Peace Valley Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PEACE VALLEY INTERNAL MEDICINE PC

Practice address

5039 Swamp Road
Suite 401
Fountainville, PA 18923-9667

Phone

(215) 230-8380

Fax

(215) 230-8370

NPI assigned

Oct 3, 2006

Last updated

Dec 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan M Purcell, MDNPI 1912092230

Title

Treasurer

Phone

(215) 230-8380

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

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.

• Susan M Purcell, MD

  • Internal Medicine Physician
  • Fountainville, PA
  • NPI 1912092230
  Medicare reassignment Care Compare group NPD Authorized official
• Alan I Abramowitz, D.O.

  • Internal Medicine Physician
  • Fountainville, PA
  • NPI 1730181595
  Medicare reassignment Care Compare group NPD
• Ashley Justine Jacobs, CRNP

  • Family Nurse Practitioner
  • Fountainville, PA
  • NPI 1932823523
  Medicare reassignment Care Compare group NPD
• Susan R. Lipson, M.D.

  • Family Medicine Physician
  • Ottsville, PA
  • NPI 1366591307
  Medicare reassignment Care Compare group NPD
• Margaret Welch, CRNP

  • Adult Health Nurse Practitioner
  • Fountainville, PA
  • NPI 1699296749
  Medicare reassignment Care Compare group NPD
• Diane Blackman, CRNP

  • Family Nurse Practitioner
  • Chalfont, PA
  • NPI 1750784971
  Medicare reassignment NPD
• Jennifer G Shoup, CRNP

  • Adult Health Nurse Practitioner
  • Fountainville, PA
  • NPI 1962793059
  Medicare reassignment NPD
• Michael Anthony Wortell, MSN, FNP-BC

  • Family Nurse Practitioner
  • Doylestown, PA
  • NPI 1932718582
  Medicare reassignment NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1578658928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 SWAMP ROAD",
            "address_2": "SUITE 401",
            "city": "FOUNTAINVILLE",
            "state": "PA",
            "postal_code": "189239667",
            "telephone_number": "215-230-8380",
            "fax_number": "215-230-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5039 SWAMP ROAD",
            "address_2": "SUITE 401",
            "city": "FOUNTAINVILLE",
            "state": "PA",
            "postal_code": "189239667",
            "telephone_number": "215-230-8380",
            "fax_number": "215-230-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE VALLEY INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "PURCELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "215-230-8380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Kisluk, DNP
• Catherine Anne Leone, PTA
• Jack McEwan, M.D
• James Gerard Meehan, CRNA
• James M Morton
• Susan M Purcell, MD
• Stephanie Lynn Pusateri, OTR/L, CHT
• Lisa Rhodes, D.P.M.
• Robert Edward Rinaldi, M.D.
• Jennifer G Shoup, CRNP

• Internal Medicine Physician in Fountainville, PA
• Providers in Fountainville, 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 Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.