NPIMap

Organization Active NPI

Pottstown Hospital Company LLC

  • Family Medicine Physician
  • Douglassville, PA
National Provider Identifier
1386646164
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
POTTSTOWN HOSPITAL COMPANY LLC
Practice address
193 Old Swede Rd
Douglassville, PA 19518-1522
Phone
(610) 385-3010
Fax
(610) 385-3082
NPI assigned
Aug 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Brian Peoples
Title
VP
Phone
(615) 465-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X PA Primary

Addresses

Primary practice location

193 Old Swede Rd
Douglassville, PA 19518-1522

Mailing address

730 S Hanover St
Pottstown, PA 19465-7520
Phone (610) 323-6835

Other identifiers 1

IdentifierTypeStateIssuer
1007517440009MedicaidPA

Other names 1

  • Coventry Medical Group - FP#2 Doing business as

National Provider Directory

National Provider Directory

Locations

193 Old Swede Rd
Douglassville, PA 19518
Phone (610) 385-3010

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386646164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S HANOVER ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657520",
            "telephone_number": "610-323-6835",
            "fax_number": "610-323-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 OLD SWEDE RD",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181522",
            "telephone_number": "610-385-3010",
            "fax_number": "610-385-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTSTOWN HOSPITAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PEOPLES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-465-7000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007517440009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coventry Medical Group - FP#2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglassville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.