Prime Healthcare Services-Suburban Hospital LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

197201 Issued in PA

Legal business name

PRIME HEALTHCARE SERVICES-SUBURBAN HOSPITAL LLC

Practice address

2701 Dekalb Pike
East Norriton, PA 19401-1820

Phone

(610) 278-2000

Fax

(610) 272-4642

NPI assigned

Sep 2, 2015

Organization subpart

Yes

Parent organization

PRIME HEALTHCARE SERVICES-SUBURBAN HOSPITAL LLCAs reported in NPPES

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

Authorized official

Name

Christopher Doan

Title

Chief Compliance Counsel

Phone

(909) 235-4307

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Prime Healthcare Services-Suburban Hospital LLC

  • General Acute Care Hospital
  • East Norriton, PA
  • NPI 1124495239

  O20151210002070

  Same enrollment

Part of

Prime Healthcare Services-Suburban Hospital LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Prime Healthcare Services-Suburban Hospital LLC

  • General Acute Care Hospital
  • East Norriton, PA
  • NPI 1124495239
  NPPES parent name

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1366819799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 DEKALB PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011820",
            "telephone_number": "610-278-2000",
            "fax_number": "610-272-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DEKALB PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011820",
            "telephone_number": "610-278-2000",
            "fax_number": "610-272-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE SERVICES-SUBURBAN HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME HEALTHCARE SERVICES-SUBURBAN HOSPITAL LLC",
        "enumeration_date": "2015-09-02",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE COUNSEL",
        "authorized_official_telephone_number": "909-235-4307"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "197201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100727702",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103075750",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Orthopaedic and Sports Medicine Associates LTD
• Premier Orthopaedic and Sports Medicine Associates, LTD
• Leslie Melissa Presbot, MD
• Prime Healthcare Services-Suburban Hospital LLC
• Prime Healthcare Services-Suburban Hospital LLC
• Progressive Gynecology PLLC
• John Thomas Quigley, M.D., M.P.H.
• Whitney Quinlan, PSY.D.
• Ramanan Ramesh, DO
• Craig William Raphael, M.D.

• Ambulatory Surgical Clinic/Center in East Norriton, PA
• Providers in East Norriton, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.