NPIMap

Organization Active NPI

Aeroclinic

  • Urgent Care Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1235461104
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
304768702 Issued in GA
Legal business name
AEROCLINIC
Practice address
8500 Essington Ave
Terminal Ab Link, Suite Ab-3a
Philadelphia, PA 19153-7001
Phone
(215) 365-6301
NPI assigned
Feb 3, 2010
Last updated
Sep 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Rosemary Kelly, MBA
Title
Executive Vice President
Phone
(770) 996-2631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 304768702 GA Primary

Addresses

Primary practice location

8500 Essington Ave
Terminal Ab Link, Suite Ab-3a
Philadelphia, PA 19153-7001

Mailing address

1745 Phoenix Blvd
Suite 340
Atlanta, GA 30349-5591
Phone (770) 996-2630

National Provider Directory

National Provider Directory
Tax ID family
Aeroclinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1235461104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 PHOENIX BLVD",
            "address_2": "SUITE 340",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495591",
            "telephone_number": "770-996-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 ESSINGTON AVE",
            "address_2": "TERMINAL AB LINK, SUITE AB-3A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191537001",
            "telephone_number": "215-365-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEROCLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "770-996-2631",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "304768702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.