Active NPI
Grand View Hospital
- Sports Medicine (Family Medicine) Physician
- Sellersville, PA
National Provider Identifier
1477037877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- Legal business name
- GRAND VIEW HOSPITAL
- Practice address
- 915 Lawn Ave
Sellersville, PA 18960-1551 - Phone
- (215) 257-3700
- Fax
- (215) 257-0360
- NPI assigned
- Sep 20, 2018
- Organization subpart
- Yes
- Parent organization
- GRAND VIEW HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arthur Anderson
- Title
- Cfo
- Phone
- (215) 453-4120
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | Primary |
Addresses
Primary practice location
915 Lawn Ave
Sellersville, PA 18960-1551
Mailing address
PO Box 358
Souderton, PA 18964-0358
Phone (215) 257-3700
Other names 1
- GVMP Specialty Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190103000983 | PA | Part B Supplier - Clinic/Group Practice | 8022001924 |
Receives reassigned benefits from 7 practitioners Practice locations: Colmar, PA; Dublin, PA; Harleysville, PA; Lansdale, PA; Quakertown, PA; Sellersville, PA |
National Provider Directory
National Provider Directory- Part of
- Grand View Hospital
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Grand View Home Care | Home health agency | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Security Interest (100%) Operational/Managerial Control (100%) |
Nov 1, 1983 Nov 1, 1983 Nov 1, 1983 |
| Grandview Hospice | Hospice | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Oct 1, 1981 Oct 1, 1981 |
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Physician Assistant
- Sellersville, PA
- NPI 1528031424
PA
-
- Sports Medicine (Family Medicine) Physician
- Sellersville, PA
- NPI 1114112067
PA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690934400000",
"number": "1477037877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 358",
"city": "SOUDERTON",
"state": "PA",
"postal_code": "189640358",
"telephone_number": "215-257-3700",
"fax_number": "215-257-0360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 LAWN AVE",
"city": "SELLERSVILLE",
"state": "PA",
"postal_code": "189601551",
"telephone_number": "215-257-3700",
"fax_number": "215-257-0360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND VIEW HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GRAND VIEW HOSPITAL",
"enumeration_date": "2018-09-20",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "ARTHUR",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "215-453-4120"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GVMP Specialty Associates",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "GVMP Specialty Associates",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sellersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.