Organization Active NPI

Phi-Nga Jeannie Le, M.D., P.a.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1407991748
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M0144 Issued in TX
Legal business name
PHI-NGA JEANNIE LE, M.D., P.A.
Practice address
3620 Hamilton Walk
University of Pennsylvania, Hyperbaric Medicine
Philadelphia, PA 19104-4799
Phone
(215) 898-9095
NPI assigned
Feb 21, 2007
Last updated
Sep 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
Dr. Phi-Nga Jeannie Le, M.D.
Title
Owner
Phone
(215) 898-9095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X M0144 TX Primary

Addresses

Primary practice location

3620 Hamilton Walk
University of Pennsylvania, Hyperbaric Medicine
Philadelphia, PA 19104-4799

Mailing address

3620 Hamilton Walk
University of Pennsylvania, Hyperbaric Medicine
Philadelphia, PA 19104-4799

Other identifiers 1

IdentifierTypeStateIssuer
M0144OtherTXLICENSE

National Provider Directory

National Provider Directory

Locations

810 S Mason Rd
Ste 201
Katy, TX 77450
Phone (281) 392-8550

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1407991748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 HAMILTON WALK",
            "address_2": "UNIVERSITY OF PENNSYLVANIA, HYPERBARIC MEDICINE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 HAMILTON WALK",
            "address_2": "UNIVERSITY OF PENNSYLVANIA, HYPERBARIC MEDICINE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044799",
            "telephone_number": "215-898-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHI-NGA JEANNIE LE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "PHI-NGA",
        "authorized_official_middle_name": "JEANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-898-9095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "M0144",
            "state": "TX"
        }
    ],
    "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 29, 2009; 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.