Somerton Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD033660E Issued in PA

Legal business name

SOMERTON PEDIATRICS

Practice address

14500 Bustleton Ave
Lower Level
Philadelphia, PA 19116-1188

Phone

(215) 934-5437

Fax

(215) 934-7610

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Francis O'Connell, M.D.

Title

President

Phone

(215) 934-5437

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1255385688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 BUSTLETON AVE",
            "address_2": "LOWER LEVEL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161188",
            "telephone_number": "215-934-5437",
            "fax_number": "215-934-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 BUSTLETON AVE",
            "address_2": "LOWER LEVEL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161188",
            "telephone_number": "215-934-5437",
            "fax_number": "215-934-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERTON PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-934-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD033660E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106211503",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Somerset Pharmacy LLC
• Susan W. Somerson, NP
• Somerton Acquisition LLC
• Somerton Center SNF LLC
• Somerton Industrial Medicine & Rehabilitation, Inc
• Somerton Pharmacy Inc.
• Hildy R Somerville, LCSW
• Beth F Sommer, MS, LCSW
• Matthias Sommer, M.D
• Mia Sommer, CRNA

• Pediatrics Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.