Organization Active NPI

Chestnut Hill Clinic Company, LLC

Doing business as Behavioral Health Chestnut Hill Ave Tower Health Medical Group

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1508936071
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHESTNUT HILL CLINIC COMPANY, LLC
Doing business as
Behavioral Health Chestnut Hill Ave Tower Health Medical Group
Breast Surgery Chestnut Hill Tower Health Medical Group
Endocrinology & Diabetes Center Chestnut Hill THMG12 more in Other names
Practice address
8835 Germantown Ave
Philadelphia, PA 19118-2718
Phone
(215) 248-8200
Fax
(215) 248-1022
NPI assigned
Nov 9, 2006
Last updated
Nov 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Robert Ehinger
Title
Sr VP Financial Operations
Phone
(484) 628-4681

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X
Clinical Social Worker 1041C0700X
Family Medicine Physician 207Q00000X
Sports Medicine (Family Medicine) Physician 207QS0010X
Internal Medicine Physician 207R00000X Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Gastroenterology Physician 207RG0100X
Obstetrics & Gynecology Physician 207V00000X
Maternal & Fetal Medicine Physician 207VM0101X
Gynecologic Oncology Physician 207VX0201X
Psychiatry Physician 2084P0800X
Surgery Physician 208600000X
Physical Therapist 225100000X

Addresses

Primary practice location

8835 Germantown Ave
Philadelphia, PA 19118-2718

Mailing address

PO Box 13579
Reading, PA 19612-3579

Other practice location 1

8200 Flourtown Ave Ste 2
Wyndmoor, PA 19038-7969
Phone (215) 836-5100

Other practice location 2

1777 Sentry Pkwy W
Blue Bell, PA 19422-2207
Phone (215) 646-2213

Other practice location 3

1811 Bethlehem Pike Ste B232
Flourtown, PA 19031-1111
Phone (215) 233-1500

Other practice location 4

8815 Germantown Ave Ste 20
Philadelphia, PA 19118-2722
Phone (215) 248-8030

Other practice location 5

8815 Germantown Ave Fl 5
Philadelphia, PA 19118-2722
Phone (215) 248-8145

Other practice location 6

1000 Easton Rd Ste 260
Wyncote, PA 19095-2934
Phone (215) 884-8815

Other practice location 7

8811 Germantown Ave
Philadelphia, PA 19118-2718
Phone (215) 624-8825

Other practice location 8

8815 Germantown Ave Ste 40
Philadelphia, PA 19118-2722
Phone (215) 248-3100

Other practice location 9

8815 Germantown Ave Ste 22A
Philadelphia, PA 19118-2722
Phone (215) 836-5120

Other practice location 10

10 Shurs Ln Ste 204
Philadelphia, PA 19127-2123
Phone (215) 967-1627

Other practice location 11

10 Shurs Ln Ste 204
Philadelphia, PA 19127-2123
Phone (215) 967-1627

Other practice location 12

8815 Germantown Ave Ste 36
Philadelphia, PA 19118-2722
Phone (215) 967-1627

Other practice location 13

8815 Germantown Ave Ste 22
Philadelphia, PA 19118-2722
Phone (215) 967-1627

Other practice location 14

8815 Germantown Ave Ste 21
Philadelphia, PA 19118-2727
Phone (215) 967-1627

Other practice location 15

8835 Germantown Ave # 2
Philadelphia, PA 19118-2718
Phone (484) 628-1324

Other practice location 16

1811 Bethlehem Pike Ste B232
Flourtown, PA 19031-1111
Phone (484) 628-3412

Other practice location 17

8815 Germantown Ave Ste 22B
Philadelphia, PA 19118-2722
Phone (484) 628-1324

Other practice location 18

1000 Easton Rd Ste 260
Wyncote, PA 19095-2934
Phone (484) 628-1324

Other names 15

  • Behavioral Health Chestnut Hill Ave Tower Health Medical Group Doing business as
  • Breast Surgery Chestnut Hill Tower Health Medical Group Doing business as
  • Endocrinology & Diabetes Center Chestnut Hill THMG Doing business as
  • Family Medicine Flourtown Tower Health Medical Group Doing business as
  • Family Medicine Residency Chestnut Hill Tower Health Medical Group Doing business as
  • Family Medicine Wyncote Tower Health Medical Group Doing business as
  • Gastroenterology Chestnut Hill Tower Health Medical Group Doing business as
  • Gynecology Blue Bell Tower Health Medical Group Doing business as
  • Gynecology Chestnut Hill Tower Health Medical Group Doing business as
  • Hospitalists Chestnut Hill Tower Health Medical Group Doing business as
  • Internal Medicine Wyndmoor Tower Health Medical Group Doing business as
  • Sleep Medicine Chestnut Hill Tower Health Medical Group Doing business as
  • Surgery Chestnut Hill Suite 21 Tower Health Medical Group Doing business as
  • Surgery Chestnut Hill Suite 22 A&B Tower Health Medical Group Doing business as
  • Surgery Chestnut Hill Tower Health Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070109000509 PA Part B Supplier - Clinic/Group Practice 2860492279 Receives reassigned benefits from 197 practitioners
2 other NPIs on this enrollment
Practice locations: Philadelphia, PA; Plymouth Meeting, PA; Roxborough, PA; Wayne, PA; Blue Bell, PA; Wyncote, PA; Wyndmoor, PA; Lafayette Hill, PA…

