Basil Jawad,M .D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BASIL JAWAD,M .D.

Practice address

3149 Lincoln Hwy
Thorndale, PA 19372-1129

Phone

(610) 383-1100

Fax

(610) 383-1331

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Basil Jawad, M.D.

Title

Owner

Phone

(610) 383-1100

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1346363041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 LINCOLN HWY",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721129",
            "telephone_number": "610-383-1100",
            "fax_number": "610-383-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 LINCOLN HWY",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721129",
            "telephone_number": "610-383-1100",
            "fax_number": "610-383-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIL JAWAD,M .D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "JAWAD",
        "authorized_official_first_name": "BASIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-383-1100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008733880006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1025763",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110007674",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "102698",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0026142001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Thorndale, PA
• Providers in Thorndale, 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 Apr 29, 2008; 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.