The Aeroclinic PHL

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

THE AEROCLINIC PHL

Practice address

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

Phone

(215) 365-6301

Fax

(215) 365-6302

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Rosemary M. Kelly, MBA

Title

Executive Vice President

Phone

(770) 996-2630

Specialties & licenses 1

Addresses

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.

• Aeroclinic

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1235461104
  NPD tax ID
• Aeroclinic

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1316144058
  NPD tax ID

Locations

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1245549989",
    "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",
            "fax_number": "770-996-2632"
        },
        {
            "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",
            "fax_number": "215-365-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AEROCLINIC PHL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "770-996-2630",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parinita Thavanati, PA-C
• Andrew Thayer
• Jacquelyn Marie Thayer
• Meena Thayu, M.D.
• The 58TH Street Presbyterian Homes
• The Afritude Institute
• The Afritude Institute,LLC
• The American Oncologic Hospital
• The Andante Center, Inc
• The Andre Norman Academy (Tana)

• Urgent Care Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Urgent Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.