Chestnut Hill Medical

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

CHESTNUT HILL MEDICAL

Practice address

7810 Navajo St
Phila, PA 19118-4015

Phone

(215) 247-8070

Fax

(215) 242-8142

NPI assigned

May 25, 2006

Last updated

Sep 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy Cerulli

Title

Office Manager

Phone

(215) 247-8070

Specialties & licenses 3

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth P Patrick, MD

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1548249394
  NPD

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1275589103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 GERMANTOWN AVE",
            "address_2": "SUITE 12",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191182722",
            "telephone_number": "215-247-8070",
            "fax_number": "215-242-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 NAVAJO ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191184015",
            "telephone_number": "215-247-8070",
            "fax_number": "215-242-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT HILL MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "CERULLI",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-247-8070"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "53625",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0182138000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017215400003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1000166",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "377472",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fred Brian Chase, PHD
• Lawanda Chavous
• Bernice Chemey Kane
• Mary Cheng, RPH
• Gregory Michael Cherry, MSW
• Ramsey H. Chew Jr., DMD
• Daranee Chewaproug, DO
• Andrew Kah Wai Chong, MD
• Cuckoo Choudhary, M.D.
• Christa Habboushe, MD, LLC

• Pulmonary Disease Physician in Phila, PA
• Providers in Phila, PA by specialty
• Pulmonary Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.