Organization Active NPI

Eagle Direct Primary Care LLC

  • Family Medicine Physician
  • Chester Springs, PA
National Provider Identifier
1578934162
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EAGLE DIRECT PRIMARY CARE LLC
Practice address
134 Pottstown Pike
Chester Springs, PA 19425-9516
Phone
(610) 458-8881
Fax
(610) 458-7184
NPI assigned
Oct 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Daniel Gilbert Orr, M.D.NPI 1891846614
Title
President
Phone
(610) 458-8881

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

134 Pottstown Pike
Chester Springs, PA 19425-9516

Mailing address

134 Pottstown Pike
Chester Springs, PA 19425-9516
Phone (610) 458-8881

National Provider Directory

National Provider Directory

Locations

134 Pottstown Pike
Chester Springs, PA 19425
Phone (610) 458-8881

Practitioners & affiliated clinicians

Practitioners 5

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": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1578934162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 POTTSTOWN PIKE",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259516",
            "telephone_number": "610-458-8881",
            "fax_number": "610-458-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 POTTSTOWN PIKE",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259516",
            "telephone_number": "610-458-8881",
            "fax_number": "610-458-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE DIRECT PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-458-8881",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester Springs, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.