NPIMap

Organization Active NPI

Evelyn R. Runer, M.D., Face, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Fairless Hills, PA
National Provider Identifier
1386783603
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD064046L Issued in PA
Legal business name
EVELYN R. RUNER, M.D., FACE, LLC
Doing business as
Evelyn R Runer, MD, FACE, LLC
Practice address
333 N. Oxford Valley Rd.
Suite 404
Fairless Hills, PA 19030
Phone
(215) 741-4016
Fax
(215) 741-4019
NPI assigned
Feb 5, 2007
Last updated
Oct 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Dr. Evelyn Rosario Runer, M.D.NPI 1306936620
Title
Owner
Phone
(215) 741-4016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD064046L PA Primary

Addresses

Primary practice location

333 N. Oxford Valley Rd.
Suite 404
Fairless Hills, PA 19030

Mailing address

333 N. Oxford Valley Rd.
Suite 404
Fairless Hills, PA 19030
Phone (215) 741-4016

Other identifiers 1

IdentifierTypeStateIssuer
0019408500003MedicaidPA

Other names 1

  • Evelyn R Runer, MD, FACE, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

929 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 663-1490

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1386783603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N. OXFORD VALLEY RD.",
            "address_2": "SUITE 404",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "19030",
            "telephone_number": "215-741-4016",
            "fax_number": "215-741-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N. OXFORD VALLEY RD.",
            "address_2": "SUITE 404",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "19030",
            "telephone_number": "215-741-4016",
            "fax_number": "215-741-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN R. RUNER, M.D., FACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "RUNER",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "ROSARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-741-4016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD064046L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019408500003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evelyn R Runer, MD, FACE, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairless Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.