Individual provider Active NPI

Susan Packer, MD

  • Family Medicine Physician
  • Willow Grove, PA
National Provider Identifier
1497719249
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 025180E Issued in PA
Practice address
2603 Easton Road
Willow Grove, PA 19090-1009
Phone
(267) 537-3300
Fax
(267) 537-2939
NPI assigned
Apr 17, 2006
Last updated
Jan 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 025180E PA Primary

Addresses

Primary practice location

2603 Easton Road
Willow Grove, PA 19090-1009

Mailing address

2603 Easton Road
Willow Grove, PA 19090-1009
Phone (267) 537-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823000298 PA Practitioner - Internal MedicinePractitioner - Family Practice 6204867906 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, shared by 44 NPIs, 442 clinicians

Practice addresses (Care Compare)

101 E Olney Ave
Philadelphia, PA 19120-2470
Phone (215) 927-1937

1380 Easton Rd
Warrington, PA 18976-1818
Phone (215) 491-5063

1400 Old York Rd
Suite a
Abington, PA 19001-2600
Phone (215) 576-1776

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 025180EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital CurrentSince Jul 7, 2023 Accepting new patients
Temple Physician Inc. CurrentSince Apr 1, 2013 Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Dec 15, 2024 Accepting new patients
Einstein Community Health Associates, Inc Family Medicine CurrentSince Dec 15, 2024 Accepting new patients
Temple Physicians Inc Family Medicine CurrentSince Apr 1, 2013 Accepting new patients
Abington Memorial Hospital Family Medicine CurrentSince Feb 8, 2023 Accepting new patients
Temple Physicians Inc Family Medicine Current Accepting new patients
Temple Physicians Inc Past Accepting new patients
Temple Physicians Inc Family Medicine Past Accepting new patients
Temple Physicians Inc Past Accepting new patients
Temple Physicians Inc Family Medicine Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1400 Old York Rd
Ste A
Abington, PA 19001
Phone (215) 576-1776

1400 York Rd
Abington, PA 19001
Phone (215) 481-6106

515 Pennsylvania Ave
Ft Washington, PA 19034
Phone (215) 641-0700

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

261 Old York Rd
Ste 216
Jenkintown, PA 19046
Phone (215) 277-7826

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

400 Huntingdon Pike
Ste C
Rockledge, PA 19046
Phone (215) 780-2000

1380 Easton Rd
Warrington, PA 18976
Phone (215) 491-5057

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1497719249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 EASTON ROAD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901009",
            "telephone_number": "267-537-3300",
            "fax_number": "267-537-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 EASTON ROAD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901009",
            "telephone_number": "267-537-3300",
            "fax_number": "267-537-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD 025180E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.