Tabor-Adams Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD060716L Issued in PA

Legal business name

TABOR-ADAMS INTERNAL MEDICINE PC

Practice address

6420 Rising Sun Ave
Philadelphia, PA 19111-5229

Phone

(215) 725-7550

Fax

(215) 725-1018

NPI assigned

Oct 9, 2006

Last updated

Mar 31, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Oung Thain, M.D.NPI 1811948409

Title

Owner

Phone

(215) 288-8200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Oung Thain, M.D.

  • Specialist
  • Philadelphia, PA
  • NPI 1811948409
  Medicare reassignment Authorized official
• Ngozi Theresa Ugoh

  • Psychiatric/Mental Health Nurse Practitioner
  • Gloucester City, NJ
  • NPI 1851122766
  NPD
• Nagasasikanth R Mopuri, MD,MBA,MHA

  • Internal Medicine Physician
  • Medford, NJ
  • NPI 1205399805
  NPD (past)

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1346337581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 LORIMER AVE",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190068111",
            "telephone_number": "215-288-8200",
            "fax_number": "215-288-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115229",
            "telephone_number": "215-725-7550",
            "fax_number": "215-725-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABOR-ADAMS INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "THAIN",
        "authorized_official_first_name": "OUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-288-8200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD060716L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabor Children's Services Inc
• Tabor Children's Services Inc.
• Tabor Children's Services Inc.
• Tabor Chiropractic &Rehabilitation LLC
• Tabor Community Partners
• Biniyam Beyene Tabor
• Shervin Tabrizi, MD
• Tacony Academy Charter School
• Tacony Family Medicine PC
• Tacony Pharmacy Inc (tacony pharmacy)

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, 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 Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.