NPIMap

Organization Active NPI

Ovation Center of Integrative Medicine Ubo

  • General Practice Physician
  • Dresher, PA
National Provider Identifier
1356713853
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
OVATION CENTER OF INTEGRATIVE MEDICINE UBO
Practice address
1825 Limekiln Pike
Suite 5
Dresher, PA 19025-1739
Phone
(215) 646-6400
Fax
(215) 646-0650
NPI assigned
Oct 22, 2015
Last updated
Jan 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Ron Siscoe
Title
Owner
Phone
(215) 646-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1825 Limekiln Pike
Suite 5
Dresher, PA 19025-1739

Mailing address

1825 Limekiln Pike
Suite 5
Dresher, PA 19025-1739
Phone (215) 646-6400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1356713853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 LIMEKILN PIKE",
            "address_2": "SUITE 5",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "190251739",
            "telephone_number": "215-646-6400",
            "fax_number": "215-646-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 LIMEKILN PIKE",
            "address_2": "SUITE 5",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "190251739",
            "telephone_number": "215-646-6400",
            "fax_number": "215-646-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVATION CENTER OF INTEGRATIVE MEDICINE UBO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "SISCOE",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-646-6400"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dresher, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.