NPIMap

Commonwealth Primary Care, PC

Organization Active NPI Family Medicine Physician · Oley, PA

NPI 1255451027 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1255451027
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
COMMONWEALTH PRIMARY CARE, PC
Practice address
346 Main St
Oley, PA 19547-8712
Phone
(610) 987-9870
Fax
(610) 987-0029
NPI assigned
Mar 29, 2007
Organization subpart
No

Authorized official

Name
Jodi Youndt
Title
Billing Administrator
Phone
(610) 372-4957

Corporate family (same tax ID) 5

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

National Provider Directory

Tax ID family
Commonwealth Primary Care PC (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

346 Main St
Oley, PA 19547-8712

Mailing address

2 Meridian Blvd
Second Floor
Wyomissing, PA 19610-3202
Phone (610) 372-4957

Other names

  • OLEY VALLEY FAMILY PRACTICE Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255451027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MERIDIAN BLVD",
            "address_2": "SECOND FLOOR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103202",
            "telephone_number": "610-372-4957",
            "fax_number": "610-372-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 MAIN ST",
            "city": "OLEY",
            "state": "PA",
            "postal_code": "195478712",
            "telephone_number": "610-987-9870",
            "fax_number": "610-987-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH PRIMARY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNDT",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "610-372-4957"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLEY VALLEY FAMILY PRACTICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oley, PA

All providers in Oley, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.