Valley Forge Urgent Care

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MAO57354 Issued in PA

Legal business name

VALLEY FORGE URGENT CARE

Practice address

2521 W Main St
Norristown, PA 19403-3093

Phone

(610) 539-3221

Fax

(610) 539-3222

NPI assigned

Dec 22, 2014

Organization subpart

No

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

Authorized official

Name

Ayn Larson, MMS, PA-C

Title

Physician Assistant

Phone

(610) 539-3221

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Radha K Mahajan MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Radha K Mahajan MD Inc

  • Urgent Care Clinic/Center
  • Norristown, PA
  • NPI 1295148112
  NPD tax ID

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1245628494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 W MAIN ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194033093",
            "telephone_number": "610-539-3221",
            "fax_number": "610-539-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 W MAIN ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194033093",
            "telephone_number": "610-539-3221",
            "fax_number": "610-539-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FORGE URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "AYN",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "610-539-3221",
        "authorized_official_credential": "MMS, PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MAO57354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessed Urquhart, PHLEBOTOMY TECH
• Siddharth Jayasankar Vadakkeveedu, DO
• Gina L Vagnarelli, LCSW
• Alessandra Valerio, MS. CCC-SLP
• Valley Forge Medical Center & Hospital, Inc.
• Valley Forge Urgent Care & Family Med Ctr
• Elizabeth Van Aulen, MPH
• Vantage Eyecare, LLC
• George John Varghese, M.D.
• Shoba Sara Varghese

• Physician Assistant in Norristown, PA
• Providers in Norristown, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.