NPIMap

Organization Active NPI

Abington Memorial Hospital

Doing business as AMH OB GYN Faculty Associates

  • Gynecologic Oncology Physician
  • Abington, PA
National Provider Identifier
1366835571
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
ABINGTON MEMORIAL HOSPITAL
Doing business as
AMH OB GYN Faculty Associates
Practice address
1245 Highland Ave Ste 109
Abington, PA 19001-3722
Phone
(215) 481-2000
NPI assigned
Mar 12, 2015
Last updated
Oct 10, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ABINGTON MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Authorized official

Name
Michael B Walsh
Title
Senior VP Finance
Phone
(215) 481-2850

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Gynecologic Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0201X Primary
Obstetrics & Gynecology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LX0001X PA

Addresses

Primary practice location

1245 Highland Ave Ste 109
Abington, PA 19001-3722

Mailing address

PO Box 826594
Philadelphia, PA 19182-6594
Phone (215) 481-3918

Other names 1

  • AMH OB GYN Faculty Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150624002498 PA Part B Supplier - Clinic/Group Practice 3274437736 Receives reassigned benefits from 31 practitioners
Practice locations: Abington, PA

National Provider Directory

National Provider Directory
Part of
Brecher and Knapp

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Abington Memorial HospitalAbington, PA, CCN 39S231 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1966
Jul 1, 1966
Powerback RehabilitationAmbler, PA, CCN 395922 Skilled nursing facility Adp of the SNF Nov 1, 2014
Jefferson Health at Home by BayadaVoorhees, NJ, CCN 317073 Home health agency 5% Or Greater Indirect Ownership Interest (46.3%) Jun 6, 2022
Jefferson Health at Home by BayadaPhiladelphia, PA, CCN 397643 Home health agency 5% Or Greater Indirect Ownership Interest (46.3%) Jun 6, 2022
Jefferson Health at Home by BayadaHorsham, PA, CCN 397145 Home health agency 5% Or Greater Indirect Ownership Interest (45%) Jun 6, 2022
Jefferson Health at Home by BayadaHorsham, PA, CCN 391524B Hospice 5% Or Greater Indirect Ownership Interest (45%) Jun 6, 2022

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1366835571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826594",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191826594",
            "telephone_number": "215-481-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 HIGHLAND AVE STE 109",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013722",
            "telephone_number": "215-481-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGTON MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABINGTON MEMORIAL HOSPITAL",
        "enumeration_date": "2015-03-12",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SENIOR VP FINANCE",
        "authorized_official_telephone_number": "215-481-2850"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMH OB GYN Faculty Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AMH OB GYN Faculty Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.