Organization Active NPI

Valley Forge Facial Plastic Surgery ENT

  • Otolaryngology/Facial Plastic Surgery Physician
  • Phoenixville, PA
National Provider Identifier
1558550830
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
VALLEY FORGE FACIAL PLASTIC SURGERY ENT
Practice address
206 Gay St
Phoenixville, PA 19460-3721
Phone
(610) 933-8896
Fax
(610) 326-6160
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Larry A Feiner, MDNPI 1578533212
Title
Secretary-Treasurer
Phone
(610) 323-1550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X Primary

Addresses

Primary practice location

206 Gay St
Phoenixville, PA 19460-3721

Mailing address

206 Gay St
Phoenixville, PA 19460-3721
Phone (610) 933-8896

National Provider Directory

National Provider Directory

Locations

206 Gay St
Phoenixville, PA 19460
Phone (215) 323-1550

2023 E High St
Pottstown, PA 19464
Phone (610) 323-1550

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1558550830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 GAY ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603721",
            "telephone_number": "610-933-8896",
            "fax_number": "610-326-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 GAY ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603721",
            "telephone_number": "610-933-8896",
            "fax_number": "610-326-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FORGE FACIAL PLASTIC SURGERY ENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "FEINER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY-TREASURER",
        "authorized_official_telephone_number": "610-323-1550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.