Wallingford Medical Clinic, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD035193E Issued in PA

Legal business name

WALLINGFORD MEDICAL CLINIC, LLC

Practice address

2901 Dutton Mill Rd
Ste 110
Aston, PA 19014-2849

Phone

(610) 876-2300

Fax

(610) 876-3004

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rex K Kessler, MD

Title

MD

Phone

(610) 876-2300

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel J. Fracchia, PAC

  • Physician Assistant
  • Corning, NY
  • NPI 1457310161
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1548288236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1897",
            "city": "BOOTHWYN",
            "state": "PA",
            "postal_code": "190617897",
            "telephone_number": "610-876-2300",
            "fax_number": "610-876-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 DUTTON MILL RD",
            "address_2": "STE 110",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190142849",
            "telephone_number": "610-876-2300",
            "fax_number": "610-876-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLINGFORD MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "610-876-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD035193E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "2060989001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "19949",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1612690",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Village Charter School of Chester
• Amanda Vito, PT, DPT
• H. David Waldman, D.M.D.
• Walgreen Co
• Lauren Walker, PT, DPT
• Ware Medical Associates PC
• Benjamin Ware, MD
• William Charles Ware, M.D.
• Julia Wayock, MA, LAT, ATC
• Jaime Lynn West

• Internal Medicine Physician in Aston, PA
• Providers in Aston, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.