NPIMap

Organization Active NPI

FCG LLC

  • Gastroenterology Physician
  • Philadelphia, PA
National Provider Identifier
1245253533
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
FCG LLC
Practice address
1403 Rhawn Street
Philadelphia, PA 19111-2430
Phone
(215) 728-6688
Fax
(215) 342-1337
NPI assigned
Jul 26, 2006
Last updated
Feb 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Mark Codella, M.D.NPI 1356361919
Title
Medical Director
Phone
(215) 728-6688

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
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

1403 Rhawn Street
Philadelphia, PA 19111-2430

Mailing address

1403 Rhawn Street
Philadelphia, PA 19111-2430
Phone (215) 728-6688

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1245253533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 RHAWN STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112430",
            "telephone_number": "215-728-6688",
            "fax_number": "215-342-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 RHAWN STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112430",
            "telephone_number": "215-728-6688",
            "fax_number": "215-342-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "CODELLA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "215-728-6688",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "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 Feb 6, 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.