Active NPI
Berks Medical Center, P.C.
- Family Medicine Physician
- Philadelphia, PA
National Provider Identifier
1386674307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD039412L
- Legal business name
- BERKS MEDICAL CENTER, P.C.
- Practice address
- 700 E Girard Ave
Philadelphia, PA 19125-3411 - Phone
- (215) 203-0600
- Fax
- (215) 203-9402
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard E Scheuermann, M.D.
- Title
- Physican
- Phone
- (215) 203-0600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD039412L | PA | Primary |
Addresses
Primary practice location
700 E Girard Ave
Philadelphia, PA 19125-3411
Mailing address
700 E Girard Ave
Philadelphia, PA 19125-3411
Phone (215) 203-0600
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2Y1415 | Other | PA | PHS |
| 1036574 | Other | PA | KEYSTONE MERCY |
| 780113 | Other | PA | HIGHMARK |
| P380692 | Other | PA | OXFORD |
| 0804534001 | Other | PA | KEYSTONE/AMERIHEALTH |
National Provider Directory
National Provider DirectoryLocations
700 E Girard Ave
Philadelphia, PA 19125
Phone (215) 203-0151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316736000000",
"number": "1386674307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E GIRARD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191253411",
"telephone_number": "215-203-0600",
"fax_number": "215-203-9402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E GIRARD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191253411",
"telephone_number": "215-203-0600",
"fax_number": "215-203-9402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERKS MEDICAL CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2011-09-23",
"status": "A",
"authorized_official_last_name": "SCHEUERMANN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PHYSICAN",
"authorized_official_telephone_number": "215-203-0600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "MD039412L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS",
"identifier": "2Y1415",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1036574",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "780113",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P380692",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE/AMERIHEALTH",
"identifier": "0804534001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.