA 19111-2430
Phone (215) 742-5099
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100727800 | Other | PA | TPI MEDICAID |
| CD4829 | Other | PA | RAILROADMEDICARE |
Other names
- Temple Internal Medicine Burholme
Other providers in Philadelphia, PA
- Temple Physicians Inc
- Temple Physicians Inc
- Temple Physicians Inc
- Temple Physicians Inc
- Temple Physicians Inc
- Temple Physicians Inc
- Temple Physicians Inc
- Temple Physicians Inc
- Temple Physicians Inc
- Temple Physicians Inc
All providers in Philadelphia, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.