Active NPI
Mercy Management of Southeastern Pennsylvania
Doing business as MMS-Mercy Specialty Associates
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1548246127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
- Doing business as
- MMS-Mercy Specialty Associates
- Practice address
- 501 S 54TH St
Suite 126
Philadelphia, PA 19143-1900 - Phone
- (215) 748-9872
- Fax
- (215) 748-9869
- NPI assigned
- Dec 16, 2005
- Last updated
- Aug 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Douglas C Smith
- Title
- VP Financial Services
- Phone
- (610) 567-6964
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Cardiovascular Disease Physician | 207RC0000X | NU | ||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | NU | ||
| Gastroenterology Physician | 207RG0100X | NU | ||
| Hematology & Oncology Physician | 207RH0003X | NU | ||
| Interventional Cardiology Physician | 207RI0011X | NU | ||
| Infectious Disease Physician | 207RI0200X | NU | ||
| Pulmonary Disease Physician | 207RP1001X | NU | ||
| Neurological Surgery Physician | 207T00000X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | NU | ||
| Orthopaedic Surgery Physician | 207X00000X | NU | ||
| Otolaryngology Physician | 207Y00000X | NU | ||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | NU | ||
| Neurology Physician | 2084N0400X | NU | ||
| Hospitalist Physician | 208M00000X | NU |
Addresses
Primary practice location
501 S 54TH St
Suite 126
Philadelphia, PA 19143-1900
Mailing address
1 W Elm St
2ND Floor
Conshohocken, PA 19428-2007
Phone (610) 567-6964
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36430 | Other | PA | HEALTHPARTNERS |
| 1761038 | Other | PA | BLUE SHIELD |
| 30031042 | Other | PA | KEYSTONE MERCY HEALTH PLA |
| 1007787930162 | Medicaid | PA | |
| 1217362 | Other | PA | AUSHC HMO |
| 2426698000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 7479774 | Other | PA | AUSHC PPO |
Other names 1
- MMS-Mercy Specialty Associates
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1502150400000",
"number": "1548246127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W ELM ST",
"address_2": "2ND FLOOR",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282007",
"telephone_number": "610-567-6964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S 54TH ST",
"address_2": "SUITE 126",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191431900",
"telephone_number": "215-748-9872",
"fax_number": "215-748-9869"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-16",
"last_updated": "2017-08-08",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "VP FINANCIAL SERVICES",
"authorized_official_telephone_number": "610-567-6964",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "36430",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1761038",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HEALTH PLA",
"identifier": "30031042",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007787930162",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUSHC HMO",
"identifier": "1217362",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "2426698000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUSHC PPO",
"identifier": "7479774",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MMS-Mercy Specialty Associates",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Philadelphia, PA
- Mercy Management of Southeastern Pennsylvania (MMS-Mercy Medical Associates at Eastwick)
- Mercy Management of Southeastern Pennsylvania (MMS-Mercy Oncology)
- Mercy Management of Southeastern Pennsylvania (MMS Mercy Radiation Oncology)
- Mercy Management of Southeastern Pennsylvania (MMS-Mercy Hospital of Philadelphia)
- Mercy Management of Southeastern Pennsylvania (Mercy Physicians Group)
- Mercy Management of Southeastern Pennsylvania (Mercy Philadelphia Surgical Associates)
- Mercy Management of Southeastern Pennsylvania (Mercy Gastroenterology Associates)
- Mercy Management of Southeastern Pennsylvania (MMS-Mercy Family Health Care Associates)
- Mercy Management of Southeastern Pennsylvania (Mercy Gastroenterology Associates)
- Mercy Management of Southeastern Pennsylvania (MMS-Mercy Orthpaedics Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.