Southampton Medical Practice PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTHAMPTON MEDICAL PRACTICE PC

Practice address

763 Grove Ave
Southampton, PA 18966-3438

Phone

(215) 357-0733

Fax

(215) 357-1434

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Byoung Kwon Chin, MD

Title

President

Phone

(215) 357-0733

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336289115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 GROVE AVE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663438",
            "telephone_number": "215-357-0733",
            "fax_number": "215-357-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 GROVE AVE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663438",
            "telephone_number": "215-357-0733",
            "fax_number": "215-357-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHAMPTON MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "BYOUNG KWON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-357-0733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0022074001",
            "identifier": "KEYSTONE HEALTH PLAN",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Solomon, PHYSICAL THERAPIST
• Madeline Harenza Sousa, MS
• Southampton Chiropractic & Wellness Center, PC
• Southampton Chiropractic Center
• Southampton Dental Smiles
• Southampton Patient Coordination LLC
• Southampton Pediatrics
• Southampton Podiatry Associates
• Southampton Psychiatric Associates PC
• Southstar Care Inc

• Internal Medicine Physician in Southampton, PA
• Providers in Southampton, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.