Organization Active NPI

Thomas Jefferson University Hospital

  • Critical Access Hospital
  • Glenmoore, PA
National Provider Identifier
1205207164
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
266267L Issued in PA
Legal business name
THOMAS JEFFERSON UNIVERSITY HOSPITAL
Practice address
33 Meadow Creek LN
Glenmoore, PA 19343-2017
Phone
(610) 368-7430
NPI assigned
Oct 16, 2015
Last updated
Oct 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Dr. Theodore Christopher, MD
Title
Diretctor-Emergency Medicine
Phone
(215) 955-1739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 266267L PA Primary

Addresses

Primary practice location

33 Meadow Creek LN
Glenmoore, PA 19343-2017

Mailing address

33 Meadow Creek LN
Glenmoore, PA 19343-2017
Phone (610) 368-7430

National Provider Directory

National Provider Directory
Tax ID family
Thomas Jefferson University Hospitals Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1205207164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MEADOW CREEK LN",
            "city": "GLENMOORE",
            "state": "PA",
            "postal_code": "193432017",
            "telephone_number": "610-368-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MEADOW CREEK LN",
            "city": "GLENMOORE",
            "state": "PA",
            "postal_code": "193432017",
            "telephone_number": "610-368-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS JEFFERSON UNIVERSITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHER",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "DIRETCTOR-EMERGENCY MEDICINE",
        "authorized_official_telephone_number": "215-955-1739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "PA",
            "license": "266267L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenmoore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.