Active NPI
STC Opco LLC
Doing business as St Christopher's Hospital for Children - Ambulatory Care
- Clinic/Center
- Philadelphia, PA
National Provider Identifier
1285277251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- STC OPCO LLC
- Doing business as
- St Christopher's Hospital for Children - Ambulatory Care
- Practice address
- 160 E Erie Ave
Philadelphia, PA 19134-1011 - Phone
- (215) 427-5000
- NPI assigned
- Oct 23, 2019
- Last updated
- Jan 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Conner
- Title
- VP & Cfo
- Phone
- (484) 628-8181
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X |
Addresses
Primary practice location
160 E Erie Ave
Philadelphia, PA 19134-1011
Mailing address
PO Box 13579
Reading, PA 19612-3579
Other practice location 1
500 Old York Road
Suite 251
Jenkintown, PA 19046
Phone (215) 427-5000
Other practice location 2
500 Old York Road
Suite 260
Jenkintown, PA 19046
Phone (215) 427-5000
Other names 1
- ST CHRISTOPHER'S HOSPITAL FOR CHILDREN - AMBULATORY CARE
National Provider Directory
National Provider Directory- Tax ID family
- Apple Pharmacy at St Christopher's
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Apple Pharmacy at St Christopher's
- Community/Retail Pharmacy
- Philadelphia, PA
- NPI 1023716636
-
dba St Christophers Hospital for Children Radiology
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1154967974
-
dba St Christopher's Hospital for Children- Acute Care
- Children's Hospital
- Philadelphia, PA
- NPI 1194368167
-
dba St Christophers Hospital for Children Hematology Oncology
- Pediatric Hematology & Oncology Physician
- Philadelphia, PA
- NPI 1295371011
-
dba St Christophers Hospital for Children Emergency Medicine
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1619513439
-
dba St Christophers Hospital for Children Genetics
- Ph.D. Medical Genetics
- Philadelphia, PA
- NPI 1871139691
-
dba St Christophers Hospital for Children Immunology
- Pediatric Clinical & Laboratory Immunology Physician
- Philadelphia, PA
- NPI 1942846761
-
dba St Christophers Hospital for Children Pathology
- Pediatric Pathology Physician
- Philadelphia, PA
- NPI 1992341713
Locations
500 York Rd
Ste 251
Jenkintown, PA 19046
Phone (215) 572-7264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577923200000",
"number": "1285277251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13579",
"city": "READING",
"state": "PA",
"postal_code": "196123579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E ERIE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191341011",
"telephone_number": "215-427-5000"
}
],
"practiceLocations": [
{
"address_1": "500 Old York Road",
"address_2": "Suite 251",
"address_purpose": "LOCATION",
"city": "Jenkintown",
"state": "PA",
"postal_code": "19046",
"country_code": "US",
"telephone_number": "215-427-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Old York Road",
"address_2": "Suite 260",
"address_purpose": "LOCATION",
"city": "Jenkintown",
"state": "PA",
"postal_code": "19046",
"country_code": "US",
"telephone_number": "215-427-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "STC OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-23",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A",
"authorized_official_last_name": "CONNER",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "VP & CFO",
"authorized_official_telephone_number": "484-628-8181"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ST CHRISTOPHER'S HOSPITAL FOR CHILDREN - AMBULATORY CARE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ST CHRISTOPHER'S HOSPITAL FOR CHILDREN - AMBULATORY CARE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Philadelphia, PA
- Vanessa Stay, LPC
- STC Opco LLC (Apple Pharmacy at St Christopher's)
- STC Opco LLC (St Christophers Hospital for Children Renal Unit)
- STC Opco LLC (St Christophers Hospital for Children Radiology)
- STC Opco LLC (St Christopher's Hospital for Children- Acute Care)
- STC Opco LLC (St Christophers Hospital for Children Hematology Oncology)
- STC Opco LLC (St. Christopher's Hospital for Children- Dental)
- STC Opco LLC (St Christophers Hospital for Children Emergency Medicine)
- STC Opco LLC (St Christophers Hospital for Children Genetics)
- STC Opco LLC (St Christophers Hospital for Children Immunology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.