The Pediatric & Adolescent Medicine Centers of Philadelphia

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD032197E Issued in PA

Legal business name

THE PEDIATRIC & ADOLESCENT MEDICINE CENTERS OF PHILADELPHIA

Practice address

105 W Schoolhouse Lane
Philadelphia, PA 19144

Phone

(215) 848-9000

Fax

(215) 848-7894

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Pamela Huffman-Devaughn, MDNPI 1588763874

Title

Physician Ceo

Phone

(215) 848-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PAMCOP Other name

Locations

Practitioners 4

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

• Pamela Ann Huffman-Devaughn, M.D.

  • Pediatric Adolescent Medicine Physician
  • Philadelphia, PA
  • NPI 1588763874
  NPD (past) Authorized official
• Maurice Nigel Daniels, MD

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1831110931
  NPD (past)
• William F. King Jr., MD

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1215983630
  NPD (past)
• Valerie L. Moore, D.O.

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1972990513
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1356443543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W SCHOOLHOUSE LANE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19144",
            "telephone_number": "215-848-9000",
            "fax_number": "215-848-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W SCHOOLHOUSE LANE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19144",
            "telephone_number": "215-848-9000",
            "fax_number": "215-848-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEDIATRIC & ADOLESCENT MEDICINE CENTERS OF PHILADELPHIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN-DEVAUGHN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PHYSICIAN CEO",
        "authorized_official_telephone_number": "215-848-9000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD032197E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01273236",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAMCOP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• The Pennsylvania Hospital of the University of Pennsylvania Health Sys
• The Pennsylvania Hospital of the University of Pennsylvania Health Sys
• The Pennsylvania Hospital of the University of Pennsylvania Health Sys
• The Pennsylvania Hospital of the University of Pennsylvania Health Sys
• The Pennsylvania Surgery and Laser Center LLC

• Pediatrics Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.