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

110 W Wissahickon Ave
Flourtown, PA 19031
Phone (215) 646-2278

1811 Bethlehem Pike
Ste B232
Flourtown, PA 19031
Phone (215) 233-1500

10 Shurs Ln
Ste 204
Philadelphia, PA 19127
Phone (215) 477-4960

8815 Germantown Ave
Ste 22A
Philadelphia, PA 19118
Phone (215) 836-5120

8815 Germantown Ave
Ste 22AB
Philadelphia, PA 19118

8815 Germantown Ave
Ste 40
Philadelphia, PA 19118
Phone (215) 242-4442

8815 Germantown Ave
Ste Ab
Philadelphia, PA 19118

8835 Germantown Ave
Fl 3
Philadelphia, PA 19118

1000 Easton Rd
Ste 260
Wyncote, PA 19095
Phone (215) 884-8815

8200 Flourtown Ave
Ste 7
Wyndmoor, PA 19038
Phone (215) 836-5100

Practitioners & affiliated clinicians

Practitioners 216

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 216

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1508936071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182718",
            "telephone_number": "215-248-8200",
            "fax_number": "215-248-1022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Flourtown Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Wyndmoor",
            "state": "PA",
            "postal_code": "190387969",
            "country_code": "US",
            "telephone_number": "215-836-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1777 Sentry Pkwy W",
            "address_purpose": "LOCATION",
            "city": "Blue Bell",
            "state": "PA",
            "postal_code": "194222207",
            "country_code": "US",
            "telephone_number": "215-646-2213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1811 Bethlehem Pike Ste B232",
            "address_purpose": "LOCATION",
            "city": "Flourtown",
            "state": "PA",
            "postal_code": "190311111",
            "country_code": "US",
            "telephone_number": "215-233-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8815 Germantown Ave Ste 20",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191182722",
            "country_code": "US",
            "telephone_number": "215-248-8030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8815 Germantown Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191182722",
            "country_code": "US",
            "telephone_number": "215-248-8145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Easton Rd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Wyncote",
            "state": "PA",
            "postal_code": "190952934",
            "country_code": "US",
            "telephone_number": "215-884-8815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8811 Germantown Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191182718",
            "country_code": "US",
            "telephone_number": "215-624-8825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8815 Germantown Ave Ste 40",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191182722",
            "country_code": "US",
            "telephone_number": "215-248-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8815 Germantown Ave Ste 22A",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191182722",
            "country_code": "US",
            "telephone_number": "215-836-5120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Shurs Ln Ste 204",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191272123",
            "country_code": "US",
            "telephone_number": "215-967-1627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Shurs Ln Ste 204",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191272123",
            "country_code": "US",
            "telephone_number": "215-967-1627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8815 Germantown Ave Ste 36",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191182722",
            "country_code": "US",
            "telephone_number": "215-967-1627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8815 Germantown Ave Ste 22",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191182722",
            "country_code": "US",
            "telephone_number": "215-967-1627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8815 Germantown Ave Ste 21",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191182727",
            "country_code": "US",
            "telephone_number": "215-967-1627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8835 Germantown Ave # 2",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191182718",
            "country_code": "US",
            "telephone_number": "484-628-1324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1811 Bethlehem Pike Ste B232",
            "address_purpose": "LOCATION",
            "city": "Flourtown",
            "state": "PA",
            "postal_code": "190311111",
            "country_code": "US",
            "telephone_number": "484-628-3412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8815 Germantown Ave Ste 22B",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191182722",
            "country_code": "US",
            "telephone_number": "484-628-1324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Easton Rd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Wyncote",
            "state": "PA",
            "postal_code": "190952934",
            "country_code": "US",
            "telephone_number": "484-628-1324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHESTNUT HILL CLINIC COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "EHINGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SR VP FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "484-628-4681"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Chestnut Hill Ave Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Breast Surgery Chestnut Hill Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Endocrinology & Diabetes Center Chestnut Hill THMG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Medicine Flourtown Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Medicine Residency Chestnut Hill Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Medicine Wyncote Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gastroenterology Chestnut Hill Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gynecology Blue Bell Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gynecology Chestnut Hill Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospitalists Chestnut Hill Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Internal Medicine Wyndmoor Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sleep Medicine Chestnut Hill Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surgery Chestnut Hill Suite 21 Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surgery Chestnut Hill Suite 22 A&B Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surgery Chestnut Hill Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.