Active NPI
Peter P Giammanco, DO
- Family Medicine Physician
- Elkins Park, PA
National Provider Identifier
1275691982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS003475L
- Practice address
- 8380 Old York Rd Ste 100
Elkins Park, PA 19027-1574 - Phone
- (215) 517-5000
- Fax
- (215) 517-5829
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS003475L | PA | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | OS003475L | PA |
Addresses
Primary practice location
8380 Old York Rd Ste 100
Elkins Park, PA 19027-1574
Mailing address
PO Box 820933
Philadelphia, PA 19182-0933
Phone (215) 884-7620
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0047023 | Other | PA | AETNA HMO |
| 0047254000 | Other | PA | INDEPENDENCE BLUE CROSS |
| P00416091 | Other | PA | RR MEDICARE |
| 483429 | Other | PA | COVENTRY HEALTH AMERICA |
| 1702 | Other | PA | BRAVO HEALTH |
| 1162861 | Other | PA | CIGNA |
| 126654 | Other | PA | HIGHMARK BLUE SHIELD |
| 597586 | Other | PA | MEDICARE GROUP |
| 000756102 | Medicaid | PA | |
| 30037433 | Other | PA | KEYSTONE MERCY |
| 4676005 | Other | PA | AETNA PPO |
| CD4829 | Other | PA | RR MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Physicians Inc | Family Medicine | Current | Accepting new patients |
| Temple Physician Inc. | Current | Accepting new patients | |
| Temple Physicians Inc | Current | Accepting new patients | |
| Temple Physicians Inc | Family Medicine | Past | Accepting new patients |
| Temple Physicians Inc. | Past | Accepting new patients | |
| Temple Physicians Inc | Family Medicine | Past | Accepting new patients |
| Temple Physicians Inc | Family Medicine | Past | Accepting new patients |
Locations
8380 Old York Rd
Ste 100
Elkins Park, PA 19027
Phone (215) 517-5000
515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120
314 York Rd
Jenkintown, PA 19046
Phone (215) 884-7620
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523318400000",
"number": "1275691982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 820933",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191820933",
"telephone_number": "215-884-7620",
"fax_number": "215-884-7896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8380 OLD YORK RD STE 100",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271574",
"telephone_number": "215-517-5000",
"fax_number": "215-517-5829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIAMMANCO",
"first_name": "PETER",
"middle_name": "P",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2018-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS003475L",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "PA",
"license": "OS003475L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0047023",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0047254000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00416091",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH AMERICA",
"identifier": "483429",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRAVO HEALTH",
"identifier": "1702",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1162861",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "126654",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "597586",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000756102",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30037433",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4676005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CD4829",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.