Organization Active NPI

Karen E. Agersborg DO Associates PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Philadelphia, PA
National Provider Identifier
1285867762
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
OS010570L Issued in PA
Legal business name
KAREN E. AGERSBORG DO ASSOCIATES PC
Practice address
8815 Germantown Ave
Suite 14
Philadelphia, PA 19118-2722
Phone
(215) 248-2600
Fax
(215) 248-2606
NPI assigned
Aug 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Dr. Karen Elizabeth Agersborg, D.O.
Title
Owner
Phone
(215) 280-0692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X OS010570L PA Primary

Addresses

Primary practice location

8815 Germantown Ave
Suite 14
Philadelphia, PA 19118-2722

Mailing address

1900 Hamilton St
803
Philadelphia, PA 19130-3889
Phone (215) 248-2600

Other identifiers 1

IdentifierTypeStateIssuer
1629069703OtherPANPI, TYPE I

National Provider Directory

National Provider Directory
Tax ID family
Karen E Agersbog DO Associates PC2 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": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1285867762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HAMILTON ST",
            "address_2": "803",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303889",
            "telephone_number": "215-248-2600",
            "fax_number": "215-248-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 GERMANTOWN AVE",
            "address_2": "SUITE 14",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182722",
            "telephone_number": "215-248-2600",
            "fax_number": "215-248-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN E. AGERSBORG DO ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "AGERSBORG",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-280-0692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "OS010570L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, TYPE I",
            "identifier": "1629069703",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.