Organization Active NPI

Mercy Suburban Hospital

Doing business as Mercy Suburban OB/GYN

  • Clinic/Center
  • Norristown, PA
National Provider Identifier
1275703670
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MERCY SUBURBAN HOSPITAL
Doing business as
Mercy Suburban OB/GYN
Practice address
2701 Dekalb Pike
Norristown, PA 19401-1820
Phone
(610) 278-2000
NPI assigned
Mar 3, 2008
Organization subpart
Yes
Parent organization
MERCY HEALTH SYSTEM OF SOUTHEASTERN PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Mr. Joseph H. Bradley
Title
Cfo
Phone
(610) 567-6771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2701 Dekalb Pike
Norristown, PA 19401-1820

Mailing address

1 W Elm St
Conshohocken, PA 19428-4108
Phone (610) 567-6000

Other identifiers 1

IdentifierTypeStateIssuer
0001108000OtherPAINDEPENDENT BLUE CROSS

Other names 1

  • Mercy Suburban OB/GYN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Suburban Family Practice Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1275703670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W ELM ST",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194284108",
            "telephone_number": "610-567-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DEKALB PIKE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194011820",
            "telephone_number": "610-278-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY SUBURBAN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH SYSTEM OF SOUTHEASTERN PA",
        "enumeration_date": "2008-03-03",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-567-6771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT BLUE CROSS",
            "identifier": "0001108000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Suburban OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norristown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.