Individual provider Active NPI

Suzanne Shorten

  • Family Medicine Physician
  • Ambler, PA
National Provider Identifier
1215986864
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD420374 Issued in PA
Practice address
1116 Horsham Rd
Suite 10
Ambler, PA 19002-1143
Phone
(215) 643-8500
Fax
(215) 643-6999
NPI assigned
May 10, 2006
Last updated
May 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD420374 PA Primary

Addresses

Primary practice location

1116 Horsham Rd
Suite 10
Ambler, PA 19002-1143

Mailing address

2500 Maryland Rd
Suite #400
Willow Grove, PA 19090-1216
Phone (215) 481-3064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061221000193 PA Practitioner - Family Practice 6901805993 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD420374PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Acute Care Physicians, PC CurrentSince Sep 9, 2019 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Sep 9, 2019 Accepting new patients

Locations

700 Walnut St
Philadelphia, PA 19106
Phone (215) 503-7300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1215986864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MARYLAND RD",
            "address_2": "SUITE #400",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901216",
            "telephone_number": "215-481-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 HORSHAM RD",
            "address_2": "SUITE 10",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190021143",
            "telephone_number": "215-643-8500",
            "fax_number": "215-643-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTEN",
        "first_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD420374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

Verify at the official NPI Registry.