Active NPI
Eagle Family Medicine Center, PC
- Family Medicine Physician
- Chester Springs, PA
National Provider Identifier
1174674840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD031765E
- Legal business name
- EAGLE FAMILY MEDICINE CENTER, PC
- Practice address
- 134 Pottstown Pike
Chester Springs, PA 19425-9516 - Phone
- (610) 458-8881
- NPI assigned
- Jan 16, 2007
- 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. Daniel G Orr, M.D.
- Title
- Owner
- Phone
- (610) 458-8881
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD031765E | PA | Primary |
Addresses
Primary practice location
134 Pottstown Pike
Chester Springs, PA 19425-9516
Mailing address
134 Pottstown Pike
Chester Springs, PA 19425-9516
Phone (610) 458-8881
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610342 | Other | PA | HIGHMARK BLUE SHIELD |
| 1254 | Other | PA | AETNA |
| 610342 | Other | PA | INDEPENDENCE BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0204649 | Eagle Family Medicine Center PC | Provider-performed microscopy | May 4, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Chester Springs, PA
- NPI 1891846614
-
- Registered Dietitian
- Chester Springs, PA
- NPI 1992835714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316736000000",
"number": "1174674840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 POTTSTOWN PIKE",
"city": "CHESTER SPRINGS",
"state": "PA",
"postal_code": "194259516",
"telephone_number": "610-458-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 POTTSTOWN PIKE",
"city": "CHESTER SPRINGS",
"state": "PA",
"postal_code": "194259516",
"telephone_number": "610-458-8881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLE FAMILY MEDICINE CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2011-09-23",
"status": "A",
"authorized_official_last_name": "ORR",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-458-8881",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "MD031765E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "610342",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1254",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "610342",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chester Springs, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.