Urologic Consultants of Southeastern Pennsylvania LLP

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

UROLOGIC CONSULTANTS OF SOUTHEASTERN PENNSYLVANIA LLP

Practice address

1 Presidential Blvd
Ste 100
Bala Cynwyd, PA 19004-1017

Phone

(610) 667-3020

Fax

(610) 667-1817

NPI assigned

Sep 23, 2014

Organization subpart

No

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

Authorized official

Name

Nancy P Miller

Title

Practice Manager

Phone

(610) 667-3020

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel Marvin Weissman, M.D.

  • Urology Physician
  • Philadelphia, PA
  • NPI 1922017763
  NPD (past)

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1477955375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESIDENTIAL BLVD",
            "address_2": "STE 100",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041017",
            "telephone_number": "610-667-3020",
            "fax_number": "610-667-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PRESIDENTIAL BLVD",
            "address_2": "STE 100",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041017",
            "telephone_number": "610-667-3020",
            "fax_number": "610-667-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGIC CONSULTANTS OF SOUTHEASTERN PENNSYLVANIA LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "610-667-3020"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018621670001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "110709",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Marie Ulmer, DPT
• Ultimate Health and Chiropractic PC
• United Woundcare Institute Pennsylvania PLLC
• University Open MRI PC
• Urologic Consultants of Southeastern Pennsylvania LLP
• Urologic Consultants of Southeastern Pennsylvania, LLP
• Urologic Surgery, PC
• Shailendra Shantiprasad Vaidya, M.D.
• Jennifer Megan Vallieres, LPC
• Mary Van Den Berg-Wolf, MD

• Anatomic Pathology & Clinical Pathology Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.