Physician'S House Call Services, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9102767 Issued in FL

Legal business name

PHYSICIAN'S HOUSE CALL SERVICES, PA

Practice address

3419 52ND Ave W
Bradenton, FL 34210-3253

Phone

(941) 928-3127

Fax

(941) 755-4017

NPI assigned

Jul 29, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa Reichenbach

Title

Billing Manager

Phone

(941) 870-2703

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1538324652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 52ND AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103253",
            "telephone_number": "941-928-3127",
            "fax_number": "941-755-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 52ND AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103253",
            "telephone_number": "941-928-3127",
            "fax_number": "941-755-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN'S HOUSE CALL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "REICHENBACH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "941-870-2703",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "PA9102767",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.