Organization Active NPI

Fountainville Medical Specialists

  • Internal Medicine Physician
  • Doylestown, PA
National Provider Identifier
1164451738
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FOUNTAINVILLE MEDICAL SPECIALISTS
Practice address
1456 Ferry Rd
Ste 600
Doylestown, PA 18901-2391
Phone
(215) 230-8390
NPI assigned
Jul 3, 2006
Last updated
Aug 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Lynn Yates
Title
Billing Manager
Phone
(215) 348-5046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1456 Ferry Rd
Ste 600
Doylestown, PA 18901-2391

Mailing address

PO Box 375
5049 Swamp Rd
Fountainville, PA 18923-0375
Phone (215) 348-5046

National Provider Directory

National Provider Directory

Locations

1456 Ferry Rd
Unit 600
Doylestown, PA 18901
Phone (215) 230-8390

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1164451738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 375",
            "address_2": "5049 SWAMP RD",
            "city": "FOUNTAINVILLE",
            "state": "PA",
            "postal_code": "189230375",
            "telephone_number": "215-348-5046",
            "fax_number": "215-348-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 FERRY RD",
            "address_2": "STE 600",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012391",
            "telephone_number": "215-230-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAINVILLE MEDICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "215-348-5046"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.