The Injury Care Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THE INJURY CARE CENTER

Practice address

901 W. Ashland Ave.
Glenolden, PA 19036

Phone

(484) 494-5601

Fax

(484) 494-6463

NPI assigned

Aug 27, 2010

Organization subpart

No

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

Authorized official

Name

Kathy M. Aikens

Title

Financial Administrator

Phone

(484) 494-5601

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

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

• William T Ingram, DO

  • Family Medicine Physician
  • Glenolden, PA
  • NPI 1205838463
  Medicare reassignment NPD
• Bill J Pavlou, MD

  • Family Medicine Physician
  • Glenolden, PA
  • NPI 1760456826
  Medicare reassignment NPD
• Tapan Joshi, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Clermont, FL
  • NPI 1710150115

  PA

  Medicare reassignment NPD
• Sarah Crane Johnson, PA-C

  • Medical Physician Assistant
  • Glenolden, PA
  • NPI 1396059119
  Medicare reassignment

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1336455336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W. ASHLAND AVE.",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "19036",
            "telephone_number": "484-494-5601",
            "fax_number": "484-494-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W. ASHLAND AVE.",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "19036",
            "telephone_number": "484-494-5601",
            "fax_number": "484-494-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INJURY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "AIKENS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "FINANCIAL ADMINISTRATOR",
        "authorized_official_telephone_number": "484-494-5601"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Streeper
• Edward Woo Suh, PHARM.D
• Sunflower Radiance Counseling LLC
• Stacy A Swenson, MSW
• Taday Care Services
• Brian M Tice, RPH
• Total Services Home Care Provider LLC
• Niki Tsetsekos, R.PH.
• Michael Steven Upshur Sr.
• Natalie Hope Varela

• Family Medicine Physician in Glenolden, PA
• Providers in Glenolden, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.