Barry Packman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD022894E Issued in PA

Practice address

9880 Bustleton Ave
Suite 301
Phila, PA 19115

Phone

(215) 969-2900

Fax

(215) 969-1856

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417060740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 BUSTLETON AVE",
            "address_2": "SUITE 301",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19115",
            "telephone_number": "215-969-2900",
            "fax_number": "215-969-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 BUSTLETON AVE",
            "address_2": "SUITE 301",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19115",
            "telephone_number": "215-969-2900",
            "fax_number": "215-969-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKMAN",
        "first_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD022894E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0053964000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007931240001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "08278",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Onorato
• Lauren Orso, CRNP
• Tristan M Ortiz, CRNP
• Maren Oser, CNM
• Outside Services LLC
• Scott M Page, OD
• Jeanette Anne Pailas, M.A./A.T.R.-L.P.C.
• Dean V Papoutsis, M.D.
• Diane Pappas-Sfedu II
• Romell Parham, MSS

• Internal Medicine Physician in Phila, PA
• Providers in Phila, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.