Organization Active NPI

Sovereign Family Practice Inc

  • Primary Care Clinic/Center
  • Trexlertown, PA
National Provider Identifier
1316686702
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SOVEREIGN FAMILY PRACTICE INC
Practice address
7150 Hamilton Blvd Unit 400
Trexlertown, PA 18087-9734
Phone
(610) 351-1555
Fax
(610) 351-1445
NPI assigned
Jun 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Gillian Odonnell Morse
Title
Ceo
Phone
(267) 226-1181

Specialties & licenses 1

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

Addresses

Primary practice location

7150 Hamilton Blvd Unit 400
Trexlertown, PA 18087-9734

Mailing address

7150 Hamilton Blvd Unit 400
Trexlertown, PA 18087-9734
Phone (610) 351-1555

National Provider Directory

National Provider Directory

Locations

7150 Hamilton Blvd
Unit 40
Trexlertown, PA 18087
Phone (610) 351-1555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1316686702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 HAMILTON BLVD UNIT 400",
            "city": "TREXLERTOWN",
            "state": "PA",
            "postal_code": "180879734",
            "telephone_number": "610-351-1555",
            "fax_number": "610-351-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 HAMILTON BLVD UNIT 400",
            "city": "TREXLERTOWN",
            "state": "PA",
            "postal_code": "180879734",
            "telephone_number": "610-351-1555",
            "fax_number": "610-351-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "ODONNELL MORSE",
        "authorized_official_first_name": "GILLIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-226-1181"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trexlertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.