NPIMap

Organization Active NPI

Dynamic Medical Urgent Care

  • Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1174961577
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DYNAMIC MEDICAL URGENT CARE
Practice address
25 E Walnut LN
Philadelphia, PA 19144-2002
Phone
(267) 335-3961
Fax
(267) 335-3702
NPI assigned
Jun 6, 2013
Last updated
Aug 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Dr. Highland Campbell, M.D.
Title
Owner
Phone
(412) 728-0622

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Urgent Care Clinic/Center 261QU0200X MD422335 PA

Addresses

Primary practice location

25 E Walnut LN
Philadelphia, PA 19144-2002

Mailing address

25 E Walnut LN
Philadelphia, PA 19144-2002
Phone (267) 335-3961

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1174961577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E WALNUT LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442002",
            "telephone_number": "267-335-3961",
            "fax_number": "267-335-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WALNUT LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442002",
            "telephone_number": "267-335-3961",
            "fax_number": "267-335-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MEDICAL URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "HIGHLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-728-0622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "PA",
            "license": "MD422335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.