NPIMap

Organization Active NPI

Executive Health Resources Clinical Staffing Solutions PC

  • Internal Medicine Physician
  • Newtown Square, PA
National Provider Identifier
1225067424
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EXECUTIVE HEALTH RESOURCES CLINICAL STAFFING SOLUTIONS PC
Practice address
15 Campus Blvd
Suite 200
Newtown Square, PA 19073-3200
Phone
(484) 454-6268
Fax
(610) 789-6158
NPI assigned
Jul 1, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Robert Corrato, M.D.NPI 1003827072
Title
Ceo
Phone
(484) 454-6262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

15 Campus Blvd
Suite 200
Newtown Square, PA 19073-3200

Mailing address

15 Campus Blvd
Suite 200
Newtown Square, PA 19073-3200
Phone (484) 454-6268

Other identifiers 2

IdentifierTypeStateIssuer
1012282060001MedicaidPA
1660744OtherPABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

15 Campus Blvd
Ste 200
Newtown Square, PA 19073
Phone (484) 454-6262

3998 Red Lion Rd
Ste 5200
Philadelphia, PA 19114

Practitioners & affiliated clinicians

Practitioners 158

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.

View all 158

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1225067424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CAMPUS BLVD",
            "address_2": "SUITE 200",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733200",
            "telephone_number": "484-454-6268",
            "fax_number": "610-789-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CAMPUS BLVD",
            "address_2": "SUITE 200",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733200",
            "telephone_number": "484-454-6268",
            "fax_number": "610-789-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE HEALTH RESOURCES CLINICAL STAFFING SOLUTIONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CORRATO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "484-454-6262",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012282060001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1660744",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.