Active NPI
Laurie Tolin, MD
- Dermatology Physician
- Ardmore, PA
National Provider Identifier
1285775197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD016388E
- Legal business name
- LAURIE TOLIN, MD
- Practice address
- 100 Church Rd
Ardmore, PA 19003-2316 - Phone
- (610) 642-1806
- Fax
- (610) 645-5783
- NPI assigned
- Feb 12, 2007
- 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
- Ellie Suder
- Title
- Billing Manager
- Phone
- (215) 723-2333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD016388E | PA | Primary |
Addresses
Primary practice location
100 Church Rd
Ardmore, PA 19003-2316
Mailing address
100 Church Rd
Ardmore, PA 19003-2316
Phone (610) 642-1806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031830 | Other | PA | AETNA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Ardmore, PA
- NPI 1184685935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212364800000",
"number": "1285775197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CHURCH RD",
"city": "ARDMORE",
"state": "PA",
"postal_code": "190032316",
"telephone_number": "610-642-1806",
"fax_number": "610-645-5783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CHURCH RD",
"city": "ARDMORE",
"state": "PA",
"postal_code": "190032316",
"telephone_number": "610-642-1806",
"fax_number": "610-645-5783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURIE TOLIN, MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2008-06-02",
"status": "A",
"authorized_official_last_name": "SUDER",
"authorized_official_first_name": "ELLIE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "215-723-2333"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "PA",
"license": "MD016388E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0031830",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.