Organization Active NPI

Innovative Hyperbaric Solutions of Newtown Square

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Newtown Square, PA
National Provider Identifier
1295056562
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
OS009816L Issued in PA
Legal business name
INNOVATIVE HYPERBARIC SOLUTIONS OF NEWTOWN SQUARE
Practice address
3744 W Chester Pike
First Floor
Newtown Square, PA 19073-3224
Phone
(610) 355-1747
Fax
(610) 355-1749
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Patrick Elliott, M.D.
Title
Physician
Phone
(610) 355-1747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0011X OS009816L PA Primary

Addresses

Primary practice location

3744 W Chester Pike
First Floor
Newtown Square, PA 19073-3224

Mailing address

3744 W Chester Pike
First Floor
Newtown Square, PA 19073-3224
Phone (610) 355-1747

National Provider Directory

National Provider Directory

Locations

3744 West Chester Pike
#1
Newtown Square, PA 19073
Phone (610) 355-1747

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1295056562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 W CHESTER PIKE",
            "address_2": "FIRST FLOOR",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733224",
            "telephone_number": "610-355-1747",
            "fax_number": "610-355-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 W CHESTER PIKE",
            "address_2": "FIRST FLOOR",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733224",
            "telephone_number": "610-355-1747",
            "fax_number": "610-355-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HYPERBARIC SOLUTIONS OF NEWTOWN SQUARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "610-355-1747",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "PA",
            "license": "OS009816L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.