NPIMap

Organization Active NPI

Premier Orthopaedics and Sports Medicine

  • Specialist
  • Upland, PA
National Provider Identifier
1255503181
Registry record updated Jul 21, 2022
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Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PREMIER ORTHOPAEDICS AND SPORTS MEDICINE
Practice address
One Medical Center Blvd.
Pob II, Suite 324
Upland, PA 19015
Phone
(610) 876-0347
Fax
(610) 872-4759
NPI assigned
Apr 1, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jody Fry
Title
Billing Clerk
Phone
(610) 876-0347

Corporate family (same tax ID) 23

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

National Provider Directory

National Provider Directory
Tax ID family
Premier Orthopaedics SP (71 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PA Primary

Addresses

NPPES NPI Registry

Primary practice location

One Medical Center Blvd.
Pob II, Suite 324
Upland, PA 19015

Mailing address

PO Box 81
Bryn Mawr, PA 19010-0081
Phone (610) 876-0347

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255503181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190100081",
            "telephone_number": "610-876-0347",
            "fax_number": "610-872-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BLVD.",
            "address_2": "POB II, SUITE 324",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19015",
            "telephone_number": "610-876-0347",
            "fax_number": "610-872-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOPAEDICS AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "610-876-0347"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.