NPIMap

Organization Active NPI

Dynamic Medical Urgent Care of Limekiln Pike

  • Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1396178323
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD422335 Issued in PA
Legal business name
DYNAMIC MEDICAL URGENT CARE OF LIMEKILN PIKE
Practice address
6101 Limekiln Pike
Philadelphia, PA 19141-1423
Phone
(267) 335-3961
Fax
(267) 335-3702
NPI assigned
Aug 13, 2013
Last updated
Sep 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Dr. Highland R Campbell, M.D.
Title
Owner
Phone
(267) 335-3961

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD422335 PA Primary
Urgent Care Clinic/Center 261QU0200X MD422335 PA

Addresses

Primary practice location

6101 Limekiln Pike
Philadelphia, PA 19141-1423

Mailing address

6101 Limekiln Pike
Philadelphia, PA 19141-1423
Phone (267) 335-3961

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1396178323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 LIMEKILN PIKE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411423",
            "telephone_number": "267-335-3961",
            "fax_number": "267-335-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 LIMEKILN PIKE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411423",
            "telephone_number": "267-335-3961",
            "fax_number": "267-335-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MEDICAL URGENT CARE OF LIMEKILN PIKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "HIGHLAND",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-335-3961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "MD422335",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "PA",
            "license": "MD422335",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 10, 2013; 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.