Organization Active NPI

Family Practice of Jeffersonville, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • East Norriton, PA
National Provider Identifier
1437600095
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
OS018261 Issued in PA
Legal business name
FAMILY PRACTICE OF JEFFERSONVILLE, LLC
Practice address
190 W Germantown Pike
Suite 155
East Norriton, PA 19401-1383
Phone
(610) 277-9040
NPI assigned
Oct 19, 2016
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Scott Yarmark, D.O.NPI 1265548648
Title
Physician
Phone
(610) 277-9040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X OS018261 PA Primary

Addresses

Primary practice location

190 W Germantown Pike
Suite 155
East Norriton, PA 19401-1383

Mailing address

190 W Germantown Pike
Suite 155
East Norriton, PA 19401-1385
Phone (610) 277-9040

National Provider Directory

National Provider Directory
Tax ID family
Family Practice of Jeffersonville2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

190 W Germantown Pike
Ste 155
Norristown, PA 19401
Phone (610) 229-9060

Practitioners & affiliated clinicians

Practitioners 1

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": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1437600095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W GERMANTOWN PIKE",
            "address_2": "SUITE 155",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011385",
            "telephone_number": "610-277-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W GERMANTOWN PIKE",
            "address_2": "SUITE 155",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011383",
            "telephone_number": "610-277-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE OF JEFFERSONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "YARMARK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "610-277-9040",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS018261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.