Organization Active NPI

Institute for Advanced Medicine and Wellness PLLC

  • Anesthesiology Physician
  • Wyomissing, PA
National Provider Identifier
1174914725
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
INSTITUTE FOR ADVANCED MEDICINE AND WELLNESS PLLC
Practice address
2001 State Hill Rd
Suite 102
Wyomissing, PA 19610-1607
Phone
(215) 792-2250
Fax
(800) 595-4221
NPI assigned
Feb 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Authorized official

Name
Dr. Jed Shapiro, M.D.
Title
Physician
Phone
(215) 792-2250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

2001 State Hill Rd
Suite 102
Wyomissing, PA 19610-1607

Mailing address

2001 State Hill Rd
Suite 102
Wyomissing, PA 19610-1607
Phone (215) 792-2250

National Provider Directory

National Provider Directory

Locations

2001 State Hill Rd
Ste 102
Wyomissing, PA 19610
Phone (215) 792-2250

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1174914725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 STATE HILL RD",
            "address_2": "SUITE 102",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101607",
            "telephone_number": "215-792-2250",
            "fax_number": "800-595-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 STATE HILL RD",
            "address_2": "SUITE 102",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101607",
            "telephone_number": "215-792-2250",
            "fax_number": "800-595-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR ADVANCED MEDICINE AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "JED",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "215-792-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.