Organization Active NPI

Edgmont Medical Associates, P.C.

  • Family Medicine Physician
  • Media, PA
National Provider Identifier
1154330801
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS004727L Issued in PA
Legal business name
EDGMONT MEDICAL ASSOCIATES, P.C.
Practice address
1088 W Baltimore Pike
Suite 2201
Media, PA 19063-5146
Phone
(610) 565-9599
Fax
(610) 891-8880
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Dr. Edwin Arthur Schuller Jr.
Title
President
Phone
(610) 565-9599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS004727L PA Primary

Addresses

Primary practice location

1088 W Baltimore Pike
Suite 2201
Media, PA 19063-5146

Mailing address

1088 W Baltimore Pike
Suite 2201
Media, PA 19063-5146
Phone (610) 565-9599

Other names 1

  • Edwin A. Schuller,Jr., D.O., P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

1088 W Baltimore Pike
Ste 2201
Media, PA 19063
Phone (484) 444-2151

23 W Chester Pike
Ste 101
Ridley Park, PA 19078
Phone (610) 521-2053

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1154330801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE",
            "address_2": "SUITE 2201",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "610-565-9599",
            "fax_number": "610-891-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE",
            "address_2": "SUITE 2201",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "610-565-9599",
            "fax_number": "610-891-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGMONT MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "SCHULLER",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-565-9599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS004727L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwin A. Schuller,Jr., D.O., P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.