Organization Active NPI

TPS V of PA,, LLC

  • Pediatrics Physician
  • Yardley, PA
National Provider Identifier
1366488876
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TPS V OF PA,, LLC
Practice address
680 Heacock Rd
Suite 101
Yardley, PA 19067-6346
Phone
(215) 493-6519
Fax
(215) 493-3929
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Mr. Wesley O. James
Title
Regional Cfo, Tenet
Phone
(404) 265-5009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

680 Heacock Rd
Suite 101
Yardley, PA 19067-6346

Mailing address

PO Box 822393
Philadelphia, PA 19182-2393
Phone (215) 427-6871

Other names 1

  • SCHC Clinical Pediatric Associates Doing business as

National Provider Directory

National Provider Directory

Locations

680 Heacock Rd
Ste 101
Yardley, PA 19067
Phone (215) 493-6519

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1366488876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822393",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191822393",
            "telephone_number": "215-427-6871",
            "fax_number": "215-427-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 HEACOCK RD",
            "address_2": "SUITE 101",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190676346",
            "telephone_number": "215-493-6519",
            "fax_number": "215-493-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TPS V OF PA,, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCHC Clinical Pediatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.