Active NPI
Aggie MD Wholistic Doctor LLC
- Family Medicine Physician
- Chesterbrook, PA
National Provider Identifier
1194121459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD426246
- Legal business name
- AGGIE MD WHOLISTIC DOCTOR LLC
- Practice address
- 50 Flintlock LN
Chesterbrook, PA 19087-5634 - Phone
- (610) 506-4874
- Fax
- (215) 881-9700
- NPI assigned
- Nov 14, 2014
- 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. Agnes Marie Hewitt, MD
- Title
- MD
- Phone
- (610) 506-4874
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD426246 | PA | Primary |
Addresses
Primary practice location
50 Flintlock LN
Chesterbrook, PA 19087-5634
Mailing address
50 Flintlock LN
Chesterbrook, PA 19087-5634
Phone (610) 506-4874
National Provider Directory
National Provider DirectoryLocations
789 E Lancaster Ave
Ste 23
Villanova, PA 19085
Phone (610) 506-4874
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415923200000",
"number": "1194121459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 FLINTLOCK LN",
"city": "CHESTERBROOK",
"state": "PA",
"postal_code": "190875634",
"telephone_number": "610-506-4874",
"fax_number": "215-881-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 FLINTLOCK LN",
"city": "CHESTERBROOK",
"state": "PA",
"postal_code": "190875634",
"telephone_number": "610-506-4874",
"fax_number": "215-881-9700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGGIE MD WHOLISTIC DOCTOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-14",
"last_updated": "2014-11-14",
"status": "A",
"authorized_official_last_name": "HEWITT",
"authorized_official_first_name": "AGNES",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "610-506-4874",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "MD426246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterbrook, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.