Mercy Management of Sepa
Organization Active NPI Orthopaedic Surgery Physician · Yeadon, PA
NPI 1396857504 · NPPES record last updated Feb 6, 2008
Key facts
- NPI
- 1396857504
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- MERCY MANAGEMENT OF SEPA
- Practice address
- 433 S Lansdowne Ave
Yeadon, PA 19050-2405 - Phone
- (610) 626-9800
- Fax
- (610) 237-4202
- NPI assigned
- Sep 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Douglas C. Smith, V.P.
- Title
- Patient Accounts VP
- Phone
- (610) 567-6967
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
433 S Lansdowne Ave
Yeadon, PA 19050-2405
Mailing address
1 W Elm St
Suite 100
Conshohocken, PA 19428-4108
Phone (610) 567-6967
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007787930170 | Medicaid | PA | |
| 2760128000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 1893659 | Other | PA | HIGHMARK BLUE SHIELD |
| 30035145 | Other | PA | KEYSTONE MERCY HEALTH |
Other names
- Mercy Orthopedic Group
Other providers in Yeadon, PA
- Megan McCullough
- Crystal McKissick
- Mel'S Touch at Home LLC
- Anthony Techie Mensah
- Mercy Catholic Medical Center of Southeastern Pennsylvania
- Mercy/Manor Partnership
- Motina Services
- National Event Services Inc
- Nichole Norman
- Alexandria Rae Norton
All providers in Yeadon, PA · Orthopaedic Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.