NPIMap

Organization Active NPI

Tower Health Medical Group

Doing business as Gynecologic Oncology - Tower Health Medical Group

  • Gynecologic Oncology Physician
  • West Reading, PA
National Provider Identifier
1336230242
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
TOWER HEALTH MEDICAL GROUP
Doing business as
Gynecologic Oncology - Tower Health Medical Group
Practice address
420 S 5TH Ave BLDG N
West Reading, PA 19611-2143
Phone
(484) 628-8905
Fax
(484) 628-5189
NPI assigned
Sep 27, 2006
Reactivated
Mar 27, 2008
Last updated
May 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Authorized official

Name
Gary Conner
Title
Cfo
Phone
(484) 628-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X Primary

Addresses

Primary practice location

420 S 5TH Ave BLDG N
West Reading, PA 19611-2143

Mailing address

PO Box 13579
Reading, PA 19612-3579

Other identifiers 1

IdentifierTypeStateIssuer
072790OtherPAMEDICARE PTAN

Other names 1

  • Gynecologic Oncology - Tower Health Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1336230242",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S 5TH AVE BLDG N",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196112143",
            "telephone_number": "484-628-8905",
            "fax_number": "484-628-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-05-20",
        "deactivation_date": "2008-01-09",
        "reactivation_date": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "484-628-8181"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "072790",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gynecologic Oncology - Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.

Verify at the official NPI Registry.