Organization Active NPI

Planned Parenthood Southeastern Pennsylvania

  • Gynecology Physician
  • Avondale, PA
National Provider Identifier
1215170493
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
PLANNED PARENTHOOD SOUTHEASTERN PENNSYLVANIA
Practice address
1660 Baltimore Pike
Avondale, PA 19311-9791
Phone
(610) 268-8848
Fax
(610) 268-0558
NPI assigned
Apr 17, 2009
Last updated
Apr 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
Vera Bailey
Title
Cfo
Phone
(215) 351-5536

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X
Multi-Specialty Clinic/Center 261QM1300X
Gynecology Physician 207VG0400X Primary
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

1660 Baltimore Pike
Avondale, PA 19311-9791

Mailing address

1144 Locust St
Philadelphia, PA 19107-6734
Phone (215) 351-5500

Other identifiers 3

IdentifierTypeStateIssuer
156525OtherPAPA BC-BS PROVIDER #
5066359OtherPAAETNA PROVIDER #
0060242000OtherPAIBC PROVIDER #

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood SE P19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

1660 Baltimore Pike
Avondale, PA 19311
Phone (610) 268-8848

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1215170493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076734",
            "telephone_number": "215-351-5500",
            "fax_number": "215-351-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 BALTIMORE PIKE",
            "city": "AVONDALE",
            "state": "PA",
            "postal_code": "193119791",
            "telephone_number": "610-268-8848",
            "fax_number": "610-268-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD SOUTHEASTERN PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-351-5536"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BC-BS PROVIDER #",
            "identifier": "156525",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "5066359",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC PROVIDER #",
            "identifier": "0060242000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.