Temple University Childrens Medical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

101901 Issued in PA

Legal business name

TEMPLE UNIVERSITY CHILDRENS MEDICAL CENTER

Practice address

3509 N Broad St
Philadelphia, PA 19140-4105

Phone

(215) 707-5303

NPI assigned

Jan 23, 2007

Last updated

Jul 16, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

TEMPLE UNIVERSITY CHILDRENS MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Robert Lux

Title

VP and Cfo

Phone

(215) 707-3802

Specialties & licenses 1

Addresses

Part of

Temple University Children's Medical Center

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1265586580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105",
            "telephone_number": "215-707-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE UNIVERSITY CHILDRENS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEMPLE UNIVERSITY CHILDRENS MEDICAL CENTER",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "LUX",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VP AND CFO",
        "authorized_official_telephone_number": "215-707-3802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "101901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Temple Physicians Inc.
• Temple Univ Health System
• Temple University
• Temple University
• Temple University Children's Medical Center
• Temple University Dental School
• Temple University Health System
• Temple University Hospital
• Temple University Hospital
• Temple University Hospital

• Ambulatory Surgical Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.