Individual provider Active NPI

Mark Edward Delowery, D.O., MPH

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1326189317
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS005302L Issued in PA
Practice address
150 S Independence Mall W
Suite 368
Philadelphia, PA 19106-3413
Phone
(215) 861-4114
Fax
(215) 861-4121
NPI assigned
Feb 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS005302L PA Primary

Addresses

Primary practice location

150 S Independence Mall W
Suite 368
Philadelphia, PA 19106-3413

Mailing address

474 Hughes Rd
King of Prussia, PA 19406-3716
Phone (610) 687-9333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS005302LPAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326189317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 HUGHES RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063716",
            "telephone_number": "610-687-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S INDEPENDENCE MALL W",
            "address_2": "SUITE 368",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063413",
            "telephone_number": "215-861-4114",
            "fax_number": "215-861-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOWERY",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.O., MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005302L",
            "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 Jul 8, 2007; 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.