NPIMap

Organization Active NPI

Tick Borne Disease Center of Sepa

  • Family Medicine Physician
  • Chadds Ford, PA
National Provider Identifier
1225137284
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TICK BORNE DISEASE CENTER OF SEPA
Practice address
6 Dickinson Dr
BLDG 300 Ste 4
Chadds Ford, PA 19317-9689
Phone
(610) 459-5920
Fax
(610) 459-5960
NPI assigned
Sep 22, 2006
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Leonard Schuchman, DONPI 1700869757
Title
Physician
Phone
(610) 459-5920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

6 Dickinson Dr
BLDG 300 Ste 4
Chadds Ford, PA 19317-9689

Mailing address

6 Dickinson Dr
BLDG 300 Ste 4
Chadds Ford, PA 19317-9689
Phone (610) 459-5920

National Provider Directory

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": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1225137284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DICKINSON DR",
            "address_2": "BLDG 300 STE 4",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179689",
            "telephone_number": "610-459-5920",
            "fax_number": "610-459-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DICKINSON DR",
            "address_2": "BLDG 300 STE 4",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179689",
            "telephone_number": "610-459-5920",
            "fax_number": "610-459-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TICK BORNE DISEASE CENTER OF SEPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "SCHUCHMAN",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "610-459-5920",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.