Organization Active NPI

DKS Medical Associates,PC

  • Internal Medicine Physician
  • Phila, PA
National Provider Identifier
1144404708
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD049630-L Issued in PA
Legal business name
DKS MEDICAL ASSOCIATES,PC
Practice address
5201 Wynnefield Ave
Suite G4
Phila, PA 19131-2456
Phone
(215) 878-7100
Fax
(215) 878-1871
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Dr. David K Stricklan, MD
Title
Owner
Phone
(215) 878-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD049630-L PA Primary

Addresses

Primary practice location

5201 Wynnefield Ave
Suite G4
Phila, PA 19131-2456

Mailing address

5201 Wynnefield Ave
Suite G4
Phila, PA 19131-2456
Phone (215) 878-7100

National Provider Directory

National Provider Directory

Locations

5201 Wynnefield Ave
Ste G4
Philadelphia, PA 19131
Phone (215) 878-7100

5201 Wynnefield Ave
Philadelphia, PA 19131
Phone (215) 665-9225

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1144404708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 WYNNEFIELD AVE",
            "address_2": "SUITE G4",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191312456",
            "telephone_number": "215-878-7100",
            "fax_number": "215-878-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 WYNNEFIELD AVE",
            "address_2": "SUITE G4",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191312456",
            "telephone_number": "215-878-7100",
            "fax_number": "215-878-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DKS MEDICAL ASSOCIATES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "STRICKLAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-878-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD049630-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.