Temple Physicians Inc
Organization Active NPI Orthopaedic Surgery Physician · Phila, PA
NPI 1215199047 · NPPES record last updated Aug 14, 2008
Key facts
- NPI
- 1215199047
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- TEMPLE PHYSICIANS INC
- Practice address
- 1741 Frankford Ave
Suite 100-F
Phila, PA 19125-2445 - Phone
- (215) 425-2424
- NPI assigned
- Jul 2, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- TEMPLE PHYSICIANS INC
Authorized official
- Name
- Lynnie Savering
- Title
- Director of Patient Accounting
- Phone
- (215) 926-9010
Corporate family (same tax ID) 24
Practitioners 6
-
Chau Che, M.D.
-
Ksenia Guvakova, MD
-
Christina Diana Manderbaugh, P.A.-C
-
George C Shaw, MD
-
Yuriy F Ilkovych, M.D.
-
Jessica Leigh Sterling, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310000054 | PA | Part B Supplier - Clinic/Group Practice | 2062317233 |
Receives reassigned benefits from 494 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Temple Physicians Inc
- Part of
- Temple Physicians Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
1741 Frankford Ave
Suite 100-F
Phila, PA 19125-2445
Mailing address
PO Box 820933
Phila, PA 19182-0933
Phone (215) 926-9010
Other names
- TEMPLE ORTHOPEDICS @ PALMER PARK
NPI Registry JSON
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218672000000",
"number": "1215199047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 820933",
"city": "PHILA",
"state": "PA",
"postal_code": "191820933",
"telephone_number": "215-926-9010",
"fax_number": "215-226-8285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 FRANKFORD AVE",
"address_2": "SUITE 100-F",
"city": "PHILA",
"state": "PA",
"postal_code": "191252445",
"telephone_number": "215-425-2424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEMPLE PHYSICIANS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TEMPLE PHYSICIANS INC",
"enumeration_date": "2008-07-02",
"last_updated": "2008-08-14",
"status": "A",
"authorized_official_last_name": "SAVERING",
"authorized_official_first_name": "LYNNIE",
"authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTING",
"authorized_official_telephone_number": "215-926-9010"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TEMPLE ORTHOPEDICS @ PALMER PARK",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Phila, PA
- Jesse Telles
- Temple Center for Population Health, LLC
- Temple Physicians Inc
- Temple Physicians Inc
- Temple Physicians Inc
- Temple Physicians Inc
- Temple Physicians Inc
- Temple Physicians Inc
- Temple Physicians Inc
- Temple Physicians Inc
All providers in Phila, PA · Orthopaedic Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.