Active NPI
Tower Health Medical Group
Doing business as Transplant Broad Street Tower Health Medical Group
- Transplant Surgery Physician
- Philadelphia, PA
National Provider Identifier
1306476924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- Legal business name
- TOWER HEALTH MEDICAL GROUP
- Doing business as
- Transplant Broad Street Tower Health Medical Group
Transplant CMP Tower Health Medical Group
Transplant Chestnut Hill Tower Health Medical Group - Practice address
- 8835 Germantown Ave
Philadelphia, PA 19118-2718 - Phone
- (484) 628-7700
- Fax
- (484) 628-7766
- NPI assigned
- Jan 23, 2020
- Last updated
- Nov 26, 2021
- 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
- Robert Ehinger
- Title
- Sr VP Financial Operations
- Phone
- (484) 628-1324
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | NU | Primary | |
| Hepatology Physician | 207RI0008X | NU | ||
| Infectious Disease Physician | 207RI0200X | NU | ||
| Nephrology Physician | 207RN0300X | NU |
Addresses
Primary practice location
8835 Germantown Ave
Philadelphia, PA 19118-2718
Mailing address
PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-1324
Other practice location 1
219 N Broad St Fl 4
Philadelphia, PA 19107-1507
Phone (484) 628-7700
Other names 3
- Transplant Broad Street Tower Health Medical Group
- Transplant CMP Tower Health Medical Group
- Transplant Chestnut Hill Tower Health Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040311000072 | PA | Part B Supplier - Clinic/Group Practice | 7618889213 |
Receives reassigned benefits from 1,612 practitioners This NPI is an additional NPI on the enrollment Practice locations: West Lawn, PA; Phoenixville, PA; West Reading, PA; Womelsdorf, PA; Wyomissing, PA; Sinking Spring, PA; Bernville, PA; Birdsboro, PA… |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637884800000",
"number": "1306476924",
"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",
"telephone_number": "484-628-1324",
"fax_number": "484-334-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8835 GERMANTOWN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191182718",
"telephone_number": "484-628-7700",
"fax_number": "484-628-7766"
}
],
"practiceLocations": [
{
"address_1": "219 N Broad St Fl 4",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191071507",
"country_code": "US",
"telephone_number": "484-628-7700",
"fax_number": "484-628-7766",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TOWER HEALTH MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-23",
"last_updated": "2021-11-26",
"certification_date": "2021-11-26",
"status": "A",
"authorized_official_last_name": "EHINGER",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "SR VP FINANCIAL OPERATIONS",
"authorized_official_telephone_number": "484-628-1324"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Transplant Broad Street Tower Health Medical Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Transplant CMP Tower Health Medical Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Transplant CMP Tower Health Medical Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Transplant Chestnut Hill Tower Health Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
- Tower Drexel Academic Medical Group LLC (Psychiatry Tower Health Medical Group Vine Street)
- Tower Drexel Academic Medical Group LLC (Family Medicine Tower Health Medical Group Manayunk)
- Tower Drexel Academic Medical Group LLC (Psychiatry Tower Health Medical Group Roosevelt Boulevard)
- Tower Drexel Academic Medical Group LLC (The Partnership Comprehensive Care Practice Tower-Drexel Academic Med)
- Tower Health
- Tower Health Urgent Care, LLC
- Tower Health Urgent Care, LLC
- Tower Health Urgent Care, LLC
- Towerview Health, Inc.
- Lily Towle, BA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.