NPIMap

Organization Active NPI

Girard Internal Medicine LLC

  • Primary Care Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1285875435
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
OS013278 Issued in PA
Legal business name
GIRARD INTERNAL MEDICINE LLC
Practice address
2625 W Girard Ave
Philadelphia, PA 19130-1333
Phone
(215) 724-0517
NPI assigned
Mar 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Dr. Nicole Arcuri Kimzey, D.O.NPI 1184868101
Title
Physician
Phone
(215) 724-0517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X OS013278 PA Primary

Addresses

Primary practice location

2625 W Girard Ave
Philadelphia, PA 19130-1333

Mailing address

2625 W Girard Ave
Philadelphia, PA 19130-1333
Phone (215) 724-0517

National Provider Directory

National Provider Directory

Locations

2625 W Girard Ave
Philadelphia, PA 19130
Phone (215) 235-3800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1285875435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301333",
            "telephone_number": "215-724-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301333",
            "telephone_number": "215-724-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIRARD INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "KIMZEY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ARCURI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "215-724-0517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "OS013278",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 18, 2009; 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.