Organization Active NPI

Powell Family Medicine Associates

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1568481562
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
POWELL FAMILY MEDICINE ASSOCIATES
Practice address
6013 Greene St
Philadelphia, PA 19144-2759
Phone
(215) 438-1030
Fax
(215) 438-4579
NPI assigned
Jul 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Roberta F Lee-Powell, DONPI 1336164839
Title
Physician Director
Phone
(215) 438-1030

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

6013 Greene St
Philadelphia, PA 19144-2759

Mailing address

6013 Greene St
Philadelphia, PA 19144-2759
Phone (215) 438-1030

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568481562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6013 GREENE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442759",
            "telephone_number": "215-438-1030",
            "fax_number": "215-438-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6013 GREENE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442759",
            "telephone_number": "215-438-1030",
            "fax_number": "215-438-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL FAMILY MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE-POWELL",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN DIRECTOR",
        "authorized_official_telephone_number": "215-438-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.