Alexandra S Bartlett, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD036127E Issued in PA

Practice address

100 Church Rd
Suite 300
Ardmore, PA 19003-2316

Phone

(610) 896-8582

NPI assigned

Jan 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advocare LLC

  dba Advocare Fairmount Pediatrics, Ardmore

  • Pediatrics Physician
  • Ardmore, PA
  • NPI 1902685605
  NPD (past)
• Zavod King Bartlett Pediatrics

  • Pediatrics Physician
  • Ardmore, PA
  • NPI 1235206921
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265599740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHURCH RD",
            "address_2": "SUITE 300",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032316",
            "telephone_number": "610-896-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHURCH RD",
            "address_2": "SUITE 300",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032316",
            "telephone_number": "610-896-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "ALEXANDRA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD036127E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01091322",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonal Arjuna, M.D.
• Athens Nutrition, LLC
• Awakenly Therapy LLC
• Andrew Bacon
• Corey Baldwin, DPT
• Michael Bartolomucci, DPT
• Leah Bayuk
• Beabb
• Janet L Beausoleil
• Jack Michael Becker, MD

• Pediatrics Physician in Ardmore, PA
• Providers in Ardmore, 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 8, 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.