Wjo Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WJO INC.

Doing business as

South Philly Family Practice and Medical Center

Practice address

1800 Jackson St
Phila, PA 19145-3712

Phone

(215) 826-8050

Fax

(215) 826-8053

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Kristine McManus

Title

Director of Human Resources

Phone

(215) 757-0465

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• South Philly Family Practice and Medical Center Doing business as

Locations

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1538115241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 MILL ST",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190074813",
            "telephone_number": "215-826-8050",
            "fax_number": "215-826-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 JACKSON ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191453712",
            "telephone_number": "215-826-8050",
            "fax_number": "215-826-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WJO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "DIRECTOR OF HUMAN RESOURCES",
        "authorized_official_telephone_number": "215-757-0465"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2351050000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1675135",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Philly Family Practice and Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Todd Wimbush
• Kenneth D Winokur, DO
• Wise Peoples Choice
• Wise Peoples Choice of Pennsylvania, Inc (Wise Peoples Choice)
• Amelia M Withington, M.D.
• WM. J. Dennis MD
• Andrea Woll, MD
• Bruce S Wollman, PT
• Mary Kathryn Woltjen, CNM CRNP RN
• Zachary William Wolverton, D.C.

• Family Medicine Physician in Phila, PA
• Providers in Phila, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.