NPIMap

Organization Active NPI

Planned Parenthood Southeastern Pennsylvania

  • Ambulatory Family Planning Facility
  • Media, PA
National Provider Identifier
1306988498
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
Legal business name
PLANNED PARENTHOOD SOUTHEASTERN PENNSYLVANIA
Practice address
216 W State St
Media, PA 19063-3113
Phone
(215) 351-5500
Fax
(215) 351-5595
NPI assigned
Feb 13, 2007
Last updated
Aug 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Vera Bailey
Title
Cfo
Phone
(215) 351-5536

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU
Gynecology Physician 207VG0400X NU
Clinic Pharmacy 3336C0002X NU

Addresses

Primary practice location

216 W State St
Media, PA 19063-3113

Mailing address

1144 Locust St
Philadelphia, PA 19107-6734
Phone (215) 351-5500

Other identifiers 4

IdentifierTypeStateIssuer
5066359OtherPAAETNA PROVIDER #
0060242000OtherPAIBC PROVIDER # MEDIA
1007730530007MedicaidPA
156525OtherPAPA BC-BS PROVIDER #

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood Southeastern PA19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

1144 Locust St
Philadelphia, PA 19107
Phone (215) 351-5560

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1306988498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076734",
            "telephone_number": "215-351-5500",
            "fax_number": "215-351-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W STATE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633113",
            "telephone_number": "215-351-5500",
            "fax_number": "215-351-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD SOUTHEASTERN PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-351-5536"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "5066359",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC PROVIDER # MEDIA",
            "identifier": "0060242000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007730530007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BC-BS PROVIDER #",
            "identifier": "156525",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.