NPIMap

Organization Active NPI

County of Montgomery Dermatology

  • Clinical & Laboratory Dermatological Immunology Physician
  • Royersford, PA
National Provider Identifier
1427224385
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X
License
MD018026E Issued in PA
Legal business name
COUNTY OF MONTGOMERY DERMATOLOGY
Practice address
1600 Black Rock Rd
Royersford, PA 19468-3147
Phone
(610) 792-2224
Fax
(610) 792-4026
NPI assigned
May 1, 2008
Organization subpart
Yes
Parent organization
PARKHOUSE PROVIDENCE POINTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Mary Lou Morrison
Title
Billing Manager
Phone
(610) 792-2224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Dermatological Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NI0002X MD018026E PA Primary

Addresses

Primary practice location

1600 Black Rock Rd
Royersford, PA 19468-3147

Mailing address

1600 Black Rock Rd
Royersford, PA 19468-3147
Phone (610) 792-2224

Other identifiers 2

IdentifierTypeStateIssuer
070004195OtherPARAILROAD NUMBER
098416OtherPAPROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Montgomery County Treas Court House10 organizations share this tax ID, including this one
Part of
Montgomery County Treas Court House

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1427224385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BLACK ROCK RD",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194683147",
            "telephone_number": "610-792-2224",
            "fax_number": "610-792-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BLACK ROCK RD",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194683147",
            "telephone_number": "610-792-2224",
            "fax_number": "610-792-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MONTGOMERY DERMATOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKHOUSE PROVIDENCE POINTE",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "610-792-2224"
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "PA",
            "license": "MD018026E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD NUMBER",
            "identifier": "070004195",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "098416",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royersford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.