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Abington Memorial Hospital

Organization Active NPI Gynecologic Oncology Physician · Abington, PA

NPI 1366835571 · NPPES record last updated Oct 10, 2022

Key facts

NPI
1366835571
Entity type
Organization (NPI type 2)
Primary specialty
Gynecologic Oncology Physician 207VX0201X
Legal business name
ABINGTON MEMORIAL HOSPITAL
Practice address
1245 Highland Ave Ste 109
Abington, PA 19001-3722
Phone
(215) 481-2000
NPI assigned
Mar 12, 2015
Organization subpart
Yes
Parent organization (as reported)
ABINGTON MEMORIAL HOSPITAL

Authorized official

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

Practitioners 31

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

View all 31

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

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 Hospital
Abington, PA · CCN 39S231		 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1966
Jul 1, 1966
Powerback Rehabilitation
Ambler, PA · CCN 395922		 Skilled nursing facility Adp of the SNF Nov 1, 2014
Jefferson Health at Home by Bayada
Voorhees, NJ · CCN 317073		 Home health agency 5% Or Greater Indirect Ownership Interest (46.3%) Jun 6, 2022
Jefferson Health at Home by Bayada
Philadelphia, PA · CCN 397643		 Home health agency 5% Or Greater Indirect Ownership Interest (46.3%) Jun 6, 2022
Jefferson Health at Home by Bayada
Horsham, PA · CCN 397145		 Home health agency 5% Or Greater Indirect Ownership Interest (45%) Jun 6, 2022
Jefferson Health at Home by Bayada
Horsham, PA · CCN 391524B		 Hospice 5% Or Greater Indirect Ownership Interest (45%) Jun 6, 2022

Medicare enrollment records

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

Part of
Abington Adult Medical

Locations

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207V00000X
Gynecologic Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207VX0201X Yes
Obstetrics & Gynecology Nurse Practitioner
Group: 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

  • AMH OB GYN Faculty Associates Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 10, 2022.

{
    "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

All providers in Abington, PA · Gynecologic Oncology Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.