NPIMap

Organization Active NPI

Family Medical Center

  • Geriatric Medicine (Family Medicine) Physician
  • Elverson, PA
National Provider Identifier
1457499360
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
OS-004444L Issued in PA
Legal business name
FAMILY MEDICAL CENTER
Practice address
11 South Pine Street
Elverson, PA 19520-0420
Phone
(610) 286-9000
Fax
(610) 286-9410
NPI assigned
Feb 2, 2007
Last updated
Aug 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Dr. Gordon Richard Eck, DONPI 1437156387
Title
Owner Physician
Phone
(610) 286-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X OS-004444L PA Primary

Addresses

Primary practice location

11 South Pine Street
Elverson, PA 19520-0420

Mailing address

11 South Pine Street
P.O. Box 420
Elverson, PA 19520-0420
Phone (610) 286-9000

Other identifiers 1

IdentifierTypeStateIssuer
OS-004444LOtherPAPA LICENSE NUMBER

National Provider Directory

National Provider Directory

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1457499360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SOUTH PINE STREET",
            "address_2": "P.O. BOX 420",
            "city": "ELVERSON",
            "state": "PA",
            "postal_code": "195200420",
            "telephone_number": "610-286-9000",
            "fax_number": "610-286-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SOUTH PINE STREET",
            "city": "ELVERSON",
            "state": "PA",
            "postal_code": "195200420",
            "telephone_number": "610-286-9000",
            "fax_number": "610-286-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "ECK",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "610-286-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS-004444L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE NUMBER",
            "identifier": "OS-004444L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elverson, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.