Active NPI
Cep America LLC
Doing business as Vituity
- Emergency Medicine Physician
- Ridley Park, PA
National Provider Identifier
1164949426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- CEP AMERICA LLC
- Doing business as
- Vituity
- Practice address
- 175 E Chester Pike
Ridley Park, PA 19078-2212 - Phone
- (610) 595-6000
- NPI assigned
- Aug 28, 2017
- Last updated
- Feb 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Birdssall, MD
- Title
- Coo
- Phone
- (510) 350-2680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
175 E Chester Pike
Ridley Park, PA 19078-2212
Mailing address
2100 Powell St Ste 900
Emeryville, CA 94608-1844
Phone (510) 350-2680
Other names 1
- Vituity
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171101000207 | PA | Part B Supplier - Clinic/Group Practice | 6608056171 |
Receives reassigned benefits from 121 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: West Grove, PA; Philadelphia, PA; Darby, PA; Aston, PA; Langhorne, PA |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517875200000",
"number": "1164949426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST STE 900",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081844",
"telephone_number": "15103502680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 E CHESTER PIKE",
"city": "RIDLEY PARK",
"state": "PA",
"postal_code": "190782212",
"telephone_number": "610-595-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEP AMERICA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-28",
"last_updated": "2018-02-06",
"status": "A",
"authorized_official_last_name": "BIRDSSALL",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "510-350-2680",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vituity",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ridley Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.