Active NPI
John E. Devenney, MD
- Diagnostic Radiology Physician
- East Norriton, PA
National Provider Identifier
1497705776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD013519E
- Practice address
- 559 W Germantown Pike
East Norriton, PA 19403-4250 - Phone
- (484) 622-0700
- Fax
- (484) 622-0643
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | MD013519E | PA | |
| Nuclear Radiology Physician | 2085N0904X | MD013519E | PA | |
| Diagnostic Radiology Physician | 2085R0202X | MD013519E | PA | Primary |
Addresses
Primary practice location
559 W Germantown Pike
East Norriton, PA 19403-4250
Mailing address
PO Box 820137
Philadelphia, PA 19182-0137
Phone (610) 270-2352
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066736 | Other | PA | HIGHMARK BLUESHIELD |
| 300040510 | Other | PA | RRM |
| 0070422201 | Other | PA | AMERICHOICE |
| 4339200 | Other | PA | AETNA PPO |
| 1030301 | Other | PA | KEYSTONE MERCY HEALTHPLAN |
| 350689 | Other | PA | PHCS |
| 2649708 | Other | PA | AETNA HMO |
| 6864183 | Other | PA | CIGNA HMO/PPO |
| 0007042220001 | Medicaid | PA | |
| 0057272000 | Other | PA | IBC - PC/KHPE |
| 0057272000 | Other | PA | AMERIHEALTH/INTERCOUNTY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1497705776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 820137",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191820137",
"telephone_number": "610-270-2352",
"fax_number": "610-270-2358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 W GERMANTOWN PIKE",
"city": "EAST NORRITON",
"state": "PA",
"postal_code": "194034250",
"telephone_number": "484-622-0700",
"fax_number": "484-622-0643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVENNEY",
"first_name": "JOHN",
"middle_name": "E.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "PA",
"license": "MD013519E",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "PA",
"license": "MD013519E",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD013519E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUESHIELD",
"identifier": "066736",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRM",
"identifier": "300040510",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0070422201",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4339200",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HEALTHPLAN",
"identifier": "1030301",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "350689",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2649708",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO/PPO",
"identifier": "6864183",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007042220001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC - PC/KHPE",
"identifier": "0057272000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/INTERCOUNTY",
"identifier": "0057272000",
"state": "PA"
}
],
"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 Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.