Active NPI
Family Medical Society a Division of Womens Medical Society
- Obstetrics & Gynecology Physician
- Philadelphia, PA
National Provider Identifier
1174669311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD009422E
- Legal business name
- FAMILY MEDICAL SOCIETY A DIVISION OF WOMENS MEDICAL SOCIETY
- Practice address
- 3801 05 Lancaster Ave
Philadelphia, PA 19104-2317 - Phone
- (215) 382-4300
- Fax
- (215) 382-3972
- NPI assigned
- Jan 29, 2007
- Last updated
- Jul 23, 2008
- 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
- Dr. Kermit B Gosnell, MD
- Title
- President
- Phone
- (215) 382-4300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD009422E | PA | |
| Obstetrics & Gynecology Physician | 207V00000X | MD009422E | PA | Primary |
Addresses
Primary practice location
3801 05 Lancaster Ave
Philadelphia, PA 19104-2317
Mailing address
3801 05 Lancaster Ave
Philadelphia, PA 19104-2317
Phone (215) 382-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0544746 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
3801 Lancaster Ave
Philadelphia, PA 19104
Phone (215) 382-4300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216771200000",
"number": "1174669311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 05 LANCASTER AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191042317",
"telephone_number": "215-382-4300",
"fax_number": "215-382-3972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 05 LANCASTER AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191042317",
"telephone_number": "215-382-4300",
"fax_number": "215-382-3972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY MEDICAL SOCIETY A DIVISION OF WOMENS MEDICAL SOCIETY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2008-07-23",
"status": "A",
"authorized_official_last_name": "GOSNELL",
"authorized_official_first_name": "KERMIT",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-382-4300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD009422E",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD009422E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0544746",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
- Family Health Psychology Center LLC
- Family Helpers Home Care LLC
- Family Knows Best Home Care LLC
- Family Love & Family Care LLC
- Family Matters 4 U
- Family Planning Council
- Family Planning Service/Univ of Penn
- Family Practice & Counseling Services Network (Family Practice & Counseling Network)
- Family Practice & Counseling Services Network, Inc.
- Family Practice & Counseling Services Network, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.