NPIMap

Organization Active NPI

County of Montgomery House Staff

  • Geriatric Medicine (Family Medicine) Physician
  • Royersford, PA
National Provider Identifier
1467619452
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
COUNTY OF MONTGOMERY HOUSE STAFF
Doing business as
PARKHOUSE PROVIDENCE POINTE
Practice address
1600 Black Rock Rd
Royersford, PA 19468-3147
Phone
(610) 792-2224
NPI assigned
May 19, 2008
Organization subpart
Yes
Parent organization
PARKHOUSE PROVIDENCE POINTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Melanie Deblase, DON
Title
Administrator
Phone
(610) 792-2224

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QG0300X Primary
Medical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AM0700X

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 18

IdentifierTypeStateIssuer
1417904897OtherPANPI
P00353119OtherPARAILROAD
970001552OtherPARAILROAD
080140805OtherPARAILROAD
1962412791OtherPANPI
MA000727LOtherPALICENSE
P00353128OtherPARAILROAD
OS006559LOtherPALICENSE
010062489OtherPARAILROAD #
080140805OtherPARAILROAD #
OS008998LOtherPALICENSE
1194769596OtherPANPI
MA000404LOtherPALICENSE
OS008196LOtherPALICENSE
080154916OtherPARAILROAD #
1093753949OtherPANPI
177908OtherPAPROVIDER #
1710029335OtherPANPI

Other names 1

  • PARKHOUSE PROVIDENCE POINTE Doing business as

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1467619452",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MONTGOMERY HOUSE STAFF",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKHOUSE PROVIDENCE POINTE",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "DEBLASE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-792-2224",
        "authorized_official_credential": "DON"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417904897",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00353119",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "970001552",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "080140805",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962412791",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MA000727L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00353128",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OS006559L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD #",
            "identifier": "010062489",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD #",
            "identifier": "080140805",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OS008998L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194769596",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MA000404L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OS008196L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD #",
            "identifier": "080154916",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093753949",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER #",
            "identifier": "177908",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710029335",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARKHOUSE PROVIDENCE POINTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 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.