Individual provider Active NPI

Heather Lynn Dowd, D.O.

  • Internal Medicine Physician
  • Penn Valley, PA
National Provider Identifier
1225237480
Registry record updated Dec 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB08650700 Issued in NJ
Practice address
857 Montgomery Ave
Penn Valley, PA 19072-1541
Phone
(610) 664-2951
Fax
(610) 664-2131
NPI assigned
Jul 17, 2007
Last updated
Dec 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X OS022798 PA
Internal Medicine Physician 207R00000X 25MB08650700 NJ Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 0S022798 PA

Addresses

Primary practice location

857 Montgomery Ave
Penn Valley, PA 19072-1541

Mailing address

857 Montgomery Ave
Penn Valley, PA 19072-1541
Phone (610) 664-2951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100122000534 NJ Practitioner - Internal Medicine 9234271602 Reassigns benefits to 1 organization
I20230626001881 PA Practitioner - Internal Medicine 9234271602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line Medical Group LTDGroup PAC ID 9830003599, 9 clinicians

Practice addresses (Care Compare)

857 Montgomery Ave
Penn Valley, PA 19072-1541
Phone (610) 664-2951

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0S022798PAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa a Rink Family Medicine LLC Internal Medicine CurrentSince Jan 18, 2010 Accepting new patients
Main Line Medical Group LTD Geriatric Medicine CurrentSince Jun 19, 2023 Accepting new patients
Maplewood Operating, LLC Past Accepting new patients
Stapeley Hall Past Accepting new patients
Caring Heart Rehabilitation and Nursing Center, Inc. Past Accepting new patients
Yeadon SNF Operations LLC Past Accepting new patients
Tucker Operating, LLC Past Accepting new patients
Ma Operating LLC Past Accepting new patients
TH Operating LLC Past Accepting new patients

Locations

217 White Horse Pike
Haddon Hts, NJ 08035
Phone (856) 547-1212

857 Montgomery Ave
Penn Valley, PA 19072
Phone (610) 664-2951

125 W School House Ln
Philadelphia, PA 19144
Phone (212) 844-8806

6445 Germantown Ave
Philadelphia, PA 19119
Phone (215) 438-5268

Organizations & group practices 9

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703980800000",
    "number": "1225237480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 MONTGOMERY AVE",
            "city": "PENN VALLEY",
            "state": "PA",
            "postal_code": "190721541",
            "telephone_number": "610-664-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 MONTGOMERY AVE",
            "city": "PENN VALLEY",
            "state": "PA",
            "postal_code": "190721541",
            "telephone_number": "610-664-2951",
            "fax_number": "610-664-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWD",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2023-12-31",
        "certification_date": "2023-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS022798",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB08650700",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "0S022798",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Valley, PA

Sources for this page

Verify at the official NPI Registry